Applicable Procedure Code: 42699. Effective Date: 01.01.2023 This policy addresses breast imaging, including digital mammography, magnetic resonance imaging (MRI), ultrasound, automated breast ultrasound system, computer-aided detection (CAD), computer-aided tactile breast imaging, electrical impedance scanning (EIS), magnetic resonance elastography (MRE), and molecular breast imaging. Applicable Procedure Codes: 11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11424, 11426, 11442, 19000, 20552, 20553, 27096, 31579, 57460, 62270, 62321, 64479, 64490, 64493, 64633, 64635. Members can learn more about the benefits of Oxford Benefit Management. You will then be prompted to enter required information to help us assist you. Effective Date: 04.01.2023 This policy addresses certain elective procedures that are typically performed in an office setting but may be performed in an ambulatory surgical center in certain circumstances. Provider Portal Account Login. Effective Date: 03.01.2023 This policy addresses the use of devices to generate electric tumor treatment fields (TTF). Applicable Procedure Codes: 20552, 20553, 20605, 20606, 21010, 21050, 21060, 21070, 21085, 21089, 21110, 21198, 21209, 21240, 21242, 21243, 21247, 21299, 21499, 29800, 29804, 90901, 97039, 97139, E0746, E1399, E1700, E1701, E1702. Effective Date: 04.01.2023 This policy addresses proton beam radiation therapy. Connect and protect your employees, contractors, and business partners with Identity-powered security. Health. Effective Date: 06.01.2023 This policy addresses fecal microbiota transplantation (FMT) via enema for prevention of the recurrence of clostridioides difficile infection (CDI). Applicable Procedure Code: 93580. Please enable it to improve your browsing experience. Oxford health insurance log in. Applicable Procedure Codes: E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149, E0154, E0155, E0156, E0157, E0158, E0159. A monthly notice of recently approved and/or revised Clinical and Administrative Policies is provided below for your review. Accounts can be reactivated if the app is reassigned to a user in Okta. Effective Date: 10.01.2022 This policy addresses participating providers treating a member on a Connecticut (CT) or New York (NY) product and wants to use a non-participating laboratory/pathologist or wants to provide the member with a form to obtain laboratory/pathology services outside the physician office. Applicable Procedure Codes: 0345T, 0483T, 0484T, 0543T, 0544T, 0545T, 0569T, 0570T, 0646T, 33361, 33362, 33363, 33364, 33365, 33366, 33367, 33368, 33369, 33418, 33419, 33477, 33999, 93799. Applicable Procedure Codes: 31295, 31296, 31297, 31298, 31299. When you sign in to your health plan account, you'll find easier ways to view and manage the details of your plan. Applicable Procedure Codes: 0342T, 36511, 36512, 36513, 36514, 36516, 36522, S2120. Applicable Procedure Code: T1000. Detail: Visit URL Category: Health View Health : Health View Health Applicable Procedure Codes: E2500, E2502, E2504, E2506, E2508, E2510, E2511, E2512, E2599. Effective Date: 10.01.2022 This policy addresses warming therapy, noncontact normothermic wound therapy, and low frequency ultrasound for treating wounds. Okta updates a user's attributes in the app when the app is assigned. Applicable Procedure Codes: 63650, 63655, 63685, 63688, C1767, C1778, C1816, C1820, C1822, C1823, C1883, C1897, L8679, L8680, L8682, L8685, L8686, L8687, L8688, L8695. Applicable Procedure Codes: 67299, 92499. Effective Date: 01.01.2023 This policy addresses surgery of the foot. With the portal, you can: Check eligibility and benets information Submit prior authorization requests Sign in to the UnitedHealthcare Provider Portal using your One Healthcare ID Select the "Prior Authorization" tab in the menu, and you will be redirected to the prior authorization tool Select "Submission & Status" under the Specialty Pharmacy Transaction header Be sure to attach medical records, if prompted Applicable Procedure Codes: 0598T, 0599T, 97610, A6000, E0231, E0232. Applicable Procedure Codes: 27096, 27279, 27280, 64451, G0260. Push either the users Okta password or a randomly generated password to the app. Security Assertion Markup Language is an open standard for exchanging authentication and authorization data between an identity provider (IdP) and a service provider (SP) that does not require credentials to be passed to the service provider. Applicable Procedure Codes: A7025, A7026, E0481, E0483. Applicable Procedure Codes: 25280, 25332, 25441, 25442, 25443, 25444, 25445, 25446, 25447, 25449, 26530, 26531, 26535, 26536, 29840, 29843, 29844, 29845, 29846, 29847. Effective Date: 03.01.2023 This policy addresses extracorporeal shock wave lithotripsy (ESWL) and endoscopic intracorporeal laser lithotripsy for treating salivary stones. Applicable Procedure Codes: 0254U, 58970, 58974, 76948, 81228, 81229, 81349, 81479, 89250, 89251, 89253, 89254, 89255, 89257,89258, 89260, 89261, 89264, 89268, 89272, 89280, 89281, 89290, 89291, 89342, 89352, S4011, S4015, S4016, S4022, S4037. Effective Date: 06.01.2023 This policy addresses mastectomy or suction lipectomy for the treatment of benign gynecomastia. Applicable Procedure Codes: 0038U, 82306, 82652. Effective Date: 01.01.2023 This policy addresses implanted spinal drug delivery systems for the treatment of cancer-related pain, severe spasticity, and chronic non-malignant pain. The best matching results for Oxford Health Provider Portal are listed below, along with top pages, social handles, current status, FAQs, and comments. Applicable Procedure Codes: 77299, A4555, E0766. Applicable Procedure Codes: 0687T, 0688T, 0704T, 0705T, 0706T, 92065, 92499. Effective Date: 01.01.2023 This policy addresses balloon sinus ostial dilation. Applicable Procedure Code: 27599. Effective Date: 04.01.2023 This policy addresses autologous chondrocyte transplantation (ACT), osteochondral autograft and allograft transplantation, microfracture repair of the knee, and focal articular cartilage repair. Effective Date: 06.01.2023 This policy addresses patient lifts. Applicable Procedure Code: 19300. Applicable Procedure Codes: 19499, 20999, 27599, 32999, 53899, 55899, 61736, 61737, 64999. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Effective Date: 03.01.2023 This policy addresses vertebral body tethering for the treatment of scoliosis. Effective Date: 01.01.2023 This policy addresses supplies, medications, and equipment for the treatment of diabetes. Effective Date: 03.01.2023 This policy addresses the SynCardia temporary Total Artificial Heart. Medicare Advantage and Community Plan 800-600-9007. By clicking "I Agree," you agree to be bound by the terms and conditions expressed herein, in addition to our Site Use Agreement. Effective Date: 07.01.2022 This policy addresses a participating provider's use of a non-participating provider physician, facility, or other healthcare provider in a members care, and the Member Advanced Notice Form. Effective Date: 01.01.2023 This policy addresses functional endoscopic sinus surgery (FESS). Applicable Procedure Codes: 0060U, 0327U, 81420, 81422, 81479, 81507. Applicable Procedure Codes: L6026, L6611, L6621, L6629, L6632, L6677, L6680, L6682, L6686, L6687, L6688, L6694, L6695, L6696, L6697, L6698, L6715, L6880, L6881, L6882, L6883, L6884, L6890, L6925, L6935, L6945, L6955, L6975, L7007, L7008, L7009, L7045, L7180, L7181, L7190, L7191, L7259, L7360, L7364, L7366, L7367, L7368, L7400, L7401, L7403, L7404, L8465, L8881. Health (Just Now) WebEasily connect Okta with Oxford Health Plans Provider Portal or use any of our other 7,000+ pre-built integrations. Effective Date: 03.01.2023 This policy addresses nerve conduction studies and other neurophysiological testing. Last modified: May 4, 2021. Effective Date: 04.01.2023 This policy addresses multiplex polymerase chain reaction (PCR) panel testing of gastrointestinal pathogens. Provider, including Facility . Applicable Procedure Codes: 27685, 27700, 27702, 27703, 27704, 29891, 29892, 29894, 29895, 29897, 29898, 29899. Effective Date: 05.01.2023 This policy addresses surgical repair for treating athletic pubalgia. Effective Date: 06.01.2023 This policy addresses routine foot care for members with diabetes or who are at risk for neurological or vascular disease arising from diseases such as diabetes. Need access to the UnitedHealthcare Provider Portal? Applicable Procedure Codes: 31240, 31253, 31254, 31255, 31256, 31257, 31259, 31267, 31276, 31287, 31288. Applicable Procedure Codes: 0232T, G0460, G0465, M0076, P9020. Applicable Procedure Codes: 0308T, 67036, 67299, 92499. Effective Date: 04.01.2023 This policy addresses wearable air conduction, bone-anchored, semi-implantable hearing aids (SEHA), intraoral bone conduction, and laser or light based hearing aids, and totally implanted middle ear hearing systems. Effective Date: 03.01.2023 This policy addresses computer-assisted surgical navigation for musculoskeletal procedures and the use of intra-operative kinetic balance sensor for implant stability during knee replacement arthroplasty. New User & User Access. Behavioral Health Effective Date: 01.01.2023 This policy addresses wigs. Applicable Procedure Codes: 43210, 43257, 43284, 43289, 43497, 43499, 43999. Effective Date: 04.01.2023 This policy addresses preventive care services. Health plan support All Savers Health Plan 800-291-2634. Applicable Procedure Codes: 31660, 31661. Applicable Procedure Codes: 92548, 92549. Effective Date: 04.01.2023 This policy addresses whole exome and whole genome sequencing. Effective Date: 02.01.2023 This policy addresses insulin delivery and continuous glucose monitoring for diabetes management. Applicable Procedure Codes: E1399, E1800, E1801, E1802, E1805, E1806, E1810, E1811, E1812, E1815, E1816, E1818, E1825, E1830, E1831, E1840, E1841. Applicable Procedure Codes: 37243, 79445, S2095. Applicable Procedure Code: A9282. Applicable Procedure Codes: 69930, L8614, L8615, L8616, L8617, L8618, L8619, L8627, L8628, V5273. Effective Date: 07.01.2022 This policy addresses participating providers in New York and Connecticut using non-participating providers for intraoperative neuro-monitoring (IONM). Referring patients to Oxford PLN for laboratory services can help them access additional health care professionals while reducing their out-of-pocket costs. Import the user attribute schema from the application and reflect it in the Okta app user profile. Applicable Procedure Codes: 0213T, 0214T, 0215T, 0216T, 0217T, 0218T, 64490, 64491, 64492, 64493, 64494, 64495. Effective Date: 01.01.2023 This policy addresses genome-wide comparative genomic hybridization microarray testing or single nucleotide polymorphism (SNP) chromosomal microarray analysis. You will then need to contact Provider Services or your Network Account Manager to restore portal access. Effective Date: 06.01.2023 This policy addresses varicose vein ablative and stripping procedures and ligation procedures. In the event of an inconsistency or conflict between the information provided in the Policy Update Bulletin and the posted policy, the provisions of the posted policy will prevail. Effective Date: 06.01.2023 This policy addresses lysis intranasal synechia, repair of nasal vestibular stenosis or alar collapse, rhinoplasty, rhinophyma, septal dermatoplasty, and nasal polypectomy. Medical Policies. Effective Date: 01.01.2023 This policy addresses outpatient physical and occupational therapy services managed by OptumHealth Care Solutions. Looks like you have Javascript turned off! Effective Date: 03.01.2023 This policy addresses occlusion therapy, pharmacologic penalization therapy, orthoptic or vision therapy, prism adaptation therapy, visual perception therapy, vision restoration therapy, and the use of visual information processing evaluations to diagnose reading or learning disabilities. Effective Date: 01.01.2023 This policy addresses surgery of the foot accounts can be reactivated the..., 43289, 43497, 43499, 43999 preventive care services, noncontact wound... Can be reactivated if the app is reassigned to a user 's attributes in the.!: 69930, L8614, L8615, L8616, L8617, L8618, L8619, L8627, L8628 V5273... Care Solutions ( FESS ) vertebral body tethering for the treatment of diabetes and occupational therapy services by! Stripping procedures and ligation procedures neurophysiological testing, 32999, 53899,,! ( TTF ) and stripping procedures and ligation procedures treating salivary stones protect your employees contractors. 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