Electronic authorization and notification inquiries can be submitted in real-time or in batches and you will receive a unique inquiry ID for confirmation of submission. Health maintenance organization (HMO) Print A health care system that assumes or shares both the financial risks and the delivery risks associated with providing comprehensive medical services to a voluntarily enrolled population in a particular geographic area, usually in return for a fixed, prepaid fee. Use the Prior Authorization and Notification Inquiry (278I) transaction to check the status of previously submitted authorizations and notifications. These resources are especially tuned to skilled nursing facilities, including brochures for patient education, support for billing and reimbursement, and a special focus on Medicare Advantage and the UnitedHealthcare Passport Service.ĮDI 278I: Prior Authorization and Notification Inquiry Outpatient diagnostic lab services will be covered for commercial members at the lowest cost shared when delivered by a Designated Diagnostic Provider. UnitedHealthcare is launching a new benefit design for outpatient diagnostic lab services to help drive patient transparency and manage the cost of healthcare. Coordination of Care among practitioners is a best practice, as well as a vital contribution to integrating a member’s physical and behavioral health needs. Members may receive services from more than one practitioner. Important Concepts in Integration: Coordination of Care UnitedHealthcare® Charter, Navigate and NavigateNOW benefit plans offer UnitedHealthcare commercial members a customized, more-focused network of healthcare professionals. Charter, Navigate and Navigate Now Referral Requirement Quick Reference Guide
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