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
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective May 1, 2024
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements
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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.
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 Community Plan Oncology Program Information
Previous Prior Authorization Requirements
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UnitedHealthcare Community Plan
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective April 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Jan. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Nov. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Oct. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective May 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Apr. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Mar. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Feb. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Jan. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Oct. 1, 2022
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Aug. 1, 2022
- UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective July 1, 2022
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan
- View past Medicare Prior Authorization Requirements
Prior Authorization Paper Fax Forms
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- Medicare Prescription Drug Determination Request Form
- Pharmacy Drug-Specific Paper Prior Authorization Forms
- Community Plan of Hawaii Prior Authorization Request Form
- Community Plan of Hawaii Air Transportation Lodging Meals Prior Authorization 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
