How To Find Submitted Preauthorizations
and Determination Letters

Knowing how to find submitted requests will help you:

• Check status.
• Find approval numbers.
• Add additional supporting documentation.
• Find determination letters (UM Letters).*

The following shows you how to find the requests and helpful tips for using the available information. Let’s start with finding the request.

Note: For instructions on finding draft preauthorization requests, see the Create Preauthorization guide.

*Currently available for New York commercial members only.

Status definitions can be found on the bottom of the Preauthorization details page. Here are some detailed explanations:

• Pending Decision - The case is still under review and may be missing information. Consider uploading additional supporting documentation.
• Denied – The request was denied based on the medical review.
• Fully Approved – All requested services are approved.
• Partially Approved – Some requested services are approved while others need further medical review.
• Voided – The request has been canceled.

On the Preauthorization Details page, you can:

• See the review’s status.
• Expand sections with an “>” to see available details.
• See utilization review letters in the UM Letters section.
• Click Ask a Question to go to the Message Center to ask a question about your preauthorization request.
• Click Add Supporting Documentation to add records or other information needed for a preauthorization request or concurrent review.
• Click the link to find incomplete drafts.