Prior authorization

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

For most UMR plans

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

Sign in and look up a patient using the Member search to determine requirements and submit a request if necessary.

Download the Prior authorization users guide or watch a video to learn more.

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

West Virginia PEIA members

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.

Walmart members

For providers treating patients covered by the Associates’ Health and Welfare Plan.

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

Sierra Health-Care Options (SHO) Network

For providers treating patients covered by Sierra Health-Care Options (SHO) health care plans.

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