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. 

The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. 

UnitedHealthcare Community Plan 

• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Jan. 1, 2025open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Oct. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Aug. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective May 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective April 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Jan. 1, 2024open_in_new
  
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Nov. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective Oct. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Hawaii - Effective May 1, 2023open_in_new

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

• View past Medicare Prior Authorization Requirements

• Medicare Prescription Drug Determination Request Formopen_in_new 
  
• Pharmacy Drug-Specific Paper Prior Authorization Forms
• Community Plan of Hawaii Prior Authorization Request Formopen_in_new
• Community Plan of Hawaii Air Transportation Lodging Meals Prior Authorization Form open_in_new

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.