Prior Authorization and Notification

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 help you get started with electronic transactions.

The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. View the following links for more information and resources on the specific programs.

UnitedHealthcare Community Plan of Kansas

• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective March 1, 2025open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective January 1, 2025open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective December 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective October 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective September 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective August  1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective July 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective June 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective May 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Mar. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Feb. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Dec. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Dec. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Nov. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Oct. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Kansas - Effective Sept. 1, 2023open_in_new

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

• View past Medicare Prior Authorization Requirements

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.