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.

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