Billing SUD to UHC

Karen P 1 year ago in Billing/Electronic Modules updated 1 year ago 2

Does anyone bill SUD to UHC? Are you getting payment? We were told that UHC doesn't allow the H2035 code. Our claims are all denying for needing a PA or rendering provider is not eligible to perform the service. When calling UHC to verify coverage, we are told no PA needed.

UHC commercial or the new UHC PMAP(UHC Community Plan/UHC MCO effective 1/1/22)? We bill both but contracts with the new PMAP were not automatic- as they told us they would be. You have to work with your Optum contract manager to get a contract. 

Stephanie do you bill H2035 codes to UHC commercial plans?