BC Advantage - 2026 Issue 6
UHC to Remove Prior Authorization for Some Radiology and Cardiology Tests
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Article Overview
This brief update explains that UnitedHealthcare is removing prior authorization requirements for certain diagnostic imaging and cardiology tests effective January 1, 2026. It identifies the plan types affected and points readers to the insurer’s source notice for the full list of impacted services. The article is relevant to billing, coding, and reimbursement professionals who follow payer policy changes.
Why This Topic Matters
Payer prior authorization updates can affect scheduling, documentation, and claims workflow for diagnostic services. Knowing which plan types are included helps revenue cycle and coding teams monitor operational changes and avoid unnecessary authorization work.
What You Will Learn
- Which broad service categories are included in the payer update
- Which UnitedHealthcare plan types are affected
- Where to find the insurer’s complete public notice for the impacted services
- Why this policy change matters for billing and prior authorization workflows
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Practice managers
- Radiology billing teams
- Cardiology billing teams
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