Medical Records Requirement for Pre-Service: Prepare suggested materials in advance to decrease the need for repeated requests, improve turnaround time for medical records reviews and help improve the claims process.
We’re continuously looking for ways to provide greater administrative simplicity for care providers and reduce the costs of doing business with us.
As part of this effort, we retired certain fax numbers for medical prior authorization requests in 2019, and asked you to use the Prior Authorization and Notification tool on Link — the same website you use to check eligibility and benefits, manage claims and update your demographic information.
In line with UnitedHealthcare’s multi-year efforts to go digital, Admission Notification fax numbers used by facilities to notify us that a member has been hospitalized will be retired in phases this year. Instead of faxing your notification, we ask you to use the HIPAA Electronic Data Interchange (EDI) 278N transaction or the Prior Authorization and Notification tool on Link.
Peer to Peer Scheduling Request Form - UnitedHealthcare offers the opportunity for your physician to speak with our medical director to discuss the medical policy and documentation requirements which determined the response for your prior authorization or concurrent review request.