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Specifically, the tool will:  \n• Display whether prior authorization or medical necessity review apply  \n• Provide other criteria that might be applicable to the prior authorization requirements such as place-of-service criteria  \nIf further action is required (such as a prior authorization), the tool will capture the information entered in the initial requirement search, then prompt the user to enter any additional information required to process the request, such as:  \n• Treatment type  \n• Length of request  \n• Additional procedure or diagnosis codes  \n• Clinical documentation  \nAccessing the tool  \n1 Go to [umr.com](umr.com) and select Provider at the top of the page.  \n2 Select Sign in.  \n3 Sign in with your One Healthcare ID.  \nSearching for members  \nAfter signing in, go to Patient search. Enter the patient’s member ID or Social Security number (SSN) and the patient’s date of birth (DOB).  \nThen select Search.  \n(Fictionalized data)  \nPrior authorization requirement search and submission tool l 4  \nAfter finding the patient/member you’re looking for, select Prior authorization from the View drop-down, then select Search.  \nNavigating the patient search results page  \nAfter selecting the patient, you can:  \n• View member cases – view the status of submitted cases, update existing cases, or finish draft (previously saved) transactions  \n• View member decision history – using a decision ID, retrieve the results of a previous requirement search  \n• View your draft and submitted cases – check the status of a case submitted for any member  \nScroll down the page to the Prior authorization search section to enter criteria to begin a new requirement search.  \n(Fictionalized data)  \n(Fictionalized data)  \nPrior authorization requirement search and submission tool l 5  \nHow to view cases for a specific patient  \nSelect View member cases to do the following for a specific member:  \n• View the status of submitted cases  \n• Take action, or update existing cases  \n• Finish previously saved transactions  \nSelect the calendar icon to populate the date of service date range using the MM/DD/YYYY format. Select Search to update results for the desired date range.  \nIn the Action column, you can view status, withdraw, change date of service and view letters.  \nHow to view decision history  \nSelect View member decision history to find and view previous requirement search results for a me","cbCaipsAhgCTVMnH","https://ap.wps.com/l/cbCaipsAhgCTVMnH","pdf",3146202,19,"English","# Accessing the tool\n## Searching for members\n## Navigating the patient search page\n## How to view decision history\n## How to view your draft and submitted cases\n# Submitting a request\n## Enter required information\n## Services required section\n## Provider information section\n## Supporting documentation section\n## Submitting\n# Prior authorization requirement search results\n## Basic information\n## Color-coded page sections\n## Tier tabs\n## Decision ID\n# Dashboard and actions\n## Navigating the Dashboard\n## Dashboard actions","[{\"question\":\"What information is required to perform a new requirement search?\",\"answer\":\"Place of service, procedure code/description, diagnosis code/description, date of service, and rendering provider TIN are required (marked with an asterisk), with diagnosis code and TIN strongly recommended for more precise results.\"}]","Prior Authorization Requirement Search and Submission Tool - A Guide for Provider Users | PDF",1789622461]