How to submit advance notification/prior authorization, admission notification, discharge notification and observation stay notification - Chapter 7, 2022 UnitedHealthcare Administrative Guide

You can submit notifications and prior authorizations many ways. After receiving confirmation, do not resubmit your request. Submit prior authorization for SNF, acute inpatient rehabilitation and long-term acute care through the UnitedHealthcare Provider Portal UnitedHealthcare Provider Portal (preferred) or phone. For markets where naviHealth manages post-acute care, notification and prior authorization follows the naviHealth process.

  API EDI 278 transactions Online uhcprovider.com Live call
Method

Electronic

uhcprovider.com/api

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

Electronic

uhcprovider.com/paan

Non-Electronic

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

Description Referral submission and status is available. 12 different EDI submissions available directly to UnitedHealthcare or through a clearinghouse. Submit, update or check the status of an advance notification, prior authorization or admission notification, discharge notification or observation stay notification request.

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)

uhcprovider.com: Generally available 24 hours per day, 7 days a week. Maintenance is scheduled outside of the following hours:

Monday – Friday:

6:30 a.m. – 12 a.m.

Saturday: 7 a.m. – 6 p.m.

Sunday: 7 a.m. – 5 p.m.

Holidays: Same as above

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

uhcprovider.com: Generally available 24 hours per day, 7 days a week. Maintenance is scheduled outside of the following hours:

Monday – Friday:

6:30 a.m. – 12 a.m.

Saturday: 7 a.m. – 6 p.m.

Sunday: 7 a.m. – 5 p.m.

Holidays: Same as above

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.

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 in the UnitedHealthcare Provider Portal 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.