
To get the Availity phone number for prior authorization, you can call 1-800-282-4545, as this is the primary contact number for Availity's customer service team.
Availity's customer service team is available to assist you Monday through Friday, from 8am to 8pm Eastern Time, so you can reach out to them within these hours for assistance with prior authorization.
Having the Availity phone number for prior authorization can help streamline the process, saving you time and effort in the long run. By calling the Availity phone number, you can get help with navigating the prior authorization process and any questions or concerns you may have.
A fresh viewpoint: Prior Authorization Process Flow
What is Availity's Prior Authorization Tool
Availity's Prior Authorization Tool is a user-friendly online platform that makes submitting and receiving confirmation of prior authorization requests faster and easier. It's accessible through the Availity Portal.
The tool allows providers to access and verify the status of requests, upload clinical medical records, edit and/or extend requests, and obtain a printable confirmation number for their records. This is a significant improvement from the current electronic prior authorization tool, iExchange, which will be deactivated on April 15, 2020.
To use the Authorizations & Referrals tool, providers can follow a simple five-step process: log in to Availity, select the Patient Registration menu option, choose Authorizations & Referrals, select Payer BCBSTX, then choose their organization, and finally review and submit their authorization.
Here are the key features of the Authorizations & Referrals tool:
- Access and verify the status of requests
- Upload clinical medical records
- Edit and/or extend requests
- Obtain printable confirmation number for your records
By using this new tool, providers can streamline their prior authorization process and reduce administrative burdens.
Availity's Authorization Solution
Availity's Authorization Solution is a game-changer for healthcare providers. It streamlines the prior authorization process, making it faster and easier to submit and receive confirmation.
Providers can access Availity's Authorization Solution through the Availity Provider Portal, where they can upload clinical medical records, edit and extend requests, and obtain printable confirmation numbers. This new tool will replace the current electronic prior authorization tool, iExchange, which will be deactivated on April 15, 2020.
To get started with Availity's Authorization Solution, providers need to log in to Availity, select the Patient Registration menu option, choose Authorizations & Referrals, then Authorizations. From there, they can select the payer, their organization, and the type of authorization they need.
Here are the 5 easy steps to submit an online prior authorization request using Availity's Authorization Solution:
- Log in to Availity
- Select the Patient Registration menu option, choose Authorizations & Referrals, then Authorizations
- Select Payer BCBSTX, then choose your organization
- Select Inpatient Authorization or Outpatient Authorization
- Review and submit your authorization
Providers can also check prior authorization requirements for procedure codes online using AvailityEssentials Eligibility and Benefits or our IVR phone system. This way, they can quickly confirm prior authorization requirements without speaking to customer service.
Prior Authorization Requirements
Prior Authorization Requirements can be a hassle, but understanding them can save you time and stress.
Prior authorization requirements vary by insurance plan, but most plans require a prior authorization for certain medications, services, or treatments.
Availity's prior authorization process typically takes 2-4 business days, but this timeframe may vary depending on the insurance plan and the complexity of the request.
You'll need to submit a prior authorization request through Availity's online portal or by calling their customer service number.
Availity's customer service team is available Monday through Friday, 8am to 8pm ET to assist with prior authorization requests.
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Frequently Asked Questions
How can I check my Availity authorization status?
To check your Availity authorization status, log in to Availity Essentials, select Patient Registration, and access the Authorizations and Referrals application. You can also set up notifications through the Preference Center for future authorization decisions.
What is the phone number for Availity control?
For Availity control, call (800) 282-4548. This number connects you to Availity Client Services.
Sources
- http://www.bcbstxcommunications.com/newsletters/br/2020/february/web/nlt_br_providers_february_2020_new_prior_authorization.html
- https://www.availity.com/end-to-end-authorizations/
- https://www.floridablue.com/providers/availity-online-services
- https://www.provider.wellpoint.com/new-jersey-provider/resources/learn-about-availity
- https://www.bcbsnm.com/provider/education-reference/education/news/2024-news-updates/check-prior-authorization-requirements--for-procedure-codes-thro
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