Prior Authorization Turn Around Times:
- Medicare Advantage: Standard Requests: Medical Services 14 calendar days, Injectable Drugs 72 hours. Expedited Requests (requires letter of medical need): Medical Services 72 hours, Injectable Drugs 24 hours.
- Medicaid & Commercial: All Requests: 3 business days from receipt of all necessary information.
- Emergency services. Emergency services do not require precertification.
- Notify us by completing the UM request form via provider portal on the next business day following the emergency care or by calling 844.844.0890. Attach to the form any medical records related to the emergency care.
Check Case Status
After form submission, the EyeMed UM team will process your prior authorization request as soon as possible within the requested timeframe. To check your case status or if you have additional questions, please call 844.844.0890.