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Claims Editing and Pricing

Our claim-interface technology enables sub-second, highly accurate, claim editing and pricing.

  • Lab-specific clinical and administrative edits are applied.
  • Labs-of-Choice™ preferred pricing arrangements are applied.
  • The integrity of health plan claims and claim environment are not compromised.
  • Provider claim submission processes are unchanged.
  • Health plan claim inventory is not impacted.

 

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UnitedHealthcare's Genetic and Molecular Lab Testing Notification/Prior Authorization Program

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UnitedHealthcare's Laboratory Benefit Management Program-Florida

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