West Virginia’s prior authorization law mandates health insurers to require that prior authorization forms, including any related communication, be submitted via an electronic portal no later than July 1, 2024.

Fax prior authorization submissions are being phased out by Clinical Services. Providers are required to use the Availity^® portal to electronically submit authorization requests, attach documentation, respond to inquiries, and check status. To view Highmark’s current prior authorization list, go here.

Training Resources

We have a variety of training resources and guides available to walk you through the electronic authorization process.

Both Availity and Highmark’s Provider Resource Center (PRC) offer valuable training guides and materials for providers and their teams to make the adoption of the provider portal easy, understandable, and advantageous.

Training Courses

• Log into Availity.
• Select Help & Training tab on the homepage:
• Click Get Trained from the drop-down menu to view recorded demos and webinars.

Registration Guides

• Availity Essentials Registration for Health Care Providers
• Availity Essentials Registration for Billing Services

Reference Guides

• Availity Essentials Reference Guide for Users
• Availity Essentials Reference Guide for Administrators