Last modified: May 24, 2021
We previously announced in the March Network Bulletin that starting April 1, 2021, prior authorization for certain outpatient radiation therapies will be required for UnitedHealthcare commercial members, including:
Changing prior authorization requirements
We no longer require prior authorization reviews for the following 8 radiation therapy services procedure/CPT® codes.
You can review the coverage determination guidelines we use to facilitate our determinations for the radiation therapy services.
Submitting prior authorization requests
Submit an online prior authorization request, sign in to Link to access the Prior Authorization and Notification tool. Select the “Radiology, Cardiology, Oncology and Radiation Therapy” box. After selecting “commercial” as the product type, you’ll be directed to another website to process the authorization requests.
Questions? Email firstname.lastname@example.org.