New Authorizations Tool via Availity Provider Portal®: Revised Launch Date of Feb. 17, 2020

17 de febrero del 2020

This is a follow-up to a previous notice regarding delayed implementation of the new Availity Authorizations tool, which was originally scheduled to launch in late January 2020.

We’re pleased to announce that the Availity Authorizations tool (HIPAA-standard 278 transaction) is available as of Feb. 17, 2020, for submission of benefit prior authorization requests handled by Blue Cross and Blue Shield of New Mexico (BCBSNM). This includes benefit prior authorization requests for inpatient admissions and select outpatient services.

For Federal Employee Program® (FEP®) members and behavioral health services, you should continue using your current benefit prior authorization process until this new tool becomes available in the near future.

Important Reminders :

  • If you haven’t registered with Availity, you can sign up for free on the Sitio web de Availity Más información sobre enlaces de terceros. For help, contact Availity Client Services at 800-282-4548.
  • Our current electronic benefit prior authorization submission tool, iExchange®, will be deactivated on April 15, 2020. As of this date, all electronic benefit prior authorization requests handled by BCBSNM should be submitted using the Availity Authorizations tool.
  • The process of submitting benefit prior authorization requests through eviCore healthcare (eviCore) or other vendors is not changing.
  • Medical and surgical predetermination of benefits requests should be submitted via fax or mail using the Predetermination Request Form, along with the pertinent medical documentation.

Training and Support

We are hosting additional Availity Authorizations training webinars for you to learn how to use this new tool. Select the link below for your preferred date and time to register.

Feb. 26, 2020 – 8 to 9 a.m. Más información sobre enlaces de terceros
March 4, 2020 – 2 to 3 p.m. Más información sobre enlaces de terceros

If you have questions or need customized training: Contact our Provider Education Consultants.

iExchange es una marca comercial de Medecision, Inc, una compañía aparte que ofrece soluciones de colaboración en la administración de servicios médicos para pagadores y profesionales de la salud.

eviCore is an independent specialty medical benefits management company that provides utilization management services for BCBSNM. eviCore is wholly responsible for its own products and services. Availity es una marca registrada de Availity, LLC, una compañía aparte que opera una red de información de salud para prestar servicios de intercambio de información electrónica a profesionales médicos. Availity presta servicios administrativos a BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as eviCore and Availity. Si tiene alguna pregunta acerca de los productos o servicios ofrecidos por estos proveedores, debe comunicarse con el proveedor directamente.