A pre-service appeal is a request to change a denial of coverage for a planned health care service. The member’s rights in the member’s benefit plan govern this process.
If you have already provided the service, an expedited or urgent appeal is not available. Submit a claim based on the service provided. See the appeal section for more information.
You may request an urgent pre-service appeal on behalf of the member by using the urgent appeals fax number listed in the pre-service denial letter. We consider requests urgent when:
Refer to the UnitedHealthcare Commercial Clinical Pre- Service Expedited or Urgent Appeals Process Frequently Asked Questions document using the ‘Search’ box on UHCprovider.com for additional information and a list of fax numbers by benefit plan.