Prior Authorizations and Notifications

For information on procedures and services that require advanced notification or prior authorization, please see our standard list of procedure codes found here Advance Notification Procedure Codes & Radiology Notification Procedure Codes.

Prior Authorization Submission for Medical & Behavioral Health Procedures

Please refer to the prior authorizations form found here Prior Authorization Form. Prior Authorizations can be submitted online, mailed, faxed or taken over the phone.

Online: Login to submit a prior auth.
Phone Number: 800-797-9921
Fax Number: 844-730-3960

Please note that authorizations for injectable medications, clinical trials, and unproven procedures will not be available to submit online. Please continue to submit these prior authorizations via fax form or call.

Prior Authorization Submission for Pharmacy

Providers can submit their requests to the OptumRx Prior Authorization Department through the following methods:

  • Web requests: Submit a prior authorization request quickly and easily Online
  • Fax requests: Complete the applicable form and fax it to 1-800-527-0531
  • Phone requests: For urgent requests, call 1-800-711-4555
Hours: 5:00 am to 10:00 pm, Monday through Friday
6:00 am to 3:00 pm, Saturday


Prior Authorization Submission for Pediatric Dental & Vision Procedures

Providers can submit their requests to one of the following addresses or by calling the number on the back of the Dental & Vision membership card.

Dental Claims
PO Box 30567
Salt Lake City, UT 84130

Vision Claims
PO Box 30978
Salt Lake City, UT 84130