Reminder: Faxed Prior Authorization Requests

This applies to both Commercial and Medicaid Expansion

As of Jan.1, 2025, prior authorization faxes received on/or after Jan.1, 2025, will be cancelled going forward as we announced in August 2024.

Faxed authorization cancelations will occur unless one or more of the situations below apply:

• Provider received an error while trying to submit the electronic request
  • Providers will need to contact Availity at 1-800-282-4548 or Availity Technical Support Direct message at www.availity.com for technical support.
    • If the technical error cannot be resolved by Availity, providers will then be allowed to fax.
• The Availity ticket number must be listed on the fax cover sheet.
  • Authorization needed is a Medicaid Expansion inpatient discharge notification
    • Reference page 46 of the Medicaid Expansion Provider Manual for more information on this process.
• When Availity Essentials or Predictal has downtime
  • BCBSND will notify providers if this occurs and utilize a fax option if necessary.

Not familiar with electronic submission?
Providers can learn more about electronic submission through Availity/Predictal through the following Predictal Resource Guide.

Questions?
Contact the Provider Service Center phone number on the back of the member’s ID card.