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Prior authorization

Choosing the prior authorization tool that’s right for you.

Select the appropriate method to submit a prior authorization request on behalf of a patient participating in a UMR-administered medical plan.

Unless otherwise noted, use this tool when treating patients covered by
a UMR-administered group health care plan.

Prior Authorization requirements for UMR members vary by plan. Sign in
here via Member search FIRST to confirm member specific requirements.

Select the Get started button to begin the prior authorization process.

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.

For providers treating patients covered by PeaceHealth and ZOOM+Care
health care plans.

Select the Get started button to begin the prior authorization process.

For providers treating patients covered by Sierra Healthcare Option health care plans.

Select the Get started button to begin the prior authorization
process.