State & FederalMedicare AdvantageJanuary 1, 2022

Submitting prior authorizations is getting easier

This communication applies to the Medicaid and Medicare Advantage programs for Anthem Blue Cross and Blue Shield (Anthem).

 

Anthem is transitioning to the Availity Authorization app

You may already be familiar with the Availity multi-payer Authorization app because thousands of providers are already using it for submitting prior authorizations for other payers. Anthem Blue Cross and Blue Shield (Anthem) is eager to make it available to our providers, too. In 2022, you can begin using the same authorization app you use for other payers. We hope to make it easier to submit prior authorization requests to Anthem.

 

ICR is still available

If you need to refer to an authorization that was submitted through ICR, you will still have access to that information. We’ve developed a pathway 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-specific information, you can still access ICR for:

  • Appeals
  • Behavioral health authorizations
  • FEP authorizations
  • Medical specialty Rx

 

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

Wednesday, January 5, 2022

10 a.m. CT

Tuesday, January 11, 2022

2 p.m. CT

Thursday, January 20, 2022

11 a.m. CT

Tuesday, January 25, 2022

11 a.m. CT

Wednesday, January 26, 2022

2 p.m. CT

 

You can always log onto 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 availity.com and the Authorization icon is on the home screen. You can also access the app through the Patient Registration tab by selecting Authorizations and Referrals.

 

* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield (Anthem).

 

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