UnitedHealthcare readiness card for MRI lumbar spine without contrast

Payer: UnitedHealthcare Plan type: Commercial Policy source: https://www.uhcprovider.com/en/prior-auth-advance-notification.html Changed section: Prior authorization and notification Materiality: material Change type: prior_authorization_requirement_change Effective date: Unknown

Recommendation

Surface CRD guidance for MRI lumbar spine without contrast and initiate DTR collection before the provider completes the authorization workflow.

Documentation required

• Signed provider order
• Diagnosis code supporting medical necessity
• Six weeks of conservative therapy documentation
• Prior imaging report or rationale for new imaging
• Relevant clinical notes

Grounded note

Checklist returned from the Senso grounding layer using the active policy change and current clinical trigger.

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