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How to Submit Advance or Admission Notifications / Prior Authorizations - Chapter 6, 2018 UnitedHealthcare Administrative Guide

Organized by advance or admission notifications and prior authorizations type, the following information is provided:

  • Method
  • Description
  • Business Hours (all times Eastern)

To view details, click on the "+" sign by the product name of interest. 

Method - Electronic: Advance Notification and Prior Authorization (278A) and Admission Notification (278N), your vendor’s website.

Description: 12 different EDI submissions available directly to UnitedHealthcare or through a clearinghouse.

Business Hours (all times Eastern):

  • Monday – Friday: 7 a.m. to 2 a.m.
  • Saturday: 7 a.m. to 6 p.m.
  • Sunday: 7 a.m. to 6 p.m.
  • Holidays: Same as above

Method - Electronic: UHCprovider.com/PriorAuth

Description: Submit or check the status of an Advance Notification or Prior Authorization

Business Hours (all times Eastern): UHCprovider.com: Generally available 24 hours per day, seven days a week.

Maintenance is scheduled outside of the following hours:

  • Monday – Friday: 6:30 a.m. to 12 a.m.
  • Saturday: 7 a.m. to 6 p.m.
  • Sunday: 7 a.m. to 5 p.m.
  • Holidays: Same as above

Method - Non-Electronic: Advance Notification and Prior Authorization and Admission Notification; Notification Status for previously submitted notifications.

Description: Phone submission directly to UnitedHealthcare through 877-842-3210 (Option 3) OR dial the number provided on Member’s health care ID card. For Erickson Advantage, call Erickson Campus Customer Service number on the member’s health care ID card.

Business Hours (all times Eastern):

  • Monday – Friday: 7 a.m. to 8 p.m.
  • Saturday: 9 a.m. to 6 p.m.
  • Sunday: 9 a.m. to 6 p.m.
  • Holidays: 9 a.m. to 6 p.m.

Method - Non-Electronic: Inpatient admission notification.

Description: Phone submission through assigned 800 number specific to facility.

Business Hours (all times Eastern): VoiCert can be used 24/7, but submissions are processed the following business day:

  • Monday – Friday: 7 a.m. to 8 p.m.
  • Saturday: 9 a.m. to 6 p.m.
  • Sunday: 9 a.m. to 6 p.m.
  • Holidays: 9 a.m. to 6 p.m.

Method - Non-Electronic: Advance notification and prior authorization and admission notification.

Description:

  • Commercial members: 866-756-9733
  • MA members: 800-676-4798
  • Medicare Special Needs Plan members: 800-538-1339

Business Hours (all times Eastern): Faxes can be sent 24/7, but submissions are processed the following business day:

  • Monday – Friday: 7 a.m. to 8 p.m.
  • Saturday: 9 a.m. to 6 p.m.
  • Sunday: 9 a.m. to 6 p.m.
  • Holidays: 9 a.m. to 6 p.m