OptumRx - UnitedHealthcare Medicare Part D Home Infusion Claims Processing Change

Effective January 1, 2018

Author: Erica Lawrence/Friday, January 5, 2018/Categories: APCI Choice

Effective January 1, 2018 contracted UnitedHealthcare Medicare Part D Home Infusion pharmacies must submit appropriate PRC (Patient Residence Code) and PST (Pharmacy Service Type) codes to receive an approved claim for home infusion drugs. Below are the PRC and PST code combinations that will be accepted for home infusion claims on or after 1/1/18:

*Please see attached for more information.

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