Prior authorization to UnitedHealthcare

UnitedHealthcare is one of the largest commercial insurers in the US, covering commercial, Medicare Advantage, and Medicaid members nationwide. Most PA requests are reviewed through the UHC Provider Portal. Before submitting, verify whether your procedure routes through a specialty program — imaging, behavioral health, and specialty pharmacy often have separate review pathways that require a different portal or additional documentation.

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UnitedHealthcare

CommercialMedicare AdvantageMedicaid

PA Fax: +18667449432
PA Phone: +18009004543
Standard turnaround: 3 business days
Urgent turnaround: 72 hours

Submit via fax or UHC Provider portal. Include clinical notes and supporting documentation.

UnitedHealthcare provider portal →

What you'll need

★ PortalFaxPhonePortal preferred

☐Ordering provider NPI
☐Patient member ID
☐ICD-10 diagnosis code(s)
☐CPT procedure code(s)
☐Clinical notes supporting medical necessity
☐Rendering/facility provider NPI (if different)
☐Date of service or requested start date

▶Common denial reasons

⚠Medical necessity not established — include progress notes, labs, or imaging
⚠Missing or incorrect NPI
⚠Service excluded under member's specific plan
⚠Duplicate request already on file

Verified 2026-05-20. Check payer site for current rules →

From $2.99 per submission

PA Agent requires an account so you can track submissions, record outcomes (approved/denied), and pre-fill appeals automatically. It's free to join.

You can preview the form below — sign in before generating or submitting.

⬆ Import from CSVDownload template

Submission checklist

○Provider name, NPI, practice name

○Provider phone & fax number

○Patient name, DOB, member ID

○ICD-10, diagnosis, CPT, procedure

○Clinical notes (min 50 chars · 0 entered)

✓Fax destination number

○AI justification generated & reviewed

1 of 7 checks complete

Prior Authorization Request

1. Provider Information

Provider Name *

NPI * (10 digits)

Practice Name *

Provider Phone *

Provider Fax *

2. Patient & Insurance

Patient Name *

Date of Birth * (MM/DD/YYYY)

Member ID *

Group Number

💬 Patient notifications: add the patient's email below and they'll automatically receive an email when you record the insurer's decision on the tracking page — no phone call needed.

Patient Email (for outcome notifications)

Patient Phone (for future SMS notifications)

3. Clinical Details

ICD-10 Code *

Diagnosis Description *

CPT Code * (5 digits)

Procedure Description *

Urgency

4. Clinical Notes

Provider notes & supporting rationale *(min 50 chars)0/10000

5. AI Clinical Justification

PHI notice: Clicking “Generate with AI” sends clinical notes and diagnosis to OpenAI for processing. Do not include information beyond what is clinically necessary. Review your organization's policies before submitting patient data to third-party AI services.

6. Submission Method

✓ Pre-filled with UnitedHealthcare's PA fax number.