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  • Care Improvement Plus Prior Authorization Phone Number

Get Care Improvement Plus Prior Authorization Phone Number

Authorization to Release Information This form is used to release your protected health information as required by federal and state privacy laws. Your authorizati on allows the Care Improvement Plus your health insurance carrier to release y our protected health information to a person or organization that y ou choose. Genetic Information Substance/Alcohol Abuse Initials HIV/AIDS Mental/Behavioral Health Initials Expiration when this authorizati.

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Contacts · Prior Authorization Fax: 602-256-6591 · Transportation Fax: 602-254-2431 ·...
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Our Member Services is available to answer your questions and help you get the care you need. Just call us at 1-800-414-9025. We can help you between 8 a.m. and 5 p.m. Monday, Tuesday, Thursday, and Friday and 8 a.m. to 8 p.m. on Wednesday. And remember, you can call your UnitedHealthcare doctor any time, any day.

Please fax this form, along with any additional documentation, to UnitedHealthcare at 1-866-889-8061.

UnitedHealthcare Community Plan offers coverage to beneficiaries of Pennsylvania's Medical Assistance (Medicaid) program.

This number is the last 5 digits of your member ID with 3 or 4 preceding zeros. For example, if your member ID is 680012345, you would enter the subscriber ID of 00012345. If your member ID is 6800012345, you would enter the subscriber ID of 000012345.

Notification and prior authorization may be required for these advanced outpatient imaging procedures: CT scans* MRIs*

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232