Commercial Policies
UHSS Policies
Name That Tool
Who's That Group
General
100
As of 9/7/2021 UHC no longer manages this plan, direct new requests to 877-295-0720
What is Student Resources Plan
100
This number can only be used one time, for one member every two weeks
What is a UHSS Passcode
100
This tool houses quick links to our daily tools
What is APRIL Tool
100
908867 & 908868
All Savers
100
These policy codes indicate a GEHA Elevate Plus plan
What are ISS, ISP & ISF
200
This All Savers plan does not have OON benefits
What is Choice (EPO/EP1)
200
This plan has retro review available for DOS until 12/31 of the following year
What is GEHA
200
This tool houses all our notes for ICUE documentation
What is Alternate Note Template
200
714081
What is APWU (American Postal Workers Union)
200
This plan has a coverage restriction of 450 miles
What is St. Louis Construction
300
This IPA is OON for UHS plans
What is 900
300
This plan uses the UHC Options PPO Network
What is Scott & White
300
This website is used for a few reasons, one being verifying some member eligibilities
What is UHSS Portal
300
X13021 & X13019
What is GEHA
300
This is an IP Head in Bed only plan
What is Golden Rule
400
This policy uses Commercial PNL for code search only but has it's own Job Aid for exceptions and case creation instructions
What is HCA
400
These UHSS categories are always green on the Alliance PNL and the Generic PNL
What are Buy Ups
400
A caller is asking us to change info on an auth, what tool do we use
What is the Updating an Exisiting Case Job Aid
400
730152
What is HCA
400
This number is given for UHSS Transplant Resource Services
What is 888-936-7246
500
This WQ is used for Surest members in NM (New Mexico)
What is BINDOP/BINDIP
500
Outpatient Facility Surgery: *All Surgeries* preformed in an OPF place of service, including ASC and free-standing facilities require prior auth regardless of procedure code.
What is UHCW
500
This is where the BH Quick Intake Guide is located
What is the Intake Quick Reference Guide (BHSA Guide)
500
This plans group number usually begins with X0 or X1
UHSS
500
OH NO! You're stuck on a call, you can't find the info in your notes, don't PANIC. Reach out to this...
What is Team/Leadership Chat