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UnitedHealthcare to remove prior insurance approval requirements for nearly two-thirds of pediatric services

  • UnitedHealthcare will eliminate prior authorization for roughly two-thirds of healthcare services for members under 18 — covering many diagnostics, routine surgeries and pediatric specialties (cardiology, neurology, pulmonology, orthopedics).
  • It will add authorization waivers for procedures at leading pediatric hospitals and says the change aims to cut delays and paperwork so parents spend less time navigating care.
  • The move is part of a broader industry push — UnitedHealth and CVS have standardized many prior‑auth requirements, and UnitedHealthcare expects 70%+ of prior authorizations to use the new standardized process by year‑end.
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