UHC Choice help
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It has been a very long journey to me with misunderstandings @UHC. Not all plans are alike and varies through your employer. I would like to provide some numbers and slight information that has helped me these last eight weeks of waiting.
1. If your doctors office sends your clinicals throught the USPS this can delay your approval or denial. They have yet to get the original clinicals to care coordination for approval and customer service acknowledge receiving them on March 3, 2007.
2. Have the doctors office to fax them to Care Coordination. There phone number is 800-842-3920. My approval took less than 24 hours.
3. Be persistant! If you are frustrated let them know! I was transfered to Rapid Resolution department on April 11.
4. Check and make sure the Data Team department has recieved your clinicals to place the data in the system to have it reviewed by the CCs.There number is 866-297-9393 prompt #2, then prompt#3.
5. Don't give up!
I also learned there is a difference between pre-determination and notification.
Provider services is who mails out the letters to you and your doctor. The number to give your doctor to check the whereabouts of your approval letter is 877-842-3210.
CPT code is 43770
ICD9 is 278.01
Hope this is helpful to someone.