Simplifying Authorizations: A New Guide Answers Your Auth-Related Questions

A new resource is available to help you navigate the authorization submission process:

• Highmark Provider Portal Frequently Asked Questions (FAQs): Authorization Process via Availity Essentials

Whether you’re a seasoned professional or a recent hire, this guide is designed to make the process of submitting authorizations clearer, easier, and faster.

With this FAQs document, you get answers to key authorization-related questions, including:

• Where to submit initial authorization requests
  • Answer: Availity Essentials
• Where to submit extensions and concurrent auth requests
  • Answer: Predictal
• How the Availity portal and Predictal work together
• How to check the status of your authorization request

Other important topics include:

• The process for physical medicine authorizations
• Case types and time frames
• Gold Carding program
• Out-of-area members
• Submitting auth requests to vendors
• Auth AI workflow
• Eligibility and benefits verification
• Troubleshooting and support

Maximize This Resource

Highmark Provider Portal FAQs is available on the Provider Resource Center (PRC). We encourage you to read it, save it to your desktop, and share it with your colleagues.