Notification Submission/Prior Authorization lets you verify eligibility and submit initial inpatient hospital and outpatient surgery notifications/prior authorization, as well as obtain reference numbers for notifications/prior authorization submitted by others.
Notification Status/Prior Authorization lets you review records and check requirements.
Referral Submission & Status
Referral Submission lets you submit referrals for claims processing.
Referral Status lets you verify the status of a previously submitted referral, regardless of how the referral was submitted.
Although effective immediately upon submission, a referral to a specialist is not viewable online for 48 hours.
Radiology Notification & Authorization - Submission & Status
Notification/prior authorization is required for Advanced Outpatient Imaging Procedures only. Advanced Outpatient Imaging Procedures are: Computerized Tomography (CT), Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Positron-Emission Tomography (PET), Nuclear Medicine and Nuclear Cardiology. Advanced Outpatient Imaging Procedures rendered in and appropriately billed with any of the following places of service do not require notification/prior authorization: emergency room, urgent care center, observation unit or inpatient stay.
The Radiology Notification Program applies to selected UnitedHealthcare Commercial benefit plans.
The Radiology Prior Authorization Program applies to selected UnitedHealthcare Medicare Advantage benefit plans and selected UnitedHealthcare Community & State benefit plans.