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Prior Authorization and Notification

Rocky Mountain Health Plans - transition updates and information


Bookmark this page and check back daily for urgent updates and information.

Today’s important information

Please continue to submit prior authorization requests as required
Review the Rocky Mountain Health Plans Prior Authorization and Notification Guide for information about submission issues you may experience.

Out-of-network message
If you are seeing an out-of-network message that you believe is incorrect use the following steps:

  • If searching by group, please search by individual provider
  • If searching by individual provider, please try searching by group
  • If utilizing the drop down and selecting only available option with an out of network result, please contact CSCommunication@rmhp.org

We have online tools and resources to help you manage your practice’s notification and prior authorization requests.

Need to submit or check the status of a prior authorization request?  Go to UHCprovider.com/priorauth to learn about our Prior Authorization and Notification tool.

Go to Prior Authorization and Notification Tool

Current Prior Authorization Requirements

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements

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Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.

Learn more about EDI