Adding a New Authorization Request

You can use this page to manually add new authorization request by selecting the Program and Authorization Type for which the Provider is requesting to add an authorization. The system automatically displays the required fields required for the selected Program and Authorization Type.

To add a new authorization request:

Access this page using the method below that applies to you:
- WCMBP Users: In the Authorization tab, select the Authorization Request List hyperlink.
- Provider Portal Users: From the Provider Portal home page, select the On-line Authorization Submission hyperlink.

The system displays the Authorization Request List page.

Select the Add New Request button.

The system displays the Add Authorization page.

Select a Program from the drop-down menu.
Select an Authorization Type from the drop-down menu.

Note:The required (*) fields will change depending on which Program and Authorization Type that you select.

The system refreshes the Add Authorization Header page with the fields required to complete adding a new Authorization.

Enter the required (*) Requestor Information.
Enter the required (*) Claimant Information.
Enter the required (*) Provider Information.
Enter the required (*) Service Line Information.

Note: The required fields Service Line information will vary depending on the Authorization Type you selected.

Select the Save Authorization button.

The system saves the new authorization and displays the Add Authorization Header page.

Adding a New Authorization Request

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