www.uhcprovider.com Open in urlscan Pro
2620:1ec:46::44  Public Scan

Form analysis
3 forms found in the DOM

<form style="display: flex; position: relative;">
  <div id="searchErrorMessage" class="input-search-error error" style="visibility: hidden;"></div><label class="sr-only" for="megamenu-search-mobile">Search</label><input id="megamenu-search-mobile" class="megamenu-search" type="text"
    aria-label="search" placeholder="What can we help you find?" value="" style="height: 2.25rem; border-radius: 0.25rem; border: 0.0625rem solid rgb(51, 51, 51); padding-right: 1.5rem; padding-left: 10px; width: 100%;">
  <div style="color: rgb(0, 38, 119); position: absolute; right: 0.5rem; top: 0.55rem; cursor: pointer;">
    <div class="material-icons">search</div>
  </div>
</form>

<form style="display: flex; position: relative;">
  <div id="searchErrorMessage" class="input-search-error error" style="visibility: hidden;"></div><label class="sr-only" for="megamenu-search-desktop">Search</label><input id="megamenu-search-desktop" class="megamenu-search" type="text"
    aria-label="search" placeholder="What can we help you find?" value="" style="height: 2.25rem; border-radius: 0.25rem; border: 0.0625rem solid rgb(51, 51, 51); padding-right: 1.5rem; padding-left: 10px; width: 100%;">
  <div style="color: rgb(0, 38, 119); position: absolute; right: 0.5rem; top: 0.55rem; cursor: pointer;">
    <div class="material-icons">search</div>
  </div>
</form>

<form style="display: flex; position: relative;">
  <div id="searchErrorMessage" class="input-search-error error" style="visibility: hidden;"></div><label class="sr-only" for="megamenu-search-tablet">Search</label><input id="megamenu-search-tablet" class="megamenu-search" type="text"
    aria-label="search" placeholder="What can we help you find?" value="" style="height: 2.25rem; border-radius: 0.25rem; border: 0.0625rem solid rgb(51, 51, 51); padding-right: 1.5rem; padding-left: 10px; width: 100%;">
  <div style="color: rgb(0, 38, 119); position: absolute; right: 0.5rem; top: 0.55rem; cursor: pointer;">
    <div class="material-icons">search</div>
  </div>
</form>

Text Content

SEARCH

close

Search
search
close Close MENU


 * SIGN IN

 * Sign in to the UnitedHealthcare Provider Portal
   
   

 * New User & User Access
   
   Need access to the UnitedHealthcare Provider Portal?

   


 * MAIN MENU

 * Eligibility
 * Prior Authorization
 * Claims and Payments
 * Referrals


 * OUR NETWORK

 * Join our network
 * Contact us
 * Preferred Lab Network
 * Demographics and profiles
 * Find a provider


 * RESOURCES

 * Health plans, policies, protocols and guides
 * Administrative guides and manuals
 * COVID-19 updates and resources
 * Drug lists and pharmacy
 * Health plans
 * Education and training
 * Reports and quality programs
 * Forms
 * News
 * Resource library
 * The UnitedHealthcare Provider Portal resources
 * * Membersopen_in_new
   * New User & User Access


Skip to main content
 * Membersopen_in_new
 * New User & User Access


Search
search
menu MENU

Search
search

Resources for health care professionals

 * 
 * Eligibility
 * 
 * 
 * Prior Authorization
 * 
 * 
 * Claims and Payments
 * 
 * 
 * Referrals
 * 
 * 
 * Our network expand_more
 * Join our network
   
   Steps to getting contracted plus plan information
   
   Contact us
   
   Phone numbers and links for connecting with us
   
   Preferred Lab Network
   
   List of contracted, high-quality independent lab providers
   
   Demographics and profiles
   
   Update, verify and attest to your practice's demographic data
   
   Find a provider
   
   Provider search for doctors, clinics and facilities, plus dental and
   behavioral health

 * 
 * Resources expand_more
 * Health plans, policies, protocols and guides
   
   Policies for most plan types, plus protocols, guidelines and credentialing
   information
   
   Administrative guides and manuals
   
   
   
   COVID-19 updates and resources
   
   
   
   Drug lists and pharmacy
   
   Pharmacy resources, tools, and references
   
   Health plans
   
   View health plans available by state
   
   Choose a Location: Alabama Alaska Arizona Arkansas California Colorado
   Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho
   Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts
   Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire
   New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma
   Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas
   Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
   Education and training
   
   Updates and getting started with our range of tools and programs
   
   Reports and quality programs
   
   Reports and programs for operational efficiency and member support
   
   Forms
   
   
   
   News
   
   Important news updates for you
   
   Resource library
   
   Tools, references and guides for supporting your practice
   
   The UnitedHealthcare Provider Portal resources
   
   Log in for our suite of tools to assist you in caring for your patients

 * Sign Inexpand_more
   
    * 
      
      Sign in to the UnitedHealthcare Provider Portal
   
    * Need access to the UnitedHealthcare Provider Portal?
      
      New User & User Access

search
 1. Home
 2. Prior Authorization and Notification

print Print




PRIOR AUTHORIZATION AND NOTIFICATION

Prior authorization information and forms for providers. Submit a new prior
auth, get prescription requirements, or submit case updates for specialties.


PRIOR AUTHORIZATION AND NOTIFICATION


PRIOR AUTHORIZATION AND NOTIFICATION


PRIOR AUTHORIZATION AND NOTIFICATION


UNITEDHEALTHCARE PROVIDER PORTAL TOOLS

Submit, complete and track prior authorizations, determine need for
notification, and learn how PreCheck MyScript can help support your practice and
your patients by saving time and money on prescriptions.

Get training arrow_forward


PRIOR AUTHORIZATION AND NOTIFICATION

Check prior authorization requirements, submit new medical prior authorizations
and inpatient admission notifications, check the status of a request, and submit
case updates for specialties including oncology, radiology, genetic molecular
testing and more.


PRECHECK MYSCRIPT

Find prescription prior authorization requirements, coverage, and preferred
status, find available lower-cost prescription alternatives, and request prior
authorization and receive status and results.

Sign in  open_in_new
Register for access arrow_forward



RESOURCES

chevron_right

HEALTH PLANS BY STATE

chevron_right

CONTACT US

chevron_right

FIND A PROVIDER

chevron_right

ADMINISTRATIVE GUIDES


CARDIOLOGY



See requirements arrow_forward_ios


ONCOLOGY



See requirements


RADIOLOGY



See requirements


CLINICAL PHARMACY AND SPECIALTY DRUGS



See requirements


GENETIC AND MOLECULAR TESTING



See requirements


GASTROENTEROLOGY



See requirements


FREQUENTLY SEARCHED

Prior Authorization Crosswalkopen_in_new and Prior Authorization Crosswalk
Information Sheetopen_in_new
Use the Prior Authorization Crosswalk Table when you have an approved prior
authorization for treating a UnitedHealthcare commercial member and need to
provide an additional or different service. The table will help you determine if
you can use the approved prior authorization, modify the original or request a
new one.

Prior Authorization Status, Updates & Submission: Quick Start Guideopen_in_new
Quick start guide to check prior authorization status, submit new medical prior
authorizations and inpatient admission notifications, submit case updates such
as uploading required clinical documentation, and more.

Peer to Peer Scheduling Requestopen_in_new
Peer to peer requests can only be made prior to submitting an appeal. Don’t fill
out this form if your appeal has already been initiated.

Advance Notification and Clinical Submission Requirements
Advance notification information for providers to determine member coverage.
Clinical submission requirements may be necessary for specialties

Submitting Admission Notifications, Prior Authorization Requests and Advance
Notification
Information about active fax numbers used for medical prior authorization.

Prior Authorization and Notification Program Summary
This page includes a summary of the Prior Authorization and Notification Program
and is not meant to be comprehensive. Please refer to the UnitedHealthcare
Administrative Guide for program details and required protocols.

Admission Notification Fax Numbers
You can begin to transition all your admission notifications to an electronic
channel today.

We've Retired Fax Numbers Used for Medical Prior Authorization Requests
Information about retiring fax numbers used for medical prior authorization.

Prior Authorization Utilization Review Statistics
Prior Authorization Utilization Review Statistics information is provided to
comply with a regulatory requirement for states that require disclosure of
information for services that require pre-service review.

Drug Lists and Pharmacy
Information related to pharmacy coverage decisions based on an understanding of
how health plan coverage affects total member health care including drug lists,
supply limits, step therapy, and infusion care.

Cancer Therapy Pathways Program
The program is intended to improve quality and value in cancer care by
supporting the use of therapies supported by evidence-based guidelines to
improve outcomes.

Community Plan Pharmacy Prior Authorization for Prescribers
These paper fax forms are meant to be used in requesting prior authorizations
for specific drugs.

Did you find what you were looking for?
YesNo
 * About usopen_in_new

 * Contact us

 * Careersopen_in_new

 * Find a provider

© 2023 UnitedHealthcare | All Rights Reserved
Fraud, waste and abuseopen_in_new
Language assistanceopen_in_new
Privacyopen_in_new
Sitemap
Terms of useopen_in_new