All PlansAdministrativeMedium impact
New in Availity Essentials: Streamline Authorization Follow-Ups by Viewing and Responding to RFAI Online
Ambetter·NJ·Prior Authorization
We identified it
Sep 4, 2026
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. Billing teams can upload supporting documentation (up to 10 attachments or 64 MB) and track authorization follow-ups in a single dashboard.
Action Required
Immediately: Billing team must begin using the Availity Essentials Authorization/Referral Dashboard to manage RFAI responses online instead of relying on phone/fax workflows. Access the dashboard, look for 'Pending Action – Contact Payer' status, review the Review Reason 1 field for payer messages, and upload clinical documentation responses in the RFAI section. For authorizations submitted outside Availity, use the Authorization/Referral Inquiry tool to pin them to the dashboard for tracking. Complete training by accessing Help & Training > Get Trained and searching 'CNC' or 'process requests for additional information authorizations' in the Learning Center to ensure staff proficiency with the new online process.