Diagnostic Specimen Shipping Requirements
Sample Analysis of an ED Claim. Under a new policy effective March 1, UnitedHealthcare is analyzing emergency department (ED) claims that use a . l evel 4 or 5 severity code to review whet her the coding is appropriate.. If the insurer’s automated audit determines the code is not justified, claims are being down coded, reducing ED service payments.. Below is a sample analysis … ................
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