on the availity portal
TRANSCRIPT
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?
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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?
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Even if the preauthorization can’t be approved instantly, the information you provide can help Humana review and process the request faster.
Look for the questionnaire button
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Select the questionnaire button to begin.
If preauthorizationautomationis available, this message appears on the results page.
Example question types
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Yes/No questions
Checkboxes allowing multiple selections
Text boxes
Questions vary by service type and are subject to change.
Review your answers
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If you need to correct youranswers, use the “Back” button.
When finished, select “Submit.”
View your results – Pended status
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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.
Find out more about working with Humana online
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Sign up for a live webinar at Humana.com/Providerwebinars.
Helpful contacts and resources
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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