Preauthorization for UHSM Members

Please Fill Out & Return the Preauth Form

In order to request and obtain preauthorization, please follow the steps below:

(Requires Adobe Acrobat Reader or compatible web browser.)

  1. Click here to download and complete this PDF form
  2. Complete form and attach any necessary documentation for the procedure
  3. Send the completed form plus any additional documentation to Fax number: (888) 858-3315

Please note that UHSM has a standard turnaround time of five (5) business days on all prior authorization requests. If you require any help with the form, need status of your request, or are unable to determine if a procedure requires preauthorization please contact us at (757) 210-3435.


(888) 858-3315


Monday – Friday:
10:00am – 8:30pm ET

UHSM Headquarters

Unite Health Share Ministries