There are two options for submitting a UM Prior Authorization Request
Option 1: Submit using the UM Prior Authorization Request Online Form
Option 2: Complete and fax a UM Prior Authorization Request PDF Form below
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Fax Inpatient requests to: 303-602-2127
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Fax Outpatient requests to: 303-602-2128
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Fax Urgent/Expedited requests to: 303-602-2160