Availity Authorizations®

Availity's Authorizations tool (HIPAA-standard 278 transaction) allows providers to electronically submit prior authorizations for inpatient admissions and select outpatient services handled by BCBSMT. Additionally, providers can also check status on previously submitted requests and/or update applicable existing requests.

Benefits of using this online functionality:

  • No separate user enrollment needed
  • Direct access within Availity Essentials
  • Simplified 5-step process

How to access and use Availity Authorizations:

  1. Log in to Availity
  2. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations
  3. Select Payer BCBSMT, then choose your organization
  4. Select a Request Type and start request
  5. Review and submit your request

For additional details, refer to the Availity Authorizations User Guide.

Important Tips:

Providers who are not yet registered with Availity, can sign up today at Availity, at no charge. If you need registration assistance, contact Availity Client Services at 800-282-4548.

Questions?

Email our Provider Education Consultants. Be sure to include your name, direct contact information, Tax ID and/or Billing NPI.

Checking eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. If you have any questions, please call the number on the member’s ID card.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.

eviCore is an independent specialty medical benefits management company that provides utilization management services for BCBSMT. eviCore is wholly responsible for its own products and services. BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.

AIM Specialty Health is an independent medical benefits management company that provides utilization management services for BCBSMT.  BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.