Administrative Digital SolutionsMedicare AdvantageJuly 9, 2024

Coming soon — digital-only authorization case status notifications for Medicare

We previously communicated to you that we are digitizing authorization case notifications, including status and decision letters, for Commercial health plans, eliminating paper notifications, with the commercial health plans. We are happy to share that we are expanding the digitization of authorization case notifications and eliminating paper notifications for Medicare health plans in your state.

Just as you have with Commercial health plans, you have 24/7 access to authorization case information in one location through Availity Essentials. The digital authorization case status notifications are available under the Authorizations and Referrals* application once you have logged in to Availity Essentials and selected Patient Registration. By eliminating the redundancy of receiving both a digital and paper letter, you’ll see fewer errors associated with manual processes in handling the paper letters while reducing cost and our carbon footprint.

* Note: to access this application, your Availity Essentials administrator must assign you the role of Authorization & Referral Inquiry or Request.

Care providers will be able to choose different options to receive Medicare authorization decision notifications via the Provider Preference Center under Availity Payer Spaces. Look for details on the Provider Preference Center options and ways to access authorization case status in an upcoming communication.

We are focused on reducing administrative burdens, so you can do what you do best — care for our members.

Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: August 2024 Provider Newsletter