TurningPoint to Oversee Prior Authorization for Musculoskeletal Surgical Procedures in Florida

On May 1 2025 TurningPoint Healthcare Solutions, LLC (TurningPoint) will manage the duty of handling inpatient and outpatient musculoskeletal surgical procedure prior authorization requests for UnitedHealthcare commercial plan members throughout Florida. The change initiative applies to UnitedHealthcare commercial plan members through ASO plans together with fully funded options. No new prerequisite authorizations are implemented as part of this change.

The clinical reviews conducted by TurningPoint follow all UnitedHealthcare clinical policies as their foundation. The medical professionals must be certified in the appropriate field of subspecialty to maintain adherence to current guidelines during their review processes.

Training and Registration

Providers can access training from TurningPoint regarding the program’s overview and portal utilization along with related resources. Training sessions require provider registration as a means to achieve a smooth transition process.

Plans Exempt from This Requirement

This change does not apply to the following plans:

• UnitedHealthcare commercial plans for members in the U.S. Virgin Islands
• Optum Care®
• Surest®
• UMR™
• UnitedHealthcare Individual Exchange plans (UnitedHealthcare Individual & Family ACA Marketplace plans)
  WellMed®

Submission Process and Key Dates

The TurningPoint portal demands provider prior authorization submission starting from April 21, 2025, to represent services starting May 1, 2025, and beyond. Healthcare providers should continue sending their procedure requests to UnitedHealthcare which pertains to requests scheduled before May 1, 2025. The UnitedHealthcare Provider Portal sends requests to TurningPoint but users should submit directly to TurningPoint for faster handling.

Contact Information

For assistance, providers can contact TurningPoint via:

Phone: 904-895-4007
Fax: 904-544-8025