On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.
Medicare Pre-Auth
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DISCLAIMER:
All attempts are made to provide the most current information on the Pre-Auth Needed Tool. A prior authorization is not a guarantee of payment. Payment may be denied in accordance with Plan’s policies and procedures and applicable law. For specific details, please refer to the provider manual. If you are uncertain that prior authorization is needed, please submit a request for an accurate response.
Dental Services are handled by Your Dental Plan.
Vision Services are handled by EyeMed.
Radiation Therapy and Sleep Studies are handled by Evicore.
Acupuncture or Chiropractic services are handled by ASH.
All Out of Network HMO requests require prior authorization except emergency care, out-of area urgent care or out-of-area dialysis.
Are services being performed in the Emergency Department, Urgent Care, Emergent Transportation, Dialysis, or for Hospice?
Types of Services | YES | NO |
---|---|---|
IS THE MEMBER BEING ADMITTED TO AN INPATIENT FACILITY? | ||
IS THE MEMBER HAVING GENDER REASSIGNMENT SERVICES? | ||
ARE ANESTHESIA SERVICES BEING REQUIRED FOR PAIN MANAGEMENT? | ||
IS THIS AN HMO OUT OF NETWORK SERVICE REQUEST? |