Expansion of digital-only authorization case status notifications

In our previous communications to you, we shared information about using the Authorizations and Referrals application on Availity Essentials to get digital notifications about your authorization cases. We also provided details on the Preference Center where you can select your preferred method of communication for authorization cases. We are excited to share that we will expand this digital solution currently available for commercial health plans to include Medicare Advantage and Medicaid plans from Anthem in your state in September 2024.

Here’s a quick recap on how to navigate Availity Essentials for your authorization cases.

Authorization case status and digital authorization decision letters on Availity Essentials:

• Through Auth/Referral Inquiry, you can retrieve cases submitted by your organization via both digital and non-digital methods. You can also use the Pin to Dashboard feature to keep these cases on Auth/Referral Dashboard, saving you from repeating the search in the future.
• Get the most recent status of cases submitted by your organization on Auth/Referral Dashboard and view the case details including decision letters via View Details in the Actions menu. For pinned cases, select the case card to view 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 appropriate payer tile after selecting Payer Spaces from the top menu bar. Once in Payer Spaces, select the Preference Center application tile. Select your organization and then set your preference option for Authorization and Referrals. Adjust the preference to fit your business needs (between Digital Access [default] and Digital + Mail) for the 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 appropriate 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.

Through our shared health vision, we can affect real change.