Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with UnitedHealthCare Services, Inc. (UnitedHealthcare / UHC) before sending sensitive documents. FaxFlow is not affiliated with this organization.
UnitedHealthCare Services, Inc. (UnitedHealthcare / UHC) fax number
(800) 696-8151
Network Gap Exception / Prior Authorization
Used for: Network Gap Exception Request submission (provider submits request with supporting documentation)
Fax destination details
- Department
- Network Gap Exception / Prior Authorization
- Purpose
- Network Gap Exception Request submission (provider submits request with supporting documentation)
- Form
- PCA-1-24-02318-UHN-FM_07312024 — Connecticut Network Gap Exception Request Form
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the form and attach clinical documentation; fax to 1-800-696-8151. For assistance, contact Member Services via the toll-free number on the member's ID card.
Official form instructions are published as a downloadable file on the organization's website.
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