UnitedHealthcare policy

Peoples Health Plans prior authorization requirements

Peoples Health Plans prior authorization requirements is a public UnitedHealthcare policy (effective May 1, 2026). It lists 1,538 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Effective
May 1, 2026
Line of business
Medicaid
Source
www.uhcprovider.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.

CodeOther UnitedHealthcare policies
00012Policies naming 00012
00143Policies naming 00143
00300Policies naming 00300
00304Policies naming 00304
00306Policies naming 00306
00307Policies naming 00307
00308Policies naming 00308
00309Policies naming 00309
00310Policies naming 00310
00326Policies naming 00326
00327Policies naming 00327
00328Policies naming 00328
00329Policies naming 00329
00330Policies naming 00330
00331Policies naming 00331
00332Policies naming 00332
00333Policies naming 00333
00334Policies naming 00334
00335Policies naming 00335
00336Policies naming 00336
00337Policies naming 00337
00338Policies naming 00338
00339Policies naming 00339
00340Policies naming 00340
00344Policies naming 00344
00345Policies naming 00345
00744Policies naming 00744
00746Policies naming 00746
00748Policies naming 00748
00749Policies naming 00749
00750Policies naming 00750
0200TPolicies naming 0200T
06315Policies naming 06315
06316Policies naming 06316
06317Policies naming 06317
06320Policies naming 06320
06321Policies naming 06321
06325Policies naming 06325
06326Policies naming 06326
06327Policies naming 06327
06328Policies naming 06328
06342Policies naming 06342
06345Policies naming 06345
06349Policies naming 06349
06350Policies naming 06350
06351Policies naming 06351
06352Policies naming 06352
06353Policies naming 06353
06354Policies naming 06354
06356Policies naming 06356
06357Policies naming 06357
06360Policies naming 06360
06361Policies naming 06361
06362Policies naming 06362
06363Policies naming 06363
06370Policies naming 06370
06371Policies naming 06371
06372Policies naming 06372
06380Policies naming 06380
06384Policies naming 06384
06391Policies naming 06391
06392Policies naming 06392
06439Policies naming 06439
06441Policies naming 06441
06444Policies naming 06444
06445Policies naming 06445
06446Policies naming 06446
06447Policies naming 06447
06448Policies naming 06448
06453Policies naming 06453
06454Policies naming 06454
06455Policies naming 06455
06458Policies naming 06458
06459Policies naming 06459
06460Policies naming 06460
06461Policies naming 06461
06477Policies naming 06477
06483Policies naming 06483
06485Policies naming 06485
06486Policies naming 06486
06487Policies naming 06487
06488Policies naming 06488
06507Policies naming 06507
06508Policies naming 06508
06510Policies naming 06510
06533Policies naming 06533
06534Policies naming 06534
06535Policies naming 06535
06536Policies naming 06536
06537Policies naming 06537
06538Policies naming 06538
08966Policies naming 08966
08967Policies naming 08967
08968Policies naming 08968
08969Policies naming 08969
08970Policies naming 08970
08971Policies naming 08971
08972Policies naming 08972
08973Policies naming 08973
08974Policies naming 08974
09000Policies naming 09000
09001Policies naming 09001
09100Policies naming 09100
09102Policies naming 09102
09103Policies naming 09103
09117Policies naming 09117
09118Policies naming 09118
09572Policies naming 09572
09573Policies naming 09573
09574Policies naming 09574
11468Policies naming 11468
11469Policies naming 11469
11470Policies naming 11470
11471Policies naming 11471
11472Policies naming 11472
11473Policies naming 11473
11960Policies naming 11960
11971Policies naming 11971
12085Policies naming 12085
12086Policies naming 12086
12087Policies naming 12087
12268Policies naming 12268
12350Policies naming 12350
12404Policies naming 12404
12405Policies naming 12405
12406Policies naming 12406
12408Policies naming 12408
12413Policies naming 12413
12414Policies naming 12414
12416Policies naming 12416
12417Policies naming 12417
12418Policies naming 12418
12422Policies naming 12422
12423Policies naming 12423
12424Policies naming 12424
12427Policies naming 12427
12428Policies naming 12428
12429Policies naming 12429
12430Policies naming 12430
12431Policies naming 12431
12433Policies naming 12433
12434Policies naming 12434
12435Policies naming 12435
12436Policies naming 12436
12437Policies naming 12437
12438Policies naming 12438
12440Policies naming 12440
12441Policies naming 12441
12442Policies naming 12442
12443Policies naming 12443
12444Policies naming 12444
12445Policies naming 12445
12446Policies naming 12446
12826Policies naming 12826
12834Policies naming 12834
12835Policies naming 12835
12840Policies naming 12840
12986Policies naming 12986
12987Policies naming 12987
12988Policies naming 12988
13024Policies naming 13024
13025Policies naming 13025
13026Policies naming 13026
13295Policies naming 13295
13296Policies naming 13296
13353Policies naming 13353
13354Policies naming 13354
13355Policies naming 13355
13464Policies naming 13464
13465Policies naming 13465
13466Policies naming 13466
13467Policies naming 13467
13470Policies naming 13470
13483Policies naming 13483
13517Policies naming 13517
13518Policies naming 13518
13519Policies naming 13519
13522Policies naming 13522
13523Policies naming 13523
13546Policies naming 13546
13711Policies naming 13711
13804Policies naming 13804
13850Policies naming 13850
13852Policies naming 13852
13875Policies naming 13875
13895Policies naming 13895
13896Policies naming 13896
14000Policies naming 14000
14001Policies naming 14001
14041Policies naming 14041
14620Policies naming 14620
14621Policies naming 14621
14622Policies naming 14622
14623Policies naming 14623
14624Policies naming 14624
14625Policies naming 14625
15304Policies naming 15304
15305Policies naming 15305
15306Policies naming 15306
15307Policies naming 15307
15330Policies naming 15330
15331Policies naming 15331
15336Policies naming 15336
15337Policies naming 15337
15375Policies naming 15375
15403Policies naming 15403
15404Policies naming 15404
15405Policies naming 15405
15406Policies naming 15406
15408Policies naming 15408
15409Policies naming 15409
15410Policies naming 15410
15412Policies naming 15412
15413Policies naming 15413
15414Policies naming 15414
15415Policies naming 15415
15416Policies naming 15416
15417Policies naming 15417
15418Policies naming 15418
15424Policies naming 15424
15425Policies naming 15425
15426Policies naming 15426
15428Policies naming 15428
15429Policies naming 15429
15451Policies naming 15451
15550Policies naming 15550
15605Policies naming 15605
15606Policies naming 15606
15627Policies naming 15627
15628Policies naming 15628
15629Policies naming 15629
15630Policies naming 15630
15631Policies naming 15631
15632Policies naming 15632
15633Policies naming 15633
15634Policies naming 15634
15635Policies naming 15635
15636Policies naming 15636
15637Policies naming 15637
15638Policies naming 15638
15639Policies naming 15639
15640Policies naming 15640
15641Policies naming 15641
15642Policies naming 15642
15643Policies naming 15643
15644Policies naming 15644
15645Policies naming 15645
15646Policies naming 15646
15648Policies naming 15648
15672Policies naming 15672
15673Policies naming 15673
15725Policies naming 15725
15726Policies naming 15726
15727Policies naming 15727
15728Policies naming 15728
15734Policies naming 15734
15735Policies naming 15735
15736Policies naming 15736
15737Policies naming 15737
15738Policies naming 15738
15739Policies naming 15739
15740Policies naming 15740
15741Policies naming 15741
15742Policies naming 15742
15743Policies naming 15743
15747Policies naming 15747
15748Policies naming 15748
15750Policies naming 15750
15757Policies naming 15757
15758Policies naming 15758
15774Policies naming 15774
15775Policies naming 15775
15776Policies naming 15776
15780Policies naming 15780
15781Policies naming 15781
15782Policies naming 15782
15783Policies naming 15783
15784Policies naming 15784
15785Policies naming 15785
15786Policies naming 15786
15787Policies naming 15787
15788Policies naming 15788
15789Policies naming 15789
15790Policies naming 15790
15791Policies naming 15791
15792Policies naming 15792
15793Policies naming 15793
15795Policies naming 15795
15802Policies naming 15802
15820Policies naming 15820
15821Policies naming 15821
15822Policies naming 15822
15823Policies naming 15823
15830Policies naming 15830
15847Policies naming 15847
15877Policies naming 15877
15878Policies naming 15878
15879Policies naming 15879
15894Policies naming 15894
15895Policies naming 15895

And 1,238 more in the original policy.

All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.