Providers must come through UnitedHealthcare Link to create Prior Authorization and Notification requests.Announcement: Texas Network Providers
Effective Oct. 26, 2017, TX network providers will no longer be able to use the Laboratory Benefit Management Program's Physician Decision Support tools due to new UnitedHealthcare Genetic and Molecular Lab Testing Notification/Prior Authorization Requirements.
As a reminder, effective Nov. 1, 2017, UnitedHealthcare will start using a new online notification/prior authorization process to help manage the appropriate use of certain genetic and molecular lab tests as utilization of these outpatient laboratory services grows. This requirement will be for certain genetic and molecular testing performed in an outpatient setting for our fully insured UnitedHealthcare Commercial Plan members.*
Beacon Laboratory Benefit Solutions, Inc. (BeaconLBS), a lab services management company working on behalf of UnitedHealthcare, will register labs participating in the program and manage the online notification/prior authorization request system. We'll be providing labs with directions on how to register for the program. BeaconLBS created a streamlined notification/prior authorization process for care providers that will leverage UnitedHealthcare's clinical policy requirements for all coverage determinations.
We most recently announced this program in the September Network Bulletin. Please watch for updated program and training information for labs and ordering care providers at UHCprovider.com > Prior Authorization and Notification Resources about 30 days before the program's start date. If you have any questions, please email us at email@example.com.