UnitedHealthcare recently announced it would move forward with new coverage criteria for emergency-level care, which went into effect January 1, and this has drawn the ire of the American Hospital Association, which is urging UHC to rescind the policy.
Beginning January 1, UHC began reviewing claims for emergency services to evaluate whether a patient should access care in the emergency department. If UHC believes that emergency-level care isn’t warranted, it may deny the claim.
