Medical PolicyActive
Prior authorization and notification | UHCprovider.com
UHC-POL-prior-authorization-and-notification
UnitedHealthcare
Updated: January 13, 2026
created · Jan 13, 2026
Policy Summary
UnitedHealthcare requires prior authorization for specific services and advance notification for certain clinical requests to assess coverage eligibility. Providers must verify clinical requirements and complete prior authorization forms for certain medications to facilitate the review process. It's important to note that failing to secure necessary approvals may lead to denial of coverage.
Coverage Criteria Preview
Key requirements from the full policy
"Services require prior authorization to determine coverage by UnitedHealthcare."
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