Get Prior Authorization Request Form Member ... - Optumrx

Fax this form to: 1-866-434-5523 Phone: 1-866-434-5524 OptumRx will provide a response within 24 hours upon receipt.

New and refill prescription orders will arrive within four to seven days from the date OptumRx receives the completed order.

Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request. Ask for more information.

Prior authorization (PA) requires your doctor to tell us why you are taking a medication to determine if it will be covered under your pharmacy benefit. Some medications must be reviewed because they may: Only be approved or effective for safely treating specific conditions.

If you have questions or want to speak with an Optum Rx Prior Authorization Advocate, call 1-800-711-4555.

16 Tips That Speed Up The Prior Authorization Process Sign up for payor newsletters. Stay informed of changing industry standards. Designate prior authorization responsibilities to the same staff member(s). Inform scheduling staff about procedures that require prior authorizations.

Learn more at optum.com. How long does it take for a prior authorization to be approved or denied? Once your PA has been submitted and received, it usually takes up to 24 hours to process. If your PA request needs additional review, it may take longer.

Submitting a PA request to OptumRx via phone or fax above. For urgent requests, please call us at 1-800-711-4555. (Hours: 5am PST to 10pm PST, Monday through Friday.)