Preauthorization for UHSM Members
Providers, Please Fill Out and Return the Healthcare Sharing Preauth Form
In order to request and obtain preauthorization, please follow the steps below:
(Requires Adobe Acrobat Reader or compatible web browser.)
- Click here to download and complete this PDF form
- Complete form and attach any necessary documentation for the procedure
- Send the completed form plus any additional documentation to Fax number: (888) 317-9602
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.
Monday – Friday:
10:00am – 8:30pm ET
How to Obtain Prior Authorization
Providers, three simple steps and a couple minutes of your time is all it takes to obtain preauthorization from UHSM.
Download and print the PDF form
Fax the preauth form to (888) 317-9602