Search

search
Print

Prior authorization and notification

Here you will find the tools and resources you need to help manage your practice’s notification and prior authorization needs. To submit and manage your prior authorizations, please sign in to the UnitedHealthcare Provider Portal. Additional information on prior authorizations is available at UHCprovider.com/priorauth.

Sign in

Current prior authorization plan requirements

UnitedHealthcare Community Plan - Complete Care

UnitedHealthcare Community Plan - Developmentally Disabled

UnitedHealthcare Community Plan - Long-Term Care

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements

Expand All

The Cardiology Prior Authorization and Notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Using them helps reduce risks to patients and improves the quality, safety and appropriate use of cardiac procedures.

View program information

Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. 

Learn about EDI

The Oncology Prior Authorization and Notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. 

View program information

UnitedHealthcare Community Plan - Complete Care

UnitedHealthcare Community Plan - Developmentally Disabled

UnitedHealthcare Community Plan - Long-Term Care

 

UnitedHealthcare Medicare Solutions and UnitedHealthcare Community Plan

The Radiology Prior Authorization and Notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.

View program information

Need help?

Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal,open_in_new or contact our call center at 800-445-1638, available 8 a.m.–5 p.m. CT.