By NextBestFitTask 1.6.1 of 6
Auto-convert every Medicare-enrolled provider in PECOS (about 1.5 million) to a UHP provider, with a 90-day opt-out window.
Who does it
UHA
When
Month 9–12
Trade-off
Auto-converting Medicare providers enrolls most clinicians instantly but includes some with past compliance problems.
Part of: Sign up providers & set participation rules
Every licensed provider that wants to bill UHP signs one participation agreement. Participating providers accept UHP payment as payment in full (no balance billing). Opted-out providers may see patients privately but cannot bill UHP for anyone.
This step changes 8 existing laws, programs, or institutions. See the list.