Is prior authorization required?

When you use the Availity Authorization app, you will know if a prior authorization is required in six easy steps and in fewer than five minutes. If a prior authorization is not needed, the message “No Auth Required” will return. This submission will be saved to your dashboard for future reference. If authorization is needed, just continue with the prior authorization submission. The entire submission process takes less time than it would to send an authorization by fax and is much quicker than chatting with provider services.

 

Did you know that digital authorizations are considered a high priority? Submitting your pressing authorizations through the Availity Authorization app augments our process, helping to reduce unnecessary delays to your patient’s care.

 

You can now submit prior authorizations in one place for all payers. The Availity Authorization app is multi-payer. This means you no longer have to toggle between Empire BlueCross BlueShield’s (“Empire”) Interactive Care Reviewer (ICR) and the Availity Authorization app to submit apps for all payers.

 

AIM authorization for radiology services? No problem! The Availity Authorization app is set up for radiology service authorization submissions. Coming in 2022, you can submit all of your AIM authorizations through the app.

 

Access the Availity Authorization app for Empire submissions on December 13, 2021. Log onto Availity.com on December 13, 2021, and select the Authorizations app from the home screen or use the Patient Registration tab to select Authorizations & Referrals through the multi-payer app.

 

ICR is still accessible to review previously submitted authorizations. You will also continue to use ICR for behavioral health authorizations, FEP authorizations and authorizations for medical specialty Rx. Until we fully integrate Empire-specific functions in the Availity Authorization app, you will also continue to use ICR for appeals as well.

 

How do you access ICR? That’s easy, too. We have added a landing page in the Availity Authorization app that offers a direct link to your ICR dashboard. Just select the Reserved Auth/Appeals button on the landing page.

 

Not familiar with the Availity Authorization app? Training is convenient and available through live webinars or recorded sessions for self-service learning. To sign-up for training log onto Availity.com and from the top toolbar select Help & Training then Get Trained. Use “AvAuthRef” in the search bar or select the Session tab to see all upcoming live webinars.

 

Availity Authorization app training schedule:

Now, give it a try! If you’re not enrolled on Availity go to Availity.com/provider-portal-registration. Availity is free to Empire providers, saves time, reduces costs and offers a seamless digital transaction experience.

 

Wednesday, December 1, 2021	11:00 a.m. ET
Wednesday, December 8, 2021	12:00 p.m. ET
Friday, December 17, 2021	2:30 p.m. ET
Wednesday January 5, 2022	11:00 a.m. ET
Tuesday, January 11, 2022	3:00 p.m. ET

 

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