In the portal, select Prior Authorization and Notification from the global header
Confirm the submitting provider
Select Create a new notification or prior authorization request from the prior authorization and notification home screen
Note: For certain services you will be presented with a series of clinical questions that may lead to a real -time approval. You can also attach supporting clinical documents directly to the case in the portal’s Prior Authorization tool.
Electronic Data Interchange (EDI): Set up EDI 278 transactions to submit prior authorization requests and admission notifications electronically.
If you’re unable to use these electronic tools, you can submit medical prior authorization requests and admission notifications by calling Provider Services at the number below.
Take full advantage of our digital solutions While you’re in the portal, you may want to check out TrackIt, which is on the home page. TrackIt notifies you of prior authorization requests, claims, reconsiderations and appeals that need attention. It also provides a direct link to view prior authorization decision and appeal letters quickly. If you use tools on our secure portal for claims and prior authorizations, you’ll already have access to those items in TrackIt.