Are you ready? Electronic prior authorization requests required effective January 1, 2020

In 2018, the Indiana legislature passed House Bill 1143 which, among other things, requires health care providers to submit, and health plans to accept, requests for most prior authorization requests through a secure electronic transmission beginning for requests sent on and after January 1, 2020.

 

Anthem has multiple secure electronic transmission portals available for providers to submit prior authorization requests depending on the type of health service being provided.

 

Are you ready?

If you are not using our electronic portals for your prior authorization requests, now would be good time to register and to begin using them.

 

• Availity. Prior authorizations for medical and behavioral health services are submitted using the Availity portal. For more information about Availity, please visit our website at https://www.anthem.com/provider/availity/. Here you can learn about all of the services offered through the Availity portal, register to use Availity, and find out how to access training on Availity.

 

• AIM ProviderPortal^SM. For services administered by AIM Specialty Health®, providers may submit electronic prior authorization requests to AIM using AIM’s ProviderPortalSM directly at https://providerportal.com/.

 

To learn more about this law, please visit the Indiana Legislature website and view the Indiana House Bill 1143 and the final statute Health Care Services Prior Authorization (IC 27-1-37.5-10). 

 

For more information, please view our Frequently Asked Questions (FAQ) on anthem.com. If you have additional questions, please contact Provider Services.