Benefit Interpretation Policies: UHCPprovider.com/policies > Commercial Policies > UnitedHealthcare SignatureValue/UnitedHealthcare Benefit Plan of California Benefit Interpretation Policies
Medical Management Guidelines: UHCPprovider.com/policies > Commercial Policies > UnitedHealthcare SignatureValue/UnitedHealthcare Benefits Plan of California Medical Management Guidelines.
To view the most current and complete Advance Notification List, including procedure codes and associated services, go to:
- Online: UHCprovider.com/priorauth, or Prior Authorization and Notification App on Link
- Arizona & Colorado Medicare Advantage Phone: 800-746-7405
- California, Oregon and Washington: SignatureValue, Medicare Advantage, direct contract network and medical group/IPA carve-out Phone: 800-762-8456
- Nevada Medicare Advantage Phone: 888-866-8297
- Texas and Oklahoma: Medicare Advantage, SignatureValue Inpatient Notification/Utilization Management Phone: 800-668-8139
CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology
- Online: UHCprovider.com/radiology; select the Go to Prior Authorization and Notification App.
- Phone: 866-889-8054
Request prior authorization of radiology services as described in Outpatient Radiology Notification/Prior Authorization Protocol in Chapter 6: Medical Management.
Diagnostic Catheterization, Electrophysiology Implants, Echocardiogram and Stress, Echocardiogram Clinical Trials
- Online: UHCprovider.com/cardiology; select the Go to Prior Authorization and Notification App.
- Phone: 866-889-8054
Request prior authorization of cardiology services as described in Outpatient Cardiology Notification/Prior Authorization Protocol in Chapter 6: Medical Management.
(Non-delegated) Inpatient includes: Acute Inpatient, Skilled Nursing Admission, Long- Term Acute Care, Inpatient Rehabilitation Places of Service.
- Phone: 800-799-5252 Fax: 800-274-0569
- Mental health Medicare Advantage: 800-508-0088
- Transplant: 866-300-7736 Fax: 888-361-0502
Encounter Collection, Submission & Controls, including ERA/835 transactions
(Follow prompts to access information)
Commercial & Medicare Advantage HMO/ MCO:
- California: 800-542-8789
- Arizona/Colorado/Nevada: 888-866-8297
- Oklahoma/Texas: 877-847-2862
- Oregon: 800-920-9202
- Washington MCO: 800-213-7356
(Applies only to Commercial UnitedHealthcare Signature Value HMO/ MCO)
California, Oklahoma, Oregon, Texas, Washington
P.O. Box 6107
Cypress, CA 90630
- California: 800-624-8822
- Oklahoma/Texas: 800-825-9355
- Oregon/Washington: 800-932-3004
(Applies only to Commercial UnitedHealthcare SignatureValue HMO/ MCO)
California Oklahoma, Oregon, Texas, Washington
- Phone: 888-277-4232
- Fax: 800-346-0930
Fax completed referral form to: 877-406-8212