Prior authorization
Choosing the prior authorization tool that’s right for you.
Select the Get started button to begin the prior authorization process.
For most UMR plan members
UMR’s Prior Authorization Requirement Search and Submission Tool is now available for most UMR-administered group health care plans through the secure provider portal on umr.com.
The tool allows providers to easily look up services for a specific member and determine if prior authorization is required or pre-determination recommended. Users can then submit requests for prior authorization or pre-determination using the same integrated tool.
Simply sign in to the secure provider portal and look up a patient using the Member search feature to find plan-specific prior authorization requirements and submit a request for review, if required.
Watch a video about the prior authorization process.
*Unless otherwise noted, sign in and use this tool when treating patients covered by a UMR-administered group health care plan.
West Virginia PEIA members
For providers treating patients covered by the West Virginia Public
Employees Insurance Agency (PEIA).
Select the Get started button to begin the prior authorization process.
Walmart members
For providers treating patients covered by the Associates’ Health and Welfare Plan.
Select the Get started button to begin the prior authorization process.
Sierra Health-Care Options (SHO) Network
For providers treating patients covered by Sierra Health-Care Options (SHO) health care plans.
Select the Get started button to begin the prior authorization
process.
Submit documents using Passcode
For providers who need to upload supporting documentation to a previously submitted prior authorization request and have obtained a Passcode from UMR Clinical.
Select Get started button and enter the Case ID and Passcode to submit documents.