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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.
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Current Prior Authorization Plan Requirements
UnitedHealthcare Community Plan of Washington - Apple Health
- UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective October 1, 2024
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements
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Other Prior Authorization Requirements
- Clinical Trial Attestation Form
- Prior Authorization for Stage 2 Bariatric Services Request Form
- Prior Authorization Stage 3 Bariatric Surgery Request Form
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Cardiology Prior Authorization and Notification Program
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The cardiologyprior 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 Community Plan Cardiology Program Information
Electronic Data Interchange (EDI)
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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.
Learn More About EDI
Oncology Prior Authorization and Notification Program
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The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. View the following links for more information and resources on the specific programs.
View Community Plan Oncology Program Information
Previous Prior Authorization Requirements
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UnitedHealthcare Community Plan of Washington - Apple Health
- UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective July 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements for Washington - Effective June 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective May 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Apr. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Mar. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Jan. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Dec. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Nov. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Oct. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Sept. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective July 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective June 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective May 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Apr. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Mar. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Feb. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Jan. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements Washington- Effective Dec. 1, 2022
Prior Authorization Paper Forms
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- Pharmacy Drug-Specific Paper Prior Authorization Forms
- Washington Apple Health Behavioral Health Fax Request Form
Radiology Prior Authorization and Notification Program
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The radiologyprior authorization and notificationprograms 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 Community Plan Radiology Program Information
