Availity Portal
Find important self-service tools exclusively at www.availity.com.
Access is managed by your organizations Availity Administrator.

To connect to Availity select Medical.

To access our secured site select Dental.
LoginLogin
Medical Policy and Clinical UM Guidelines

View our medical policies and clinical UM guidelines

Need to find a Doctor or Hospital? Check the Online Provider Directory.

Prior Authorization Toolkit

PW_A089234

Prior Authorization Toolkit

Certain requests for services require specific clinical information in order to provide authorization. The following tools will assist you in identifying and providing this specific information. Please attach the additional specific form with your “Request for Pre-Service Review” Form. 
The following forms are available for download:
General Prior Authorization Forms 

Title Form Number Format
WV0012901 
PDF 
 
Please contact the UM intake department for any questions on prior authorization at 866-655-7423 or fax 855-402-6983. 
© 2018 UniCare