Transactions

The process for requesting a prior authorization will not change although finding the tool to request the authorization is different. In Availity, providers will go to “Payer Spaces” and click the “Predictal” tile to enter an authorization and/or check status of a previous submitted authorization.

Yes, there’s a link to CoverMyMeds under "Applications" in Payer Spaces. Once at the CoverMyMeds site, you can log in with your current user credentials.

You have the ability to submit batch eligibility and benefit searches through Availity. 

Yes. To view member information in Availity, go to "Patient Registration" and then click "Eligibility and Benefits Inquiry."

Yes, the responses can be viewed by all staff in the organization. However, only the original submitter can reply to Highmark … unless the organization’s administrator reassigns the claim to another staff member.

Yes, Explanation of Benefits (EOBs) will be available on Availity for six months.