New Jersey: New utilization review time frames

Effective June 1, 2021, for UnitedHealthcare commercial plans in New Jersey (including Oxford), the initial utilization review time frame is changing to 72 hours for certain standard prior authorization requests to meet state regulations (NJ HCAPP law).

  • Radiology
  • Cardiology
  • Radiation therapy

The 72-hour time frame only applies when we require additional clinical information to complete the prior authorization review process.

You may make prior authorization requests for radiology, cardiology or radiation therapy either online or by phone:

For complete details on these radiology, cardiology and radiation therapy protocols, refer to the current UnitedHealthcare Administrative Guide available online at UHCprovider.com.