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Use AuthAccel for these types of requests:

  • Medical inpatient (including urgent) requests for all members
  • Outpatient pharmacy and retail pharmacy requests for Blue Shield commercial PPO and Medicare PPO members
  • Authorizations for Blue Shield HMO and Blue Shield Promise (Medi-Cal) members

The training and support tools listed below are designed to help you learn and use AuthAccel.

 Request a medical authorization (PDF, 315 KB)

 How to view medical authorization status in AuthAccel (PDF, 318 KB)

 How to submit a pharmacy authorization in AuthAccel (PDF, 256 KB)

 How to view pharmacy authorization status in AuthAccel (PDF, 164 KB)

 AuthAccel frequently asked questions (PDF, 319 KB)

 

For outpatient PPO authorizations that are eligible to submit via Availity Essentials, visit Availity.com for training and support tools.

Use Availity.com for members with the following types of plans: Blue Shield commercial PPO, Medicare PPO, and Federal Employee Program PPO and United States Postal Service (USPS) PPO employees who reside within California, for the following types of requests:

  • Medical authorization requests (outpatient only)
  • Medication authorization requests for medical benefit drugs
  • Behavioral health service requests (including ABA services)

AuthAccel online authorizations system

Submit medical and pharmacy authorizations online and view authorization status.

Prior authorization lists

View the list of medical services and procedures requiring medical necessity review and/or supplemental documentation before payment is made.

Tools and tutorials

Access educational materials such as recorded webinars, eLearning modules, FAQs, and "how to" guides on a variety of topics.

Provider webinars

Sign up for upcoming educational webinars designed to support your work with Blue Shield members.

News and announcements

Stay informed about programs, policies, and announcements issued by Blue Shield.

Clinical policies and guidelines

Find policy information about medications and medical procedures, devices and technologies, learn about our prior authorization procedures, and access our outpatient drug formulary.