You can submit pre-service appeals digitally
Did you know there’s another way to submit medical pre-service appeals? Network and out-of-network health care professionals (primary and ancillary) and facilities that provide services to UnitedHealthcare® Medicare Advantage, UnitedHealthcare Community Plan and Dual Special Needs Plan (D-SNP) plan members can now submit pre-service appeals electronically.
How to submit a pre-service appeal
You’ll use the Prior Authorization and Notification tool through the UnitedHealthcare Provider Portal:
- From any page on UHCprovider.com, select Sign In at the top-right corner
- Enter your One Healthcare ID and password
- New users who don’t have a One Healthcare ID: Visit UHCprovider.com/access to get started
- In the menu, select Prior Authorizations
- 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
- After submission, easily distinguish from post-service appeals and search Document Library for your pre-service appeal letters using Advanced Filter
Coming soon
Later in 2023, we’ll also add this feature to UnitedHealthcare commercial and UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans.
Questions?
Chat with a live advocate 7 a.m.–7 p.m. CT from the portal Contact Us page. You can also contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.
For help accessing the portal and technical issues, please contact UnitedHealthcare Web Support at providertechsupport@uhc.com or 866-842-3278, option 1, 7 a.m.–9 p.m. CT, Monday–Friday. Primary Access Administrators may also contact Web Support for help updating notification emails.
