United Healthcare Er Policy

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Emergency Health Care Services and Urgent Care …

Details: o Pharmaceutica lproducts are covered under the Emergency Health Care Services benefit. • The Emergency Health Care Services copayment or b enefit level will apply if the member has been placed in an observation bed for the purpose of monitoring the member’s condtiion, rather than being admitted as an inpatient in the hospital. united healthcare emergency room policy

› Verified 5 days ago

› Url: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/emergency-health-services-urgent-care-center-services.pdf Go Now

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UnitedHealthcare's new ER policy called 'dangerous.' It

Details: "UHC may believe inappropriate use of the emergency room is a widespread problem; however, there is limited evidence to support this view," Pollack said. UnitedHealthcare defends policy united healthcare new er policy

› Verified 3 days ago

› Url: https://www.msn.com/en-us/health/medical/unitedhealthcare-s-new-er-policy-called-dangerous-it-says-as-many-as-1-in-10-claims-could-be-rejected/ar-AAKUdRz Go Now

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Looming UnitedHealthcare policy on coverage of …

Details: The coverage policy will apply in the majority of states at the outset and will expand subject to regulatory approval. In a statement provided to HFMA, UHC gave additional explanation about the new policy: “Unnecessary use of the emergency room costs nearly $32 billion annually, driving up healthcare costs for everyone. united healthcare emergency department policy

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› Url: https://www.hfma.org/topics/news/2021/06/looming-unitedhealthcare-policy-on-coverage-of-emergency-departm.html Go Now

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UnitedHealthcare delays ER coverage policy amid provider

Details: A spokesperson for UnitedHealthcare said in a statement to Fierce Healthcare that the policy will be pushed back until at least the end of the national public … united healthcare emergency room news

› Verified 4 days ago

› Url: https://www.fiercehealthcare.com/payer/unitedhealthcare-delays-er-coverage-policy-amid-provider-backlash Go Now

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UnitedHealthcare Facing Criticism Over New Policy On ER

Details: Filed Under: Emergency Room, Health, Health Insurance, unitedhealthcare DALLAS (CBSDFW.COM) – A major insurance company is under fire because of a … united healthcare er visit policy

› Verified 4 days ago

› Url: https://dfw.cbslocal.com/2021/06/11/unitedhealthcare-criticism-new-policy-er-visits/ Go Now

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Emergency Department (ED) Facility Evaluation and

Details: Emergency Department (ED) Facility Evaluation and Management (E&M) Coding Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans Subject This policy describes how UnitedHealthcare reimburses UB claims billed with Evaluation and Management (E/M) codes Level 4 (99284/G0383) and Level 5 (99285/G0384) for services rendered in an united healthcare emergency coverage

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› Url: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Emergency-Department-Facility-Evaluation-Mgmt-Policy.pdf Go Now

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New UHC Policy on ER Claims Possible Expensive Changes

Details: New UHC Policy on ER Claims. Recently Anthem BCBS informed all of their policyholders that they were making a change to how they were going to process claims for Emergency Room (ER) Visits. For those members that visit the ER with minor issues, this was possibly not very good news. Well now it seems that United Healthcare (UHC) is going to united healthcare emergency care

› Verified 9 days ago

› Url: https://premieremployerservices.com/some-possibly-expensive-changes-to-how-united-healthcare-processes-er-visit-claims/ Go Now

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UnitedHealthcare delays controversial ER policy following

Details: UnitedHealthcare, the biggest private payer in the U.S., is delaying a controversial policy that could retroactively deny emergency room bills it deems non-emergent — potentially saddling

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› Url: https://www.healthcaredive.com/news/unitedhealthcare-delays-controversial-er-policy-following-backlash/601629/ Go Now

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UnitedHealthcare tightens ER visit policy BenefitsPRO

Details: UnitedHealthcare tightens ER visit policy The company will be taking a closer look at hospitals' high-level claims and making more denials or downward adjustments. By …

› Verified 1 days ago

› Url: https://www.benefitspro.com/2018/03/08/unitedhealthcare-tightens-er-visit-policy/ Go Now

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United Healthcare delays new ER visit policy

Details: United Healthcare delays new ER visit policy based on feedback. M. Spencer Green/ASSOCIATED PRESS. FILE - This Nov. 30, 2010 photo shows nurses at the University of Chicago Medical Center in

› Verified 2 days ago

› Url: https://www.thedenverchannel.com/news/national/what-you-need-to-know-about-united-healthcares-new-er-visit-policy-that-goes-into-effect-july-1 Go Now

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UnitedHealthcare faces intense backlash for new ER visit

Details: UnitedHealthcare delayed the start date for a new policy it announced this week, regarding the company's intention to reject claims for non-emergency visits to …

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› Url: https://finance.yahoo.com/news/united-healthcare-faces-intense-backlash-for-new-er-visit-policy-180251960.html Go Now

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UHC Changes Emergency Department Claims Evaluation Protocols

Details: The policy will apply to commercial, fully-insured ED facility claims in many states and UHC plans to expand it to more states in the future. If UHC rules a member’s emergency room visit as

› Verified 1 days ago

› Url: https://healthpayerintelligence.com/news/uhc-changes-emergency-department-claims-evaluation-protocols Go Now

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UnitedHealthcare delays ER claims policy following backlash

Details: Facing mounting criticism from hospitals and doctors groups, health insurance giant UnitedHealthcare said it will delay a policy that would scrutinize payments for …

› Verified 5 days ago

› Url: https://www.usatoday.com/story/news/health/2021/06/10/unitedhealthcare-delays-er-claims-policy-backlash/7640575002/ Go Now

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UnitedHealthcare May Deny Emergency Visit Coverage - The

Details: The policy, which would affect millions of United’s customers, was greeted with longstanding worry over the unintended consequences of the …

› Verified 5 days ago

› Url: https://www.nytimes.com/2021/06/10/health/united-health-insurance-emergency-care.html Go Now

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UnitedHealthcare's new ER policy called 'dangerous.' It

Details: United Healthcare stuck us with a $50,000 procedure that discovered the disease my wife has. They claimed it was "preexisting" (this was before Obamacare) when we had insurance for over 4 years and this was the surgery that discovered the disease, first symptoms were only 4 months earlier.

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› Url: https://www.reddit.com/r/news/comments/nwxaar/unitedhealthcares_new_er_policy_called_dangerous/ Go Now

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UnitedHealthcare Delays New ER Visit Policy Based On

Details: UnitedHealthcare has decided to delay the implementation of a new policy that would reduce coverage, or stop payment, for patients' non-emergency visits to an emergency room.

› Verified 2 days ago

› Url: https://insurancenewsnet.com/innarticle/united-healthcare-delays-new-er-visit-policy-based-on-feedback Go Now

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UnitedHealthcare delays controversial ER policy

Details: UnitedHealthcare is delaying a new policy, at least until the "end of the national public health emergency period," that would have declined or limited coverage of an emergency room visit if the visit was found to be non-emergent after the fact.The big picture: Patients, doctors and hospitals slammed the policy, arguing it violated federal law that requires all emergency care to be covered as

› Verified 5 days ago

› Url: https://news.yahoo.com/unitedhealthcare-delays-controversial-er-policy-192128479.html Go Now

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UnitedHealthcare delays ER policy - Becker's Hospital Review

Details: The policy, which was set to take effect July 1, drew harsh criticism from hospitals and physicians. UnitedHealthcare had said 1 in 10 ER claims could have been denied under the policy.

› Verified 9 days ago

› Url: https://www.beckershospitalreview.com/payer-issues/unitedhealthcare-delays-er-policy.html Go Now

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UnitedHealthcare delays new policy on emergency department

Details: UnitedHealthcare delays new policy on emergency department visits. Under intense pressure, UnitedHealthcare says it will wait until the COVID-19 …

› Verified 8 days ago

› Url: https://medicalxpress.com/news/2021-06-unitedhealthcare-policy-emergency-department.html Go Now

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United Healthcare's new ER policy deemed 'dangerous

Details: United Healthcare’s new ER policy deemed ‘dangerous’. United Healthcare is cracking down on what they claim are unnecessary emergency room visits with …

› Verified 3 days ago

› Url: https://www.digitaljournal.com/life/united-healthcares-new-er-policy-deemed-dangerous/article Go Now

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UnitedHealthcare to Delay New Policy that Would Deny

Details: After concerns raised by the AHA and other health groups, UnitedHealthcare today announced that it would delay until the end of the COVID-19 public health emergency its recently-announced policy that would have retroactively denied coverage for emergency department claims the insurer deemed non-emergent.

› Verified 6 days ago

› Url: https://www.aha.org/special-bulletin/2021-06-10-after-concerns-aha-and-others-unitedhealthcare-will-delay-new-policy Go Now

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UnitedHealthcare to assess ER claims, sticking patients

Details: "UHC may believe inappropriate use of the emergency room is a widespread problem; however, there is limited evidence to support this view," Pollack said. UnitedHealthcare defends policy

› Verified 2 days ago

› Url: https://www.naplesnews.com/story/news/health/2021/06/09/unitedhealthcare-policy-assess-er-claims-sticking-patients-bills/7616935002/ Go Now

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UnitedHealthcare faces intense backlash for new ER visit

Details: UHC is not the first to come up with such a policy. Anthem rolled out a similar policy in 2018, which faced similar backlash. Both companies have pages on their company websites to help guide members on ER versus urgent care use. While UnitedHealth did not express which reasons for a visit it could deny, a post from 2019 offers some insight.

› Verified 5 days ago

› Url: https://ph.news.yahoo.com/united-healthcare-faces-intense-backlash-for-new-er-visit-policy-180251960.html Go Now

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Backlash forces UnitedHealthcare to delay policy that

Details: Backlash forces UnitedHealthcare to delay policy that would deny ER visit coverage. A major insurance company wants to cut back on covering …

› Verified 9 days ago

› Url: https://www.winknews.com/2021/06/10/backlash-forces-unitedhealthcare-to-delay-policy-that-would-deny-er-visit-coverage/ Go Now

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UnitedHealthcare to reduce ER coverage - Yahoo! News

Details: Starting July 1, UnitedHealthcare says it plans to reduce coverage of — or stop paying for — non-emergency trips to the ER.Why it matters: Unnecessary emergency room visits are a major source of wasted spending in U.S. health care. But critics say this policy from the nation's largest health insurer could hurt patients who mistakenly believe they'll be covered.Stay on top of the latest

› Verified 3 days ago

› Url: https://news.yahoo.com/unitedhealthcare-reduce-er-coverage-103208219.html Go Now

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UnitedHealthcare updates emergency department facility E/M

Details: While UHC has advised that the facility E/M coding policy will only apply to facility services and will have no impact upon physicians, CMA will continue to monitor the situation in the wake of the recently announced Health Net Non-emergent Emergency Room Services policy, which aims to reduce reimbursement for level 4 (CPT 99284) and level 5

› Verified 1 days ago

› Url: https://www.cmadocs.org/newsroom/news/view/ArticleId/21334/UnitedHealthcare-updates-emergency-department-facility-E-M-coding-policy Go Now

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UnitedHealthcare faces intense backlash for new ER visit

Details: UnitedHealthcare delayed the start date for a new policy it announced this week, regarding the company's intention to reject claims for non-emergency visits to the emergency room.The original start date was July 1, but the company said it would delay the rollout until the end of the pandemic. "Based on feedback from our provider partners and discussions with medical societies, we …

› Verified 3 days ago

› Url: https://ca.finance.yahoo.com/news/united-healthcare-faces-intense-backlash-for-new-er-visit-policy-180251960.html Go Now

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The problem with United Healthcare’s plan to crack down on

Details: United Healthcare, the largest insurer in the US, recently announced a new policy it said would help hold down health care costs: It would review …

› Verified 1 days ago

› Url: https://www.vox.com/2021/7/1/22557401/united-healthcare-emergency-room-visits-medical-bills Go Now

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UnitedHealthcare delays plan to deny some ER coverage

Details: Days prior, UnitedHealthcare, the nation’s largest health insurer, announced it would change its ER policy in 37 states starting July 1 in an effort to encourage patients to seek urgent care

› Verified 5 days ago

› Url: https://www.kare11.com/article/news/health/unitedhealthcare-delays-plan-deny-er-coverage-visits/89-41b26f26-0cc8-4007-91b1-8b339e7fd3e1 Go Now

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UnitedHealthcare temporarily reverses ER claims denial

Details: UnitedHealthcare, the nation's largest health insurer, has backtracked on a proposed policy retroactively rejecting emergency department claims. The policy, which was slated to take effect on July 1, meant UHC would evaluate ED claims to determine if the visits were truly necessary for commercially insured members.

› Verified 9 days ago

› Url: https://www.healthcarefinancenews.com/news/unitedhealthcare-temporarily-reverses-er-claims-denial-policy-after-backlash Go Now

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UnitedHealthcare looks to retroactively deny emergency

Details: The policy is ostensibly an attempt to curb healthcare costs – and UHC's costs – by guiding patients to urgent care facilities and other settings. It contains exclusions, including visits by children under two years, observation stays and admissions from the ED. UnitedHealthcare currently boasts northwards of 26 million commercial members.

› Verified 6 days ago

› Url: https://www.healthcarefinancenews.com/news/unitedhealthcare-looks-retroactively-deny-emergency-room-claims Go Now

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Emergency physicians oppose new UnitedHealth policy

Details: But the American College of Emergency Physicians, which represents more than 38,000 emergency care providers, fears that the policy could hamper clinical care and stop people from going to …

› Verified 2 days ago

› Url: https://medcitynews.com/2021/06/emergency-physicians-oppose-new-unitedhealth-policy-enabling-retroactive-ed-claims-denial/ Go Now

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Urgent care vs. ER - UHC

Details: Urgent care vs. ER. Get the care you need now — for less. When you need care fast, the emergency room (ER) may seem like your only option. But for many situations, urgent care clinics may treat the same conditions — at up to $2,000 less than the ER. 1. Find network urgent care.

› Verified 3 days ago

› Url: https://www.uhc.com/member-resources/where-to-go-for-medical-care/urgent-care-vs-er Go Now

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Hospital lobby urges UnitedHealthcare to reverse

Details: The American Hospital Association sent a letter to the CEO of the nation's largest commercial insurer, UnitedHealthcare, asking the payer to abandon a new ER policy that could potentially deny

› Verified 2 days ago

› Url: https://www.healthcaredive.com/news/hospital-lobby-urges-unitedhealthcare-to-reverse-dangerous-er-policy/601531/ Go Now

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1 in 10 claims could be denied under new ER policy

Details: About 1 in 10 emergency room claims could be denied under a new UnitedHealthcare policy drawing backlash from hospitals and physicians, a …

› Verified 8 days ago

› Url: https://www.beckershospitalreview.com/payer-issues/1-in-10-claims-could-be-denied-under-new-er-policy-unitedhealthcare-says.html Go Now

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New ER Policy Of United Healthcare Deemed Dangerous By Experts

Details: United Healthcare, the insurance giant in the US, is coming up with a new ER policy. Owing to this, they can crack down on emergency room visits. The new policy can be implemented from the 1st of July. New ER Policy Of Insurance Giant United Healthcare Deemed Dangerous By Experts Critics call this policy dangerous […]

› Verified 5 days ago

› Url: https://powdersvillepost.com/united-healthcare-deemed-dangerous-by-experts/ Go Now

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UnitedHealthcare delays policy to stop paying for some ER

Details: Minnetonka-based UnitedHealthcare is the nation's largest health insurer. Under the policy announced this month, the company would review ER claims based on …

› Verified 6 days ago

› Url: https://www.startribune.com/unitedhealthcare-delaying-policy-to-stop-paying-for-non-emergency-care-in-ers/600066812/ Go Now

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UnitedHealthcare faces intense backlash for new ER visit

Details: UHC is not the first to come up with such a policy. Anthem rolled out a similar policy in 2018, which faced similar backlash. Both companies have pages on their company websites to help guide members on ER versus urgent care use. While UnitedHealth did not express which reasons for a visit it could deny, a post from 2019 offers some insight.

› Verified 1 days ago

› Url: https://malaysia.news.yahoo.com/united-healthcare-faces-intense-backlash-for-new-er-visit-policy-180251960.html Go Now

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UnitedHealthcare may retroactively reject 'non-emergent

Details: Seth Trueger, M.D., an emergency physician at Northwestern Emergency Medicine and the digital media editor for JAMA Network Open, said in a …

› Verified 9 days ago

› Url: https://www.fiercehealthcare.com/payer/unitedhealthcare-may-retroactively-reject-non-emergent-er-claims-under-new-coverage-policy Go Now

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Biggest health insurer plans to deny ER bills if it doubts

Details: Biggest health insurer plans to deny ER bills if it doubts you had an emergency UnitedHealthcare delayed the policy's rollout, but experts worry about chilling effect. Beth Mole - Jun 10, 2021 7

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› Url: https://arstechnica.com/science/2021/06/biggest-health-insurer-plans-to-deny-er-bills-if-it-doubts-you-had-an-emergency/ Go Now

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Medicare Coverage for Emergency Room Visits AARP

Details: Yes, Medicare covers emergency room visits for injuries, sudden illnesses or an illness that gets worse quickly. Specifically, Medicare Part B will cover ER visits. And, since emergencies may occur anytime and anywhere, Medicare coverage for ER visits applies to any ER or hospital in the country. Note though, Medicare only covers emergency

› Verified 8 days ago

› Url: https://www.aarpmedicareplans.com/medicare-articles/does-medicare-cover-emergency-room-visits.html Go Now

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UnitedHealthcare delays new ED claims denial policy

Details: UnitedHealthcare on Thursday said it will delay implementing its new policy that would retroactively deny patients' claims of emergency department visits that are considered non-emergent.

› Verified 2 days ago

› Url: https://www.modernhealthcare.com/payment/unitedhealthcare-delays-new-ed-claims-denial-policy Go Now

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What are my care options and their costs? - UHC

Details: Emergency room. $2,200 average cost 2. For immediate treatment of life-threatening injuries or illnesses and other critical conditions, ERs are open 24/7. Good for: chest pain, shortness of breath, major burns, severe injuries. Find a hospital. Compare your care options.

› Verified 8 days ago

› Url: https://www.uhc.com/member-resources/where-to-go-for-medical-care/care-options-and-costs Go Now

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Critics Call UnitedHealthcare's New ER Policy Dangerous

Details: UnitedHealthcare says a new policy will reduce health care costs by reducing unnecessary emergency-room visits—but doctors warn there are some very obvious downsides to

› Verified 5 days ago

› Url: https://www.newser.com/story/307216/critics-call-unitedhealthcares-new-er-policy-dangerous.html Go Now

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United Healthcare Will Deny or Limit Coverage for ED

Details: Continue Reading: If Anthem's Policy Spreads, 1 in 6 ER Visits Could Be Denied Coverage . United Healthcare said this it will apply to "commercial fully …

› Verified 2 days ago

› Url: https://www.healthleadersmedia.com/revenue-cycle/united-healthcare-will-deny-or-limit-coverage-ed-commercial-claims-it-considers-non Go Now

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FAQ about United Healthcare Er Policy

What is the new UnitedHealthcare emergency department policy?

UnitedHealthcare is instituting a new policy beginning July 1 that changes how the payer assesses emergency department claims, allowing it to retroactively deny ones it deems "non-emergent" or not an emergency. The American College of Emergency Physicians has made its opposition clear, stating the policy may violate federal law.

What does UnitedHealthcare do about emergency room visits?

Read the full update. Insurance giant UnitedHealthcare is cracking down on unnecessary emergency room visits with a new policy starting July 1 that the American Hospital Association says will jeopardize patients’ health and threaten them with financial penalties.

Is there a UnitedHealthcare policy that would deny?

After concerns raised by the AHA and other health groups, UnitedHealthcare today announced that it would delay until the end of the COVID-19 public health emergency its recently-announced policy that would have retroactively denied coverage for emergency department claims the insurer deemed non-emergent.

Is the UnitedHealthcare ER policy in violation of federal layperson standard?

The national emergency physicians group believes the new policy is in direct violation of the federal layperson standard, according to a June 8 statement about UnitedHealthcare’s new policy.