Submitting prior authorizations is getting easier

Medicaid

 

This communication applies to Medicaid under Anthem Blue Cross and Blue Shield Healthcare Solutions and Medicare Advantage under Anthem Blue Cross and Blue Shield (Anthem).

 

Anthem is transitioning to Availity* Authorization

You may already be familiar with the Availity Authorization App because thousands of providers are already using it for submitting prior authorization requests for other payers. Anthem is eager to make it available to our providers, too. On December 13, 2021, you can begin using the same authorization app you may use for other payers. We hope to make it easier than ever before to submit prior authorization requests to Anthem.

 

Current prior authorization tool (ICR) is still available

If you need to refer to an authorization that was previously submitted through the Interactive Care Reviewer (ICR) tool, you will still have access to that information. We’ve developed a pathway for you to access your ICR dashboard. You will simply follow the prompts provided through the Availity Authorization App.

 

Innovation in progress

While we grow the Availity Authorization App to provide you with Anthem-specific information, we’ve provided access to ICR for:

• Behavioral health authorizations.
• FEP authorizations.
• Clinician administered drugs.

 

Notices in the Availity Authorization App will guide you through the process for accessing ICR for Reserved Auth/Appeals functions.

 

Training is available

If you aren’t already familiar with the Availity Authorization App, training is available.

• Wednesday, December 1, 2021 at 8:00 a.m. PT
• Wednesday, December 8, 2021 at 9:00 a.m. PT
• Friday, December 17, 2021 at 11:30 a.m. PT
• Wednesday, January 5, 2022 at 8:00 a.m. PT
• Tuesday, January 11, 2022 at 12:00 p.m. PT

 

You can always log onto availity.com and view the webinar at your convenience. From Help & Training, select Get Trained to access the Availity Learning Center. You can use AvAuthRef for a keyword search or select the Session tab to see all upcoming live webinars.

 

Now, give it a try!

Accessing the Availity Authorization App is easy. Just log onto availity.com, and the Authorizations and Referrals icon is on the home screen. You can also access the App through the Patient Registration tab by selecting Authorizations and Referrals.

 

If you have questions, please reach out to Availity at 800-282-4548.

 

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