JULY 22 CHECKOUTS
1 - Smart Edits function / test with codes ubiccl adodn umUCD SUPDN false one: yTRhh
2 - Lagoon Form Home/UHC Provider Front Door/Forms/JF test form Nov 22 24
- Check for button enablement
https://lagoon.uhc.com/uhc-provider-front-door/forms/jf-test-form-nov-22-24/prod
The Submit and Print buttons should remain disabled until all required fields are completed.
After clicking Submit, verify that a confirmation display appears with a reference number.
3 - Responsive view fix - hamburger menu proper and working at 1024 - tablet and mobile
4 - AEM reports - Are able to export CSV and get proper data? / does pagination work for sorting results in emailed file?
Crosscheck all key components for proper functions/display
Smoke test / vanities / navigation / facets / components / log-ins / drop-downs / searches
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From Patricia RE: testing
Please find below the list of items that have been demoed and are now ready for testing:
Items for Testing
• Smart Edits Look-up Tools
• Lagoon Form Builder Updates
• Responsiveness updates for tablet and mobile views
• AEM Export to CSV Button
•
Testing Instructions
• Smart Edits: To be tested by requesters to ensure accuracy.
• Lagoon Form Builder:
The Submit and Print buttons should remain disabled until all required fields are completed.
After clicking Submit, verify that a confirmation display appears with a reference number.
• Responsiveness:
Review layout and usability on both tablet and mobile devices.
• AEM Export to CSV:
Confirm that the report buttons function correctly and export data in Excel format with proper formatting.
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TEST FOR TABS
To learn more about Medicare Part D prescription drug coverage or to access related forms, review the materials available on the Plan Information and Forms page of UHC.com/medicare.
To learn more about Medicare Part D prescription drug coverage or to access related forms, review the materials available on the Plan Information and Forms page of UHC.com/medicare.
TEST FOR ACCORDION
This program is effective in Arizona, Florida, Kentucky, Louisiana, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Tennessee, Texas, Virginia, Washington and Wisconsin.
Community Plan Resources
The following Commercial resource materials are inclusive of the UnitedHealthcare River Valley and NHP membership.
When you notify us of a planned service that is subject to the protocol, we’ll conduct a clinical review to determine if the service is medically necessary and covered, and will let you know our decision.
If the member's benefit plan does not require a clinical review and the service does not meet clinical guidelines, or if additional information is needed, we’ll let you know if you need to have a physician-to-physician discussion.
Commercial Resources
These resources are available to care providers with members in M.D.IPA, M.D.IPA Preferred, Optimum Choice, Inc., and Optimum Choice Preferred health plans unless otherwise noted.
Resources materials are included in the Commercial tab above.
Resources materials are included in the Commercial tab above.
For information about UnitedHealthcare Oxford policies, please refer to the UnitedHealthcare® Oxford Clinical, Administrative and Reimbursement Policies page. This page has all UnitedHealthcare Oxford clinical, administrative and reimbursement policies, including the following commonly referenced imaging policies:
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OverView of UHCP-FrontDoor-Application:
Overview | PDE Wiki (optum.com)
User Guide for AEM 6.5:
• Creating Basic Components -
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Surest is a UnitedHealthcare company that administers health plans without deductibles or coinsurance. Members have access to the nationwide UnitedHealthcare and Optum® Behavioral Health networks and can check costs and care options in advance.
If you participate in UnitedHealthcare commercial plans, you automatically participate in Surest benefit plans at the existing commercial reimbursement rates per your participation agreement.
A small number of members have the Surest Flex plan, which includes the feature of flexible coverage. For a fixed list of plannable tests, procedures or treatments, the member must activate coverage at least 3 business days in advance of the service, or the member may not have coverage for the service.
Claims: Please send claims to us electronically using Surest Payer ID 25463 or by mail to Surest, P.O. Box 211758, Eagan, MN 55121. Include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Check the status of your claims in the UnitedHealthcare Provider Portal.
Eligibility and benefits: To check member eligibility and benefits, visit the provider portal or call Surest Provider Services at 844-368-6661. If you’re requesting information about a dependent, we’ll need the subscriber ID.
Variable copays: You can receive variable copay information through electronic data interchange (EDI) 270/1 transaction responses. For more information, see the 270/271 EDI Surest guideopen_in_new and Digital Solutions page.
For more information, please visit UHCprovider.com/surest.
Surest is a UnitedHealthcare company that administers health plans without deductibles or coinsurance. Members have access to the nationwide UnitedHealthcare and Optum® Behavioral Health networks and can check costs and care options in advance.
If you participate in UnitedHealthcare commercial plans, you automatically participate in Surest benefit plans at the existing commercial reimbursement rates per your participation agreement.
A small number of members have the Surest Flex plan, which includes the feature of flexible coverage. For a fixed list of plannable tests, procedures or treatments, the member must activate coverage at least 3 business days in advance of the service, or the member may not have coverage for the service.
Claims: Please send claims to us electronically using Surest Payer ID 25463 or by mail to Surest, P.O. Box 211758, Eagan, MN 55121. Include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Check the status of your claims in the UnitedHealthcare Provider Portal.
Eligibility and benefits: To check member eligibility and benefits, visit the provider portal or call Surest Provider Services at 844-368-6661. If you’re requesting information about a dependent, we’ll need the subscriber ID.
Variable copays: You can receive variable copay information through electronic data interchange (EDI) 270/1 transaction responses. For more information, see the 270/271 EDI Surest guideopen_in_new and Digital Solutions page.
For more information, please visit UHCprovider.com/surest.
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We’ve also established measures based on the Centers for Disease Control and Prevention’s (CDC) opioid treatment guidelines to help prevent overuse of short-acting and long-acting opioid medications.
Other Resources
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| NO-CODE1 | NO-CODE2 | NO-CODE3 | NO-CODE4 |
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| A1 | B1 | C1 | D1 |
| A2 | B2 | C2 | D2 |
| A3 | B3 | C3 | D3 |
| A4 | B4 | C4 | D4 |
| A5 | B5 | C5 | D5 |
| A6 | B6 | C6 | D6 |
| NO-CODE1 | NO-CODE2 | NO-CODE3 | NO-CODE4 |
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| A2 | B2 | C2 | D2 |
| A3 | B3 | C3 | D3 |
| A4 | B4 | C4 | D4 |
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| A6 | B6 | C6 | D6 |