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. Additional information on prior authorizations is available on uhcprovider.com/priorauth.
Current Prior Authorization Plan Requirements
UnitedHealthcare Community Plan
UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements
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.
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 Prior Authorization Requirements New Jersey - Effective Jan. 1, 2025
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Dec. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Oct. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Aug. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective July 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective June 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective May 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Apr. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Jan. 1, 2024
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Oct. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Sept. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Aug. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective Jun. 1, 2023
- UnitedHealthcare Community Plan Prior Authorization Requirements New Jersey - Effective May 1, 2023
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.