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Retroactive Authorization request: ? Authorization will be issued when due to eligibility issues. after an appeal is filed. UHC often doesn't receive complete clinical information with an authorization to make a medical necessity determination.

Please refer to the specific coverage information you receive after you enroll. We typically decide on requests for prior authorization for medical services within 72 hours of receiving an urgent request or within 15 days for non-urgent requests.

Prior authorization, or preauthorization, is a process through which health care providers obtain coverage approval from health plans prior to performing certain non-emergency procedures. It can also be an important ?checkpoint? to make sure a service or prescription is a clinically appropriate option.

Our Provider Services representatives are skilled to provide help to many basic prior authorization questions. To reach Provider Services call (602) 417-7670.

You may fax the Fee For Service Prior Authorization Request Form to the AHCCCS FFS Prior Authorization Unit to request authorization, or you may use AHCCCS Online to enter a pended authorization request online, 24 hours a day/7 days a week.

Notification and prior authorization may be required for these advanced outpatient imaging procedures: CT scans* MRIs*

Retroactive Authorization request: ? Authorization will be issued when due to eligibility issues. after an appeal is filed. UHC often doesn't receive complete clinical information with an authorization to make a medical necessity determination.