You can submit pre-service appeals digitally

Last modified: Oct. 30, 2023
Update: Contact and questions section updated to reflect new chat services

Did you know there’s another way to submit medical pre-service appeals? Network and out-of-network health care professionals (primary and ancillary) and facilities that provide services to UnitedHealthcare® Medicare Advantage, UnitedHealthcare Community Plan and Dual Special Needs Plan (D-SNP) plan members can now submit pre-service appeals electronically.

How to submit a pre-service appeal

You’ll use the Prior Authorization and Notification tool through the UnitedHealthcare Provider Portal:

• From any page on UHCprovider.com, select Sign In at the top-right corner
• Enter your One Healthcare ID and password
  • New users who don’t have a One Healthcare ID: Visit UHCprovider.com/access to get started
• In the menu, select Prior Authorizations
• Scroll down to “View Status of existing submissions, drafts and make updates” and click “Search Existing Submissions & Drafts”
• Find your service reference number (SRN) and expand to see the details
  • If the details show the coverage status as “Not Covered/Not Approved,” you’ll see the “File a Pre-Service Appeal or a Grievance” link
  • You can also click on the SRN to see the originally entered case details, as well as the “File a Pre-Service Appeal or a Grievance” link under the coverage status section
• Once you click the link, a new tab will open that takes you to the instructions page of the submission form
• You will be guided to complete the form, upload any supporting documents, review your information and submit
• After submission, easily distinguish from post-service appeals and search Document Library for your pre-service appeal letters using Advanced Filter

Coming soon

Later in 2023, we’ll also add this feature to UnitedHealthcare commercial and UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans.

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