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Medicare Advantage HMO and HMO-POS plans now require PCP referrals for specialist joint injection visits under UnitedHealthcares January 2026 policy change, enforced beginning May 1, 2026

Additional resources: An adjustment was submitted (Type of Bill XX7 or XXQ) with the condition code D9 indicating any other change and no remarks are present in the Remarks field on FISS DDE page 04

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