Workflow and Updated Prior Authorization Guide Available

Online Prior Authorizations Submissions are unavailable until 9/18.
Soon you can experience: More real-time information; Reduced wait times; Auto-approval of some authorizations.

We appreciate your patience.

Workflow and Updated Prior Authorization Guide Available

Our Prior Authorization guide has been updated to reflect the changes with enhanced Predictal workflow. Please download to have the most
recent information.

↓ Download Updated Guide Here

We have created an infographic to help you understand how service types are now implemented.
Use this printable PDF as a reference sheet when submitting prior authorizations to better understand the workflows.

↓ Download Service Type Guide PDF

Availity/Prior Authorization Update

Our new Prior Authorization tool, Predictal, is launching. We appreciate your patience and 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 September 1 – September 17. During this timeframe, 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-datime frame.

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

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