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All PlansAdministrativeMedium impact

New in Availity Essentials: Streamline Authorization Follow-Ups by Viewing and Responding to RFAI Online

Ambetter·NC·Prior Authorization
Effective date
Not stated
We identified it
Sep 4, 2026
Days to comply

Summary

Availity Essentials now allows providers to view and respond to Requests for Additional Information (RFAI) directly online through the Authorization/Referral Dashboard, eliminating the need for phone calls or faxes. This streamlines authorization follow-ups by enabling secure document uploads and centralized tracking of payer requests.

Action Required

Action needed
Immediately: Billing and authorization teams must familiarize themselves with the new RFAI online workflow in Availity Essentials. Access the Authorization/Referral Dashboard, review the RFAI section for pending requests marked 'Pending Action – Contact Payer,' and begin responding to payer requests online instead of via phone or fax. Staff should complete the three-minute demo (Help & Training > Get Trained, search 'CNC' and select 'Auth Request for Additional Information') and reference the illustrated step-by-step instructions in Availity's Provider Help Center (Help & Training > Find Help, search 'process requests for additional information authorizations'). Ensure all team members uploading responses understand the 10-attachment and 64 MB file size limits. Note: For authorizations submitted outside Availity Essentials (via another portal or fax), use the Authorization/Referral Inquiry tool to pin them to the dashboard for RFAI tracking.