Submitting prior authorizations is getting easier

Anthem Blue Cross and Blue Shield (Anthem) is transitioning to the Availity Essentials* authorization application.

You may already be familiar with the Availity multi-payer authorization app because thousands of providers are already using it for submitting prior authorizations for other payers. Anthem is eager to make it available to our providers, too. In late April, you can begin using the same authorization app you use for other payers for Anthem.

Interactive care reviewer (ICR) is still available.

If you need to refer to an authorization that was submitted through ICR, you will still have access to that information. We’ve developed a pathway to access your ICR dashboard. You will simply follow the prompts provided through the Availity authorization app. To make it even more convenient, you can pin your authorizations from the ICR application to your Availity authorization app dashboard.

Innovation in process

While we grow the Availity authorization app to provide you with Anthem-specific information, you can still access ICR for:

• Appeals.
• Behavioral health authorizations and inquiries.
• Federal Employee Program^® authorizations and inquiries.
• HealthLink authorizations and inquiries.
• Medical specialty prescription authorizations and inquiries.

Notices in the Availity authorization app will guide you through the process for accessing ICR for alternate authorization and appeals functions.

Training is available

If you aren’t already familiar with the Availity authorization app, training is available. Visit the training site to enroll for an upcoming live webcast or to access an on-demand recording at the Availity authorization training site.

Now, give it a try!

Accessing the Availity authorization app is easy. Ask your organization’s Availity administrator to ensure you have the Authorization role assignment. Without the role assignment, you will not be able to access the authorization application. Then, just log onto availity.com to access the app through the Patient Registration tab by selecting Authorizations and Referrals.