This content applies to Medicare Advantage and UnitedHealthcare Dual Special Needs Plan (DSNP).
The prior authorization information on this page is effective as of January 1, 2017. It applies only to Medicare Advantage members who are receiving intensity modulated radiotherapy (IMRT), stereotactic radiosurgery (SRS) or stereotactic body radiation therapy (SBRT) treatment.
For Commercial members receiving IMRT services, please see the Commercial Intensity Modulated Radiation Therapy Prior Authorization Program.
You can submit your request online or by phone:
• Online: Sign in to UHCprovider.com and then go to the Prior Authorization and Notification Tool on Link.
• Phone / Fax: To start your submission by phone or for instructions on faxing your request, please call the UnitedHealthcare Clinical Request Line at 866-889-8054 from 7 a.m. - 7 p.m. Eastern Time, Monday – Friday