CommercialNovember 30, 2018
Request an appeal using Interactive Care Reviewer (ICR)
Requesting a clinical appeal is easy:
Logon to ICR from the Availity Portal and locate the case using one of the search options, or from your ICR dashboard.
- Select the Request Tracking ID link to open the case. If the case is eligible for an appeal you will see the Request Appeal menu option on the Case Overview screen.
- Select Request Appeal to open the Appeal Details screen and complete the required fields on the appeal template. (You also have the option of uploading attachments and images to support your request.)
- Select Submit
Take the steps below to check the status of a clinical appeal:
Logon to ICR from the Availity Portal
- Select Check Appeal Status from the ICR top menu bar
- Type the Appeal Case ID and Member ID in the allocated fields
- Select Submit
The appeal status and detail of the decision will open on the bottom of the screen.
Need more information on how to navigate the new ICR Appeals feature?
Download the ICR Clinical Appeals Reference Guide located on the Availity Portal. Select: Payer Spaces | Applications | Education and Reference Center | Communication and Education. Find the link to the reference guide below the ICR menu.
Additional Training
If you are new to ICR or want to get a refresher please attend our monthly ICR webinar. The next event is taking place on December 6 at 1:00 p.m. Register Here
PUBLICATIONS: December 2018 BCBSGa Provider Newsletter
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