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UMR’s Prior Authorization Requirement Search and Submission Tool is now available for most UMR-administered group health care plans through the secure provider portal on umr.com. The tool allows providers to easily look up services for a specific member and determine if prior authorization is required or pre-determination recommended.
Prior authorization. We make it easier to manage your treatment requests. Submit your prior authorization requests electronically and view updates online. Get started.
Forms. Not all forms apply to your benefits plan. Sign in to your account to find specific forms relating to your coverage. If you have any questions about which forms or documents you may need, please call the toll–free number on your health plan ID card. Select who you are.
Submit your request electronically.
The UnitedHealthcare Provider Portal allows you to submit referrals, prior authorizations, claims, claim reconsideration and appeals, demographic changes and more. Get started. Select plan type. Commercial. Medicare Advantage. Community Plan (Medicaid) Individual Exchange.
Search for members to view their coverage summary benefits, claims and networks. Complete the preauthorization process online. Assist members with questions about their benefits and claims. Access provider forms to submit requests, claims and more. Download and view member coverage details.
To register your account, follow the steps below: Click the arrow and select what type of user you are from the drop-down menu. Create your account or sign in to your existing account. This process will take about 10 minutes. What you will need to have handy: Your health plan ID card. Your email and phone number.
