Search

Prior authorization and notification

We have online tools and resources to help you manage your practice’s notification and prior authorization requests.

 

To submit and manage your prior authorizations, please sign in to the UnitedHealthcare Provider Portal. You can find additional information on our prior authorization page.

Current prior authorization requirements

UnitedHealthcare Community Plan Behavioral Health 

 

UnitedHealthcare Community Plan

 

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan)

 

Community Plan Pharmacy Prior Authorization Forms

Personal Care Services

To request North Carolina Medicaid Personal Care Services, please call 800-638-3302 and ask for a Personal Care Services assessment. Then fax the completed assessment to 855-541-8921. View additional provider forms, resources and references.

Expand All add_circle_outline

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.

 

View program information

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 get started with electronic transactions.

 

Learn about EDI

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.

 

View program information