Prior Authorization and Notification

Here you will find the tools and resources you need to help manage your practice’s notification and prior authorization needs. To submit and manage your prior authorizations, please sign in to the UnitedHealthcare Provider Portal. Additional information on prior authorizations is available on uhcprovider.com/priorauth.

Current Prior Authorization Plan Requirements

UnitedHealthcare Community Plan of Louisiana - Healthy Louisiana

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

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Cardiology Prior Authorization and Notification Program

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The cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. The programs 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.

Electronic Data Interchange (EDI)