Jiva TM 1 Jiva Integrated Care Management Software Provider Portal Training Material Authorization Search for Out of State Providers Provider Training Manual Jiva TM 2 This user guide p ID: 825402
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Provider Training Manual - JivaTM
Provider Training Manual - JivaTM 1 Jiva™ Integrated Care Management Software Provider Portal Training Material: Authorization Search for Out-of-State Providers Provider Training Manual - JivaTM 2 This user guide provides instructions for out-of-state providers to view authorization status. Step A: Conducting a Search Request 1. Log in with your individual username and password via providers.bcidaho.com at the top of the web page 2. Hover over Authorizations/Notification
s on the top navigation on the blue ba
s on the top navigation on the blue bar. 3. Select Medical/Behavioral; select the Launch button toward the bottom of the page. 4. When the JIVA Dashboard page loads select Search Request at the top left. a. Enter required search criteria: Members Last Name, First Name and Date of Birth b. Select Search The following summary screen will appear; please note the key information outlined below: Select Episode Type identifier circled below (OP for Outpatient): Smith
John John Smith 140000000 11223
John John Smith 140000000 112233 99/99/1999 Processed Provider Training Manual - JivaTM 3 The following screen will display. Selectable categories listed on the left navigation will contain additional information on the authorization. Note: the reference number outlined below: John Smith 970000000 140000000 John Smith 970000000 Provider Training Manual - JivaTM 4 Selecting the Providers category displays the requesting primary care physician (P
CP) and the servicing specialist.
CP) and the servicing specialist. Selecting the Diagnosis Details category displays the general reason the member (patient) has been referred to your office. John Smith 970000000 140000000 John Smith 970000000 140000000 Provider Training Manual - JivaTM 5 Selecting the Add Notes category displays any special notes the PCP/Provider’s office may have entered. This field may also be blank. Selecting the Authorization Details category display
s determination detail of the autho
s determination detail of the authorization. The Status of the searched authorization will be displayed in the decision column on the far right hand side. Note: if nothing displays in the Decision field, request may be pending for further information from the PCP/Provider’s office, or it is still in queue for processing by Blue Cross of Idaho Medical Management Department. John Smith 970000000 140000000 John Smith 970000000 140000000 John Smith 123-456-7788