Ensuring seamless healthcare delivery requires proper authorization for services rendered to enrolees. Here's how providers can easily request authorization through our platform:

  1. Access the Authorization Menu: Navigate to the 'Care Authorization' section and select 'Eligibility and Authorization'.
  2. Search for the Member: Use either the Member ID or Member Name to search for the enrolee. For accuracy, it's recommended to search by Member ID. Enter the relevant details and click 'Search'.
  3. Request Authorization: Once the member is identified, click on the 'Request Authorization' button to proceed.
  4. Provide Required Details: Fill out the necessary medical and diagnosis details, along with service authorization specifics. Include information on prescribed medications, medical devices, and procedures, ensuring comprehensive documentation. If available, upload any additional medical reports for reference.
  5. Submission: Review the information provided and submit the authorization request by clicking the designated button.

By following these steps, providers can efficiently request authorization for the required healthcare services, facilitating smoother processes and ensuring proper care for enrolees. Should you encounter any issues or require assistance, our Support team is readily available to help.