Preference for authorization case status and digital decision letters and navigating Availity Essentials to get them for Medicare authorization cases

In our previous communications to you, we talked to you about using the Authorizations and Referrals application on Availity Essentials to get digital notification about your authorization cases for commercial health plans and using the Preference Center to select your preferred method of communication for authorization cases.

As we expand that digitization to include Medicare, we want to give you a quick recap on how to get the digital notification for your authorization case status and related decision letters along with how to set your preference for method of communication regarding authorization cases.

Navigating Availity Essentials for authorization case status and digital authorization decision letters:

1. Through Auth/Referral Inquiry, you can retrieve cases submitted by your organization via both digital and non-digital methods. You can also use Pin to Dashboard feature to keep these cases on the Auth/Referral Dashboard, saving you from repeating the search in the future.
2. You can get the most recent status of cases submitted by your organization on Auth/Referral Dashboard and get the case details including decision letters via View Details in the Actions menu. For pinned cases, select the case card to get the latest status and case details.

Access the Preference Center and set your preferences

The Preference Center is located within Payer Spaces on Availity Essentials. Select the Anthem payer tile after selecting Payer Spaces from the top menu bar. Once in Payer Spaces, select the Preference Center application tile. Then, you can select your organization and set a preference option for Authorization and Referrals. Adjust the preference to fit your business needs (between Digital Access (Default) and Digital + Mail) for tax IDs and NPIs of your organization. Additionally, you can add more NPIs to your current registration and set the preferred communication mode for the new NPIs under the selected tax IDs.

Manage preferences (Availity Administrators)

Availity Administrators can learn more about managing preferences related to authorization decision letters in the Custom Learning Center, available in Payer Spaces on Availity Essentials.

After logging in to Availity Essentials, select Payer Spaces from the top menu bar, then select the Anthem payer tile. Once in Payer Spaces, select the Custom Learning Center application, then select the Resources section to view or download the Reference Guide on managing receipt of Authorization Decision letters.

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