Dec. 1: Digital pre-service appeal submissions required
Affects network commercial, Medicare Advantage and Dual Special Needs Plans (D-SNP)
Beginning Dec. 1, 2023, you’ll be required to submit medical pre-service appeals electronically. No more wasting time tracking down lost or delayed mail. See your pre-service appeal status 24/7 in the UnitedHealthcare Provider Portal.
This change affects network health care professionals (primary and ancillary) and facilities that provide services to commercial, UnitedHealthcare® Medicare Advantage, and D-SNP plan members. Although not required, we also encourage UnitedHealthcare Community Plan (Medicaid) and out-of-network health care professionals to submit pre-service appeals electronically.
Scroll down to “View Status of existing submissions, drafts and make updates” and click “Search Existing Submissions & Drafts”
Find your service reference number (SRN) and expand to see the details
If the details show the coverage status as “Not Covered/Not Approved,” you’ll see the “File a Pre-Service Appeal or a Grievance” link
You can also click on the SRN to see the originally entered case details, as well as the “File a Pre-Service Appeal or a Grievance” link under the coverage status section
Once you click the link, a new tab will open that takes you to the instructions page of the submission form
You will be guided to complete the form, upload any supporting documents, review your information and submit
Use Advanced Filter to search Document Library for your pre-service appeal letters
Chat with a live advocate 7 a.m.–7 p.m. CT from the UnitedHealthcare Provider Portal Contact Us page.
For help accessing the portal, technical issues and changing notification preferences, please contact UnitedHealthcare Web Support at email@example.com or 866-842-3278, option 1, 7 a.m.–9 p.m. CT, Monday–Friday.
You can also contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.