UnitedHealthcare IC Prior Authorization

UnitedHealthcare IC publishes service-specific prior authorization guidance. Start with the payer resource below, then confirm the member's plan and the requested service before care is scheduled or submitted.

At a glance

• UnitedHealthcare generally expects prior authorization requests to be submitted electronically. Official resources describe submission through the UnitedHealthcare Provider Portal and EDI 278; some request types may also support fax, and telephonic submission is only allowed where specifically permitted or required. Requirements vary by plan and service category, and certain services may have separate program rules.
• Official UnitedHealthcare guidance is plan-specific in many areas; the exact prior authorization rule set depends on line of business, state, and sometimes delegated entity.
• Some programs, such as radiology or cardiology, have separate CPT lists, protocols, and exceptions.
• I did not find a single official source that cleanly maps 'UnitedHealthcare IC' to one uniform prior authorization policy.

Where to verify prior authorization requirements

• Verification resource 1
• Verification resource 2
• Verification resource 3

How to submit prior authorization requests

• UnitedHealthcare Provider Portal

• EDI 278

• fax for some request types

• telephone only where permitted or required by plan/program

• Submission resource 1

• Submission resource 2

Information commonly required

• Member information
• Ordering/rendering provider information
• Service/procedure details
• Diagnosis information
• Supporting clinical documentation when requested
• Service dates and units where applicable

Turnaround notes and caveats

• If a prior authorization request lacks enough information to determine medical necessity, UnitedHealthcare says it will send a letter describing what documentation is needed within 3 business days for some plan lines and programs.
• Timelines vary by plan and service type; some services have separate review workflows and program-specific turnaround expectations.
• Official UnitedHealthcare guidance is plan-specific in many areas; the exact prior authorization rule set depends on line of business, state, and sometimes delegated entity.
• Some programs, such as radiology or cardiology, have separate CPT lists, protocols, and exceptions.
• I did not find a single official source that cleanly maps 'UnitedHealthcare IC' to one uniform prior authorization policy.

Provider resources

• UnitedHealthcare Provider Portal / Digital Solutions (official)
• 2026 UnitedHealthcare Care Provider Administrative Guide (official)
• Prior authorization and notification overview (official)
• Document Library (official)
• TrackIt (official)
• Reduce claim returns and rework (official)

Sources