Learn about our new prior authorization tool updates

We’ve made important updates to the Prior Authorization and Notification tool to help streamline your experience. These enhancements are designed to support the way you work and help make it easier to get the information you need, faster and with greater clarity.

What’s new

Here are some new updates to the Prior Authorization and Notification tool:
 

1. A smoother submission process: Member information from eligibility carries over to check by member function, saving time and reducing duplicate entries
   
   
2. Better clinical alignment and accuracy: You'll be required to enter at least 1 diagnosis code, and you’ll have the ability to add up to 10 associated diagnosis codes to the procedure being performed
   
   
3. Clearer and more consistent service details: “Procedure Code Details” is now labeled “Service Details” to be more comprehensive. You can enter and manage multiple procedure codes, each with its own associated diagnosis and service dates.
   
   
4. Easy-to-understand alerts and highlights: Color-coded banners clearly indicate whether authorization is required. For mixed-case scenarios, the tool expands to show details. If a third-party vendor is needed, you’ll see a message alert.

We’re always looking for ways to improve and plan to make additional enhancements to the tool. To get started, check out the new enhancements and please provide us with your feedback through our 24/7 chat feature listed below.

Experience the new enhancements

Review the “What's new” page in the Prior Authorization and Notification interactive guide.