Updating advance notification or prior authorization requests - Chapter 7, 2021 UnitedHealthcare Administrative Guide

Before services are rendered, you may make certain updates to your notification/prior authorization request, depending on the status of the request and whether the service date has passed.

You may contact us at UHCprovider.com/paan, by phone at 1-877-842-3210 or the number provided on the member’s ID card, and we will let you know whether your notification/prior authorization request may be updated.

After services are rendered, you may use the contact information above to make updates or changes to a request within 5 business days after the procedure was rendered if we have not issued a clinical coverage decision and your claim has not been submitted.

If we do not approve the notification/prior authorization request, you cannot make updates to it. You may submit an appeal by following the instructions listed in the adverse determination letter we send you.

This section applies to Commercial members only. It does not apply to notification/prior authorization requests for genetic and molecular testing, BRCA, oncology, radiology, cardiology and injectable medications.