Preauth & Care Plan Tool Updates

Speed up the preauthorization process in your office by having your staff sign up for the Preauth & Care Plan Tool to submit and monitor requests online. Compared to faxed and emailed requests, this tool can make the process easier than ever, with many benefits like:

• Reduced response time
• 24/7 preauthorization status information
• No risk of information being lost, sent to the wrong number, or other errors
• Reduced follow-up calls and decision delays due to missing information
• Automatic review and preauthorization decisions for many procedures (including CPAP/BIPAP, eye procedures, hysterectomy, spinal pain interventions, tonsillectomy/adenoidectomy, total joint [hip and knee], and varicose vein procedures.)

Updates for Current Users

Some users have encountered the following common issues when logging in or creating authorization requests. Please read the information below to learn what steps you should take to resolve these problems if needed.

• Login Errors: If a registered user receives a TaxID XML error when trying to login, please call the help desk at 801-442-7979, option 2 to submit a ticket. Please include the error message in your ticket.
• Limit Requests to 10 Diagnosis Codes: When submitting a preauthorization request in the Preauth & Care Plan Tool, do not include more than 10 diagnosis codes at a time. This may cause issues with the system.
• DME Ordering Providers: Please add the ordering provider (requesting provider) to all requests so that decision letters can be sent to the ordering provider.

Training & Other Resources

Check out the Preauth & Care Plan Tool page for more helpful resources, including:

• Sign up instructions
• Training videos
• FAQs
• PDF guides
  • Quick Guide: Inpatient Requests
  • Quick Guide: Outpatient Requests
  • How to Check Authorization Status
  • How to Access Letters