April 1, 2022
Targeted for the end of second quarter of 2022, Premera providers will gain access to a new online prior authorizations experience on the Availity Essentials provider portal. The Availity prior authorization tool simplifies the submission process, so
you won’t need to fax, mail, or call in your requests.
Highlights include:
- Inpatient and Outpatient Prior Authorizations: Complete and submit inpatient and outpatient prior authorizations and get real-time status updates for your Premera members.
- Auth/Referral
Dashboard: View all submitted prior authorization requests and statuses from a single page and use filtering options to prioritize.
- Auth/Referral Inquiry Tool: Servicing and facility providers can check on the status of a request.
- Premera Code Check: Enter a procedure code to see if prior authorization is required.
- Draft for Incomplete Requests: Draft automatically saves in your dashboard for 18 months.
- Attachments: Add required documents to your request.
Learn more with a free webinar
Save the date for a webinar on Tuesday,
May 24 to learn how easy it is to use the prior authorization tool (webinar link available in May 5 Provider News.) To prepare for this live training, make sure you have the Authorization and Referral Request and Authorization and Referral Inquiry roles. If you need these roles assigned to you,
contact your Availity Essentials Administrator.
Code check tool
We’re
rolling out our prior authorization enhancements in phases on Availity's secure portal, and one of the
first is the
code check tool, launching on April 13.
The code check tool is a quick way to see which procedure codes require review.
The tool includes all dental, medical, eviCore, and AIM codes, as well as
unlisted codes. The
tool gives
you general information about whether a code requires review. For member-specific information, you’ll need to use Availity’s prior authorization tool, available
at the end of second quarter of 2022.