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Tools
Prior Authorizations
 

Electronic Submission of Prior Authorizations
AmeriChoice enables providers to prepare and submit requests for prior authorizations interactively through the web, or through automated batch processing, with rapid response times to most requests

When you submit an authorization request it is automatically checked for many common errors, such as invalid dates and missing information, and it is automatically evaluated for authorization. A web page then presents you with a case number and status that you can print and store, regardless of whether the case status is pended for review or approved.

Not all requests can be approved automatically. Our staff evaluates those that cannot be handled by the automated system, and you will receive their determination through normal channels.

To register for the iExchange web site:

email icon Send an e-mail
to iExchangeReg@uhc.com with your name,
e-mail address or phone number, AmeriChoice plan name/state, group or facility name and the ID number that you use to submit Medicare/Medicaid claims.

Once You're Registered - visit the iExchange website internet icon and login with your username and password to get started.

You will be notified when your registration is complete; the process may take up to two weeks.

For HIPAA 278 EDI, contact your UnitedHealthcare or AmeriChoice Provider Relations representative for assistance.


iExchange Support Documents

iExchange Demo (9.50 MB) Adobe PDF Document
Download the iExchange self-running demo. File is a Macromedia Flash executable file for Windows only.

Administrative Maintenance Guide
(204 KB) Adobe PDF Document
The Administrative Maintenance document will help your administrator set up user IDs and reset passwords, as well as configure provider IDs, frequent procedures and diagnosis codes.

Web User's Guide (68 KB) Adobe PDF Document
The Web User's Guide shows how to file the prior authorization request and how to look up previous authorization requests.


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   Health plan coverage provided by AmeriChoice of New Jersey, Inc., a licensed HMO in the state of New Jersey
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