We have online tools and resources to help you manage your practice’s notification and prior authorization requests.
To submit and manage your prior authorizations, please sign in to the UnitedHealthcare Provider Portal. Additional information on prior authorizations is available on uhcprovider.com/priorauth.
UnitedHealthcare Community Plan Behavioral Health Prior Authorization Requirements
UnitedHealthcare Community Plan
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements
Community Plan Pharmacy Prior Authorization Forms
To request North Carolina Medicaid Personal Care services, please call 800-638-3302 and ask for a Personal Care services assessment and fax to # 855-541-8921. Additional forms can be found at Provider Forms, Resources and References | UHCprovider.com > Helpful resources.
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.
Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to get started with electronic transactions.
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.
UnitedHealthcare Community Plan