Availity/Prior Authorization Update

Our new Prior Authorization tool, Predictal, will launch September 5th. We
look forward to the convenience it will offer you. We will provide you with
additional training resources very soon. For now, we would like you to
please note the important following details:

  • Availity will be unavailable for prior authorizations during this
    platform enhancement from September 1 – September 18. During
    that time, we kindly request you to use alternative channels to submit
    prior authorizations.

  • Providers should still follow the same guidance for special
    circumstances.
  • If an authorization is submitted before September 1st, this will show
    on your Availity dashboard as normal. However, Providers will not be
    able to link to this authorization for concurrent reviews.
  • In some cases, you may see cancellations from BCBSWY as we
    move current authorizations for inpatient stays through 9/5 to our
    new system. BCBSWY will contact you directly to discuss these
    specific authorizations.
  • Prior authorizations may take slightly longer than average in early
    September, but they will still be approved within our standard 14-day
    time frame.
  • Authorizations submitted prior to September 5th will be completed by
    the fifth as part of the transition.

We will share additional information very soon. Please reach out if you
have any questions.

Share

Related Posts
Prior Authorization Portal Update
Announcements Prior Authorization Portal Update Providers should begin using the online prior authorization submission portal in Availity. It is now live and fully accessible….
Concurrent Review Video
Announcements Concurrent Review Video We have recently created a video to help you easily navigate the concurrent review process on Availity. As a reminder,…
Tips: CPT Code 83036 Billing
Reminder CPT Code 83036 Billing Tips As a reminder, Providers should include category II codes when billing CPT code 83036. Claims without the category…

Fewer Hassles. Better Service.