Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 612 issues

How to Get Breyanzi Covered by UnitedHealthcare in Washington: Renewal Guide, Forms & Appeal Scripts

Answer Box: Renewing Breyanzi Coverage with UnitedHealthcare in Washington Renewing Breyanzi (lisocabtagene maraleucel) coverage with UnitedHealthcare requires submitting updated clinical documentation 30-60 days before your current authorization expires. Key steps: (1) Gather current labs, imaging, and physician letter documenting ongoing response, (2) Submit via UnitedHealthcare Provider Portal with all required
5 min read

How to Get Alecensa (alectinib) Covered by UnitedHealthcare in Virginia: Complete PA Guide with Forms and Appeals

Answer Box: Getting Alecensa Covered by UnitedHealthcare in Virginia Alecensa (alectinib) requires prior authorization from UnitedHealthcare and must be dispensed through a specialty pharmacy. The fastest path to approval: (1) Confirm ALK-positive NSCLC with FDA-approved testing, (2) Submit prior authorization through UHC Provider Portal with complete clinical documentation, and (3)
6 min read

Renewing Therakos CELLEX Photopheresis Approval with UnitedHealthcare in Georgia: Complete 2025 Guide

Answer Box: Quick Path to Renewal To renew Therakos CELLEX photopheresis with UnitedHealthcare in Georgia: Submit renewal documentation 2-4 weeks before current authorization expires. Required documents include updated clinical notes showing treatment response, recent labs (CBC, disease-specific markers), specialist attestation of ongoing medical necessity, and treatment completion records. Use the
5 min read

Renewing Filspari (Sparsentan) Approval with UnitedHealthcare in Illinois: Annual Requirements and Timeline

Answer Box: Filspari Renewal with UnitedHealthcare in Illinois UnitedHealthcare requires annual reauthorization for Filspari (sparsentan) in Illinois, valid for 12 months. Renewal depends on documented proteinuria reduction and continued REMS compliance with quarterly liver function tests. Start the process 30-60 days before expiration through the UHC provider portal or OptumRx
6 min read

How to Get Isturisa (Osilodrostat) Covered by UnitedHealthcare in California: Complete Prior Authorization Guide

Answer Box: Getting Isturisa Covered by UnitedHealthcare in California Isturisa (osilodrostat) requires prior authorization from UnitedHealthcare but has no step therapy requirement when clinical criteria are met. Key requirements: confirmed Cushing's syndrome diagnosis, surgery ineligibility/failure documentation, and endocrinologist prescriber. Submit through UnitedHealthcare's electronic portal with
6 min read

Myths vs. Facts: Getting Dupixent (dupilumab) Covered by UnitedHealthcare in Washington - Appeals Guide and Prior Authorization Requirements

Quick Answer: Dupixent Coverage by UnitedHealthcare in Washington Myth: If your doctor prescribes Dupixent, UnitedHealthcare automatically covers it. Fact: UnitedHealthcare requires prior authorization for all Dupixent prescriptions, with specific step therapy and documentation requirements that vary by indication. In Washington, if denied, you can appeal through UnitedHealthcare's internal
5 min read