Payor Business Authorization

Payor authorization is a type of delegated authorization. Review the Business Authorization Overview if you haven't already, for more information on the different types of authorization.

A payor administrator can grant authorization only to a Payor Submitter to act on the payor's behalf, and only for the IEC application. This type of business authorization is a two-step process. A payor administrator can authorize a Payor Submitter to work on behalf of the payor, but only after the authorization has been requested.

A payor administrator will grant or revoke authorization for requesting businesses at the application level. Granting or revoking business authorization can be done at any time after it has been requested, even after authorization has been granted.

Warning: If a payor administrator revokes authorization for a Payor Submitter that has application access and is doing work on behalf of the payor, that business will immediately be denied access to continue doing work on the payor's behalf.

Note: There is a special requirement for the Internet Electronic Claims (IEC) System to provide authorization for each transaction to which a payor has access. Review the Health Insurance Portability and Accountability Act (HIPAA) topic for more information.

E-Mails

The MEDI System also provides some automated e-mail support for authorization activities. Review the E-Mail Notifications Overview for more information.

Related Topics

Navigating the Authorization Pages

Authorization Tutorials