UniCare Health Plan of West Virginia, Inc. (UniCare) appreciates the compassion and dedication with which you care for your patients and our members. High quality and timely health services for UniCare members requires successful collaboration with you, the professionals who care for them. Because timely notifications and detailed information are an important part of successful collaboration, we encourage you to review the following communication in its entirety.

Effective May 1, 2024, the following CPT^® codes will always deny. These services are not supported as medically necessary based on our clinical criteria:

You can view medical necessity criteria on our website at unicare.com/provider/policies/clinical-guidelines/. 

What if I need assistance?

If you have questions about this communication, received it in error, or need assistance with any other item, please contact our Customer Care Center at 800-782-0095.

Contact us

Availity Essentials Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to Availity.com and select the appropriate payer space tile from the drop-down menu. Then select Chat with Payer and complete the form to start your chat.

For additional support, visit the Contact Us section at the bottom of our provider website for the appropriate contact.