Reminder: Updated Workflow for Initial Medical Authorization Requests

Providers must submit all INITIAL medical authorization requests via the Authorizations & Referrals process in Availity Essentials. This includes initial authorization requests for inpatient and outpatient services, as well as retrospective pre-claim reviews and claim reviews.

This is the first phase of a multi-pronged initiative to make the authorization process more intuitive and efficient for you, including: 

• Attach supporting medical documentation electronically. 
• Access Availity's Authorization Dashboard for a centralized view of auth status from multiple payers.

On-Demand Resources 

Access a recording of a live training webinar on the Availity Learning Center (ALC): 

• Log into Availity. Go to the Help & Training tab on the homepage. 
• Click Get Trained from the dropdown menu to view recorded demos and webinars.  
• Select Authorization Request and Follow-up for Highmark Providers – Recording. 

To learn more about this workflow change, click HERE.