Availity Authorization App Available to Providers Beginning in 2022

Please note, this communication applies to Healthy Blue + Medicare℠ (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). 

Submitting prior authorizations is now easier and multi-payer 

We know how much easier it is when you have access to digital apps that streamline your work. Thousands of providers already use the Availity* Authorization app to submit prior authorizations for other payers. Now, we want to make it easier to submit prior authorization requests to Blue Cross NC by making the app available in 2022 to our providers as well. 

ICR is still available

If you need to refer to an authorization that was submitted through the Interactive Care Reviewer (ICR), you still have access to that information. We have developed a pathway for you to access your ICR dashboard — You simply follow the prompts provided through the Availity Authorization app.

Innovation in progress

While we grow the Availity Authorization app to provide even greater functionality and to expand Blue Cross NC-specific prior authorizations, we have provided access to ICR for:

• Appeals
• Behavioral health authorizations
• Federal Employee Program authorizations
• Medical specialty pharmacy authorizations

Notices in the Availity Authorization app will guide you through the process for accessing ICR for these Alternate Authorization/Appeal functions.

Begin submitting digital prior authorizations through the Authorization app in 2022

If you aren’t already familiar with the Availity Authorization app, live training and recorded webinars are available. 

You can always log onto availity.com to view the webinars at your convenience. From Help & Training, select Get Trained to access the Availity Learning Center. Select the Session tab to see all upcoming live webinars.

Tip: To find the authorization training faster, use keyword AvAuthRef in the search field.

Now, give it a try

Eliminate the time and costs associated with faxing prior authorizations by using the Availity Authorization app. It’s easy, convenient, and available when you are, 24/7.

Get access by logging onto availity.com. Under the Patient Registration tab, select Authorizations & Referrals. The app is easy to navigate with intuitive functions that walk you through the submission.

Tips: You will need to have the Authorization Role assignment in order to access the app and to submit prior authorizations. Your organization’s Availity administrator can assign the role to you.

If you have any questions, reach out to Availity at 800-282-4548.

Availity, LLC  is an independent company providing administrative support services for Healthy Blue + Medicare providers on behalf of Blue Cross and Blue Shield of North Carolina.

Access more provider information, forms, policies and resources for our Healthy Blue + Medicare plan.