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Prior Authorization and Notification

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.

Current Prior Authorization Requirements

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

UnitedHealthcare Community Plan

Community Plan Pharmacy Prior Authorization Forms

Personal Care Services

To request NC Medicaid Personal Care services please call 800-638-3302 and ask for a Personal Care services assessment or submit form NC LTSS-3051 forms found here and fax to # 855-541-8921. Additional forms can be found at Provider Forms, Resources and References | UHCprovider.com > Helpful resources.

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The cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Using them helps reduce risks to patients and improves the quality, safety and appropriate use of cardiac procedures.

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 get started with electronic transactions.

The radiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.