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- UnitedHealthcare Implements Z-code Requirement June 1
After multiple delays, UnitedHealthcare began the implementation of the Z-code requirement on June 1. UnitedHealthcare originally announced the Z-code requirement was going to be implemented in August 2023. However, the CAP met with UnitedHealthcare and was successful in getting them to delay this requirement until the previously announced date of April 1. The CAP and affected laboratories had expressed concerns over the ability to submit claims under this new system.
The CAP opposes this requirement for specific Z-code identifiers on claims to receive payment, as it would be confusing and result in complex workflow processes that will be difficult for CAP members, especially those unfamiliar with Palmetto - one of the nation's largest providers of high volume claims and transaction processing, contact center operations and technical services to the federal government and other commercial customers. In a May 31 letter, the CAP urged UnitedHealthcare to reconsider the new requirements that are needlessly disruptive, burdensome, and financially demanding for pathologists that impede patient access to medically necessary testing. The CAP has requested additional communication with UnitedHealthcare to arrive at a better solution that avoids administrative burdens and operational difficulties, which risks interfering with the ability for patients to receive timely and appropriate services.
Impacted laboratories that need assistance can contact UHC at united_genetics@uhc.com.