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How to submit advance or admission notifications/ prior authorizations - Chapter 7, 2021 UnitedHealthcare Administrative Guide

You can submit notifications and prior authorizations many ways. After receiving confirmation, do not resubmit your request. Prior authorization for SNF, acute inpatient rehabilitation and long-term acute care can only be submitted through UHCprovider.com/link (preferred) or phone. For markets where naviHealth manages post-acute care, prior authorization and notification follows the naviHealth process.

Method: Electronic

UHCprovider.com/edi278 Advance Notification and Prior Authorization (278) and UHCprovider.com/edi278n Admission Notification, Discharge Notification, Observation Notification (278N).

Description:

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

Business hours (all times Eastern):

Monday – Friday: 7 a.m. - 2 a.m.

Saturday: 7 a.m. - 6 p.m.

Sunday: 7 a.m. - 6 p.m.

Holidays: Same as above

Method: Non-Electronic

Advance notification and prior authorization, and admission, discharge and observation stay notification; notification status for previously submitted notifications.

Description:

Phone submission directly to UnitedHealthcare through 1-877-842-3210 (option 3) or dial the number provided on member’s ID card.

For Erickson Advantage, call Erickson Campus customer service number on the member’s ID card.

Business hours (all times Eastern):

Monday – Friday: 7 a.m. - 8 p.m.

Saturday: 9 a.m. - 6 p.m.

Sunday: 9 a.m. - 6 p.m.

Holidays: 9 a.m. - 6 p.m.

5 Some plans have a state requirement for fax capability for prior authorization requests and will continue to use their existing fax number for their members. However, you can still use the Prior Authorization and
Notification tool on Link to submit requests for those plans. A listing of active fax numbers as well as information regarding retired and retiring fax numbers can be found at UHCprovider.com/priorauth.