By: Alex Mitchell, Quality Programs Coordinator
Update: Following a meeting with College of American Pathologists reps, UHC announced it was delaying the deadline for labs to complete the quality survey to March 10. The payer has since removed the deadline to complete the survey entirely.
Beginning July 1, 2021, UnitedHealthcare will only cover outpatient diagnostic lab services for commercial members when performed by a Designated Diagnostic Provider, a new quality status the insurer is asking labs to meet in an effort to tighten its network.
Per UHC, to participate, in-network hospital-affiliated and independent labs must meet certain quality and efficiency criteria and complete the associated survey.
- Complete the Designated Diagnostic Provider lab quality questionnaire
- If you meet the lab quality and efficiency requirements, you will become a Designated Diagnostic Provider for lab services and be notified accordingly
- If you do not meet the lab Designated Diagnostic Provider requirements for lab services, a dedicated network representative will reach out to follow up and support the process
- 19 (Off-campus outpatient hospital)
- 22 (On-campus hospital outpatient)
- 81 (lab)