Submitting a PA request
Did you know…
Over two-thirds of the PAs that we receive each year are now electronic. If you are new to electronic prior authorizations (ePA), here are a few benefits to consider:
•Time-saving: Providers who report using ePA submissions on average spend 2.5 fewer hours on PAs per week*
—Provides real-time submissions with typical resolutions in less than 5 minutes at no additional cost
—Eliminates wait time on the phone or using manual fax forms
—Reduces disruptions to patient care
—Allows renewals to be created from previous submissions
—Includes specific clinical questions pertinent to patient plan requirements
•Reduces paperwork: Process is eco-friendly
•Protects patient health information: Provides secure transmission using the NCPDP SCRIPT standard
Save time today and submit your PA requests to OptumRx through any of the following online portals:**
**The ePA solution supports all forms of PA and formulary exception requests. Exclusions may include cost reduction requests such as tiering exception, copay waiver, and tier cost sharing.
Supporting resources
We offer various resources to help support your understanding and use of ePA.
ePA portal support:
The American Medical Association (AMA) wants to help bring ePA awareness to physician practices. Click this link to leverage the AMA's video series to educate your staff about the advantages of ePA.
Other ways to submit a prior authorization
If you are experiencing technical difficulties, please call us at 1-800-711-4555 to submit a verbal PA request.
Hours
5 a.m. PT - 10 p.m. PT, Monday through Friday
6 a.m. PT - 3 p.m. PT, Saturday
If you cannot submit requests to the OptumRx® PA department through ePA or telephone, click here.