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See the current authorization list to determine if prior authorization is required for general categories of services If you don’t have access to this application, you can request it by contacting your network account manager. We use both internal and external resources in the authorization process.
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Healthfirst’s online authorization tool is a fast and efficient solution for submitting, tracking, and reviewing authorization requests Select healthfirst cost and utilization trend system (cuts) to access the cuts application and a video tutorial Additionally, providers can use the online authorization tool to look up procedure code requirements and submit support documentation as needed.
Healthfirst is transitioning to the availity essentials provider portal
Hfproviderportal.org will be decommissioned in late december 2025 Please begin using availity essentials to access healthfirst tools and services. This tool is located on the ‘prior authorization/notification’ landing page once logged into the carefirst provider portal and serves as a quick way to verify authorization requirements before entering a request. Healthfirst makes it easy for you to find a doctor and access your health information and plan benefits
Log in for help taking care of your health. Provide and coordinates services that are typically covered by medicaid and medicare, including the health, social, emotional, nutritional, and rehabilitation services. Your provider portal enables you to verify member eligibility, review authorization requirements, set up electronic payments, and more Before accessing these features, we need you set up an account on the portal.
My requests tab to review requests submitted via the online authorization tool, return to the welcome page and select the my requests tab
When navigating to the my requests tab, a grid with several columns and a row for each specific authorization request created will be displayed. Starting september 3, 2025, healthfirst providers will need to submit prior authorizations via optum’s spine, pain, and joint portal as the orthonet portal will be discontinued.
