On web page, identify how changes For infusions a form may need to – are to be made to previous requests be completed within 48 hours (once and how providers will be notified it is faxed from UHC) of these decisions Steps Provide status information on Reporting Statuses are website per the BPR Approved, Pending, Denied, Use Authorization ‘Notification/Prior Cancelled. A letter is sometimes Statue’ entries in Prior Identify any information that is ‘Notifications/ included that indicates what Authorizations’ drop down missing. additional information is needed. If pre-auth request was not auto approved, two days after submission Pending, Cancelled, and denied check status on website to see if a letter statuses do not always have a has been posted about the required letter attached, in case there Checking documentation. If not, call. is no information about whether Status of action is required of the provider Request and/or what documentation is required Met Allow access to status information by the provider/organization that requested the services, the provider/organization that is doing the services and, as appropriate, the facility/organization where the services are to be done
For infusions – a form may need to be completed within 48 hours (once it is faxed from UHC) On web page, identify how changes are to be made to previous requests and how providers will be notified of these decisions Checking Status of Request Steps Use ‘Notification/Prior Authorization Statue’ entries in ‘Notifications/ Prior Authorizations’ drop down If pre-auth request was not auto approved, two days after submission check status on website to see if a letter has been posted about the required documentation. If not, call. Provide status information on website per the BPR Identify any information that is missing. Reporting Statuses are Approved, Pending, Denied, Cancelled. A letter is sometimes included that indicates what additional information is needed. Pending, Cancelled, and denied statuses do not always have a letter attached, in case there is no information about whether action is required of the provider and/or what documentation is required Allow access to status information by the provider/organization that requested the services, the provider/organization that is doing the services and, as appropriate, the facility/organization where the services are to be done Met