New ‘Pre-Authorization Info’ Tab on the Availity® Provider Portal Eligibility and Benefits Results
As part of an ongoing initiative to enhance the provider experience, Eligibility and Benefits Inquiry results on the Availity Portal will display preauthorization requirements in a new dedicated information tab, effective Nov. 12, 2018.
The new Pre-Authorization Info tab will include a red badge that shows the total number of services submitted that require preauthorization. Information displayed within the Pre-Authorization Info tab will specify if preauthorization is or is not required for the submitted benefit/service type. Contact information for completing the preauthorization request and other important details will also be included.
The launch of the Pre-Authorization Info tab will not change how you submit requests for eligibility and benefits currently. Continue to submit these requests on the Availity Portal using the Eligibility and Benefit Inquiry tool.
As a reminder, services that require preauthorization through Blue Cross and Blue Shield of New Mexico (BCBSNM) may be submitted online via iExchange®. Registered Availity users may enroll for iExchange single sign-on access through the Availity Portal, or by visiting the iExchange page on our Provider website.
Checking eligibility and/or benefit information and/or the fact that a service has been preauthorized is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. If you have any questions, please call the number on the member’s ID card.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSNM. iExchange is a trademark of Medecision, Inc., a separate company that provides collaborative health care management solutions for payers and providers. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity or Medecision. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.