Starting 04/01/2021- the providers will need to request an authorization for Xolair and Synagris if they plan on billing through patient medical benefit. (Community Health Plan)
This change applies to providers in CA and NY (community health plans).
These requirements will apply whether members are new to therapy or have already been receiving these medications.
UHC will honor existing authorizations for Xolair until the end date on the authorization or the date the member’s eligibility changes.
Providers don’t need to submit a new prior authorization request for members who already have an authorization for Xolair on April 1, 2021.
You can submit prior authorization requests in the following ways:
- Online: Use the Prior Authorization and Notification tool on Link. Go to UHCprovider.com/paan.
- Call: Use the Provider Services phone number on the member’s health care identification card.
KR2 Medical Billing 