Provider Web Portal Quick Guide - Viewing Prior Authorizations in the Portal

Last updated: 09/01/2020
 

Registered providers and their delegates are now able to view Prior Authorizations (PAs) in the Provider Web Portal even if the provider ID is not listed on the PA. The provider will need to search with the following information:

Prior Authorization Number and Member ID
Or
Prior Authorization Number, Member Last Name and Member First Name

 

Using any other search criteria will require that the provider be listed as the billing provider or rendering provider on the PA in order to see the PA on the Web Portal.

If the provider is listed as the billing or rendering provider on the PA, the Prior Authorization Number is not needed to search. Providers can see all their PAs on the Prospective Authorization tab or they can search for specific PAs on the Medical/Dental tab using any of the following criteria:

At least one field in the Authorization Information section
Or
At least one field in the Provider Information section
Or
Member ID or Last Name, First Name and Birth Date in the Member Information section

 

  1. Select Care Management from the menu.
    care management tab
  2. Select View Status of Authorizations on the Care Management page.
    select view status of authorizations
  3. If not the billing or rendering provider on the PA, enter the Prior Authorization # and Member ID or the Prior Authorization # and Member Last Name and First Name.
    If not the billing or rendering provider on the PA, enter the Prior Authorization # and Member ID or the Prior Authorization # and Member Last Name and First Name
  4. If the billing or rendering provider on the PA, enter at least one field in the Authorization Information section, at least one field in the Provider Information section, OR the Member ID or Last Name, First Name and Birth Date in the Member Information section. The Prior Authorization # is not needed.
    authorization info section
  5. Prior Authorization results will show at the bottom of the page.
    prior authorization results shown at bottom of page

Need More Help?

Please visit the Quick Guides web page to find all the Provider Web Portal Quick Guides.