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UHC - Improved Process for Peer to Peer Reviews

October 3, 2018

Peer-to-Peer Reviews – Improved Scheduling

In an effort to respond to network provider feedback with respect to the scheduling process of peer-to-peer reviews, there is a new effort underway at UHC to improve the provider experience with our Peer-to-Peer review process.

Beginning October 1st, network providers should submit their request by sending a secure email through our encrypted website https://res.cisco.com/websafe * to UHC_PeerToPeer_Scheduling@uhc.com. The request should include the following:

  • Service Reference Number
  • Member's Full Name
  • Date of Birth of the Member
  • State of Residence of the Member
  • Sender's Name
  • Sender’s Phone Number
  • Sender's Email Address
  • Provider’s Name
  • Provider’s Cell Phone Number
  • Provider's Office Phone Number
  • Provider’s Title (e.g., MD, Nurse Practitioner, Physician Assistant)
  • Provider’s Time Zone
  • How is this Provider involved in the care of this member?
  • Preferred Date & Time

 
A Peer-to-Peer Request form is available on UHCprovider.com → Prior Authorization and Notification → Peer to Peer Request Following Prior Authorization Service Denial Form. A copy of the form is attached.