Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 120 issues

How to Get Nourianz (Istradefylline) Approved by UnitedHealthcare in Ohio: Timeline, Appeals, and Documentation Requirements

Answer Box: Getting Nourianz Covered in Ohio UnitedHealthcare requires prior authorization for Nourianz (istradefylline) in Ohio, typically taking 29 seconds to several days depending on documentation completeness. Step 1: Ensure you've tried required alternatives (amantadine, MAO-B inhibitors, COMT inhibitors) or have medical contraindications documented. Step 2: Your doctor
6 min read

How to Get Taltz (Ixekizumab) Covered by UnitedHealthcare in Georgia: Prior Authorization Guide with Appeals Process

Answer Box: Getting Taltz Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Taltz (ixekizumab) with documented step therapy and TB screening. Fastest approval path: Have your dermatologist or rheumatologist submit a PA request with diagnosis codes (L40.0 for plaque psoriasis, M07.0-M07.3 for psoriatic arthritis), proof
6 min read

How to Get Joenja (Leniolisib) Covered by UnitedHealthcare in California: Prior Authorization, Appeals, and Alternative Options

Answer Box: Getting Joenja (Leniolisib) Covered by UnitedHealthcare in California UnitedHealthcare requires prior authorization for Joenja (leniolisib) with genetic confirmation of APDS and documented treatment failures. If denied, California residents have strong appeal rights through Independent Medical Review (IMR). First steps: 1) Confirm genetic testing shows PIK3CD or PIK3R1 mutations,
5 min read

Renewing Ultomiris (Ravulizumab) Coverage with UnitedHealthcare in Texas: Annual Reapproval Guide and Timeline

Answer Box: Renewing Ultomiris Coverage with UnitedHealthcare in Texas UnitedHealthcare requires annual prior authorization renewal for Ultomiris (ravulizumab) with updated clinical documentation proving continued medical necessity. Start the renewal process 60-90 days before your current approval expires. Submit through the UnitedHealthcare Provider Portal with current lab results, treatment response data,
6 min read

Get Crysvita (Burosumab) Covered by UnitedHealthcare in Florida: Complete Decision Tree & Appeal Guide

Quick Answer: Do You Qualify for Crysvita Coverage? Yes, if you have: Confirmed X-linked hypophosphatemia (XLH) or tumor-induced osteomalacia (TIO), genetic/biochemical testing showing PHEX mutations or elevated FGF23, specialist prescription, and serum phosphorus below normal range. First step: Have your endocrinologist submit prior authorization through UnitedHealthcare's provider
5 min read

How to Renew Translarna (Ataluren) Coverage with UnitedHealthcare in Ohio: Timeline, Documentation & Appeals

Answer Box: Renewing Translarna Coverage in Ohio Translarna (ataluren) requires annual prior authorization renewal with UnitedHealthcare in Ohio. Start the renewal process 60-90 days before your current authorization expires to avoid coverage gaps. Key requirements include updated 6-minute walk test results, genetic confirmation of nonsense mutation DMD, and specialist documentation
6 min read

How to Get Carbaglu (Carglumic Acid) Covered by UnitedHealthcare in Ohio: Prior Authorization Guide with Appeals Process

Quick Answer: Getting Carbaglu Covered by UnitedHealthcare in Ohio Carbaglu (carglumic acid) requires prior authorization from UnitedHealthcare and is approved only for confirmed diagnoses of NAGS deficiency, propionic acidemia, or methylmalonic acidemia. The fastest path to approval: (1) Submit PA through the UnitedHealthcare provider portal with genetic testing results and
7 min read