Submitting prior authorizations is getting easier

Please note, this communication applies to Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc.

 

HealthKeepers, Inc. is transitioning to Availity* Authorization

 

You may already be familiar with the Availity Authorization App because millions of providers are already using it for submitting prior authorization requests for other payers. HealthKeepers, Inc. is eager to make it available to our providers, too. In 2022, 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 HealthKeepers, Inc.

 

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 HealthKeepers Plus-specific information, we’ve provided access to ICR for:

 

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

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

 

Training is available

 

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

 

Date	Time (All training sessions are one hour)
Wednesday, January 5, 2022	11 a.m. Eastern
Tuesday, January 11, 2022	3 p.m. Eastern
Thursday, January 20, 2022	Noon Eastern
Tuesday, January 25, 2022	Noon Eastern
Wednesday, January 26, 2022	3 p.m. Eastern

 

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 HealthKeepers, Inc.

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