INTERACTIVE CARE REVIEWERBlueCross BlueShield Minnesota Outpatient Home Care / Transitional Care Authorizations for Community Based Care Coordination

COURSE OBJECTIVES

2

After completing this course participants will be able to:• List the benefits of using Interactive Care Reviewer (ICR)

• Access ICR through the Availity Portal

• Create an outpatient home care authorization

• Inquire on a previously submitted authorization

WHAT IS INTERACTIVE CARE REVIEWER (ICR)?

3

An online authorization tool Care Coordinators can access on the Availity Portal to create, submit and check the status of authorizations, Service Agreements and DTR’s.

Care Coordinators can submit outpatient home care / transitional care requests

• Create and submit authorization requests online.

• Upload clinical information

• Print, download and save case information

Care Coordinators can inquire on home care / transitional care authorizations

• Look up information on cases that are affiliated with your tax id/organization.

• View case status

• Download notification letters

ICR IMPROVES EFFICIENCY OF THE AUTHORIZATION PROCESS

4

Authorizations are accessible in one place at any time by any staff member.

No need to fax! Reduced paperwork!

Quickly check authorization status online and update requests.

Proactive contact via email updates.

Attach and submit clinical notes, including member’s assessment and physician’s notes.

Print, download and save.

Getting StartedAccess ICR through the Availity Portal

Recommend Chrome, Internet Explorer 11, Safari or Firefox

5

ACCESS ICR via the Availity Portal @ www.availity.com

6

Need to register?

7

8

What your Availity Administrator needs to do to grant you access to ICR :

Don’t know who your Availity Administrator is? :

Jane’s Account

9

10

11

12

13

14

15

Your organization

16

17

18

19

My organization Requests: Displays the dashboard and is the home page for the application.

Create New Requests: Create and submit an authorization.

Search Submitted Requests: Search for any ICR case requested by your organization or a request to which your organization is associated. This option includes requests with a status of review not required.

Check Case Status: View any cases submitted that are associated with the tax ID(s) on the request. You can also view cases that were submitted by phone and fax.

To view the authorization/referral, the case must be associated with the tax ID listed under the organization you selected in Availity.