Preauthorization Automationon the Availity Portal

LC4713ALL0320-C GCHJWA2EN

An optional step in Humana’s preauthorization process on the Availity Portal

A brief series of questions allowing Humana to deliver instant approvalif coverage criteria are met

Preauthorization automation: What is it?

| 2

Find Humana’s Preauthorization List (PAL) at Humana.com/PAL.

Examples include some types of: Durable medical equipment Genetic testing Behavioral health services Outpatient surgery Cosmetic/plastic surgery

Available for select services on Humana’s Preauthorization List (PAL)

Streamlines the overall process, including Humana’s

review.

Provides clinical information that allows for a faster

preauthorization decision.

Why use preauthorization automation?

| 3

Even if the preauthorization can’t be approved instantly, the information you provide can help Humana review and process the request faster.

Getting started

| 4

Sign in or register at Availity.com.

Begin the preauthorization process as usual

| 5

Submit the preauthorization as usual.

Look for the questionnaire button

| 6

Select the questionnaire button to begin.

If preauthorizationautomationis available, this message appears on the results page.

Respond to the questions

| 7

Answer the questions and select “Next.”

Example question types

| 8

Yes/No questions

Checkboxes allowing multiple selections

Text boxes

Questions vary by service type and are subject to change.

Review your answers

| 9

If you need to correct youranswers, use the “Back” button.

When finished, select “Submit.”

View your results – Approved status

| 10

View approval status and authorization number here.

View your results – Pended status

| 11

You can upload up to 10 medical records of 6 megabytes each. File types can be .png,

.jpeg, .tif or .tiff.

To upload supporting records, select“Submit Medical Records.”

Be sure to review the message(s) displayed here.

| 12

Contact information and additional training

Find out more about working with Humana online

| 13

Sign up for a live webinar at Humana.com/Providerwebinars.

Helpful contacts and resources

| 14

Availity Client ServicesPhone: 1-800-AVAILITY (1-800-282-4548)

Availity Portal help

Other Humana customer servicePhone: 1-800-448-6262

Working with Humana online

Humana.com/ProviderSelfService

Thank you