Important: You must have registered in the Other Business category as a Payor Submitter in order to request authorization from a payor.
Note: Payor Submitters cannot request authorization from Medicaid providers.
When a Payor Submitter wants to work on behalf of a payor, it must request and receive authorization from one of the payor's active administrators. Payor authorization is granted to the business, not to the individual that requested the authorization. This allows the administrator to be replaced without affecting the authorizations given to the business. Only an active administrator for a Payor Submitter can request authorization from a payor.
After payor authorization has been received, the business administrator(s) of the requesting business can delegate authorizations to the registered employees.
Warning: If an authorization request is revoked or placed in a pending state, the requesting business and its employees will no longer have authorization to work on behalf of the payor. This may occur at any time after the request is made, even if the request was accepted at some earlier date or time.
If you want to work on behalf of a payor(s), you may request authorization immediately after your successful registration as a Payor Submitter, from as many payors as you need. The payor administrator does not need to be registered before you can request authorization.
Application access will be granted immediately after a payor administrator has accepted your request for authorization.
Note: For the IEC System only, there is a 24-hour waiting period after authorization is granted before transactions can be exchanged. This is required in order to update HFS's X12N translator software.
The MEDI System also provides some automated e-mail support for authorization activities. Review the E-Mail Notifications Overview for more information.
Navigating the Authorization Pages