State & FederalMedicare AdvantageNovember 30, 2021

Submitting prior authorizations is getting easier

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

This communication applies to the Medicaid and Medicare Advantage programs for Empire.

 

Empire 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. Empire is eager to make it available to our providers, too. On December 1  3, 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 Empire.

 

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 Empire-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.


You can always log onto https://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 https://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.

 

* Availity, LLC is an independent company providing administrative support services on behalf of Empire.

 

NYE-NU-0374-21 October 2021

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PUBLICATIONS: December 2021 Newsletter