Training Guides
Download these guides to get started with CareAffiliate®.
Download these guides to get started with CareAffiliate®.
Scan this list to find your question about CareAffiliate.
Contact the Help Desk (available 24/7) at either 800-442-7979 or CareAffiliate@selecthealth.org. Describe the error message you’re receiving. If using email, send screenshots of the error and explain in what area of CareAffiliate the error occurred.
Access to online preauthorization, claims, and eligibility information is available to participating provider only. Noncontracted providers can call Member services at 800-538-5038 for benefits, eligibility, and claims information
To expedite an authorization or mark it “urgent,” indicate the appropriate reason in the assessment/survey. To open the assessment/survey, select the Assessment/Survey link on the left-hand side of the screen, and click the Launch Assessment/Survey button. Then, check the box that best describes the reason for expediting your request.
The preferred method is to click on the Authorizations link in the upper right-hand corner, then select the filters. This will retain your previous search results. Alternatively, you can search for the member using Member Search on the site’s home page and review the Authorizations Displayed in the Search Results; however, this will not retain previous search results.
On the Member Search box, click on the Look Up button on the Member Search screen. Enter the member’s date of birth and one other search parameter, such as last name, universal Intermountain identification number (EMPI), or policy ID. If you have trouble finding a member, try adding additional fields to the search criteria. If you only have a partial name, you can use wildcard characters (*, %). For example, to search for Samantha Samuelson, you can type “sam*” in the first and last name fields along with the date of birth.
Authorizations are specific to the request type. It’s important to select the correct type to avoid processing delays.
To find the request type, begin typing the description of the service you’re searching for into the Request Type field. The type-ahead feature will display results similar to what you’ve typed. Some request types are specific to a member’s plan (e.g., a request type for a Select Health Medicare member will end in “MEDICARE”).
If you can’t find the right request type using type-ahead, click on the magnifying glass to bring up the Request Type search dialog box. Click on the Search button to bring up all available request types. Access the complete Request Type List along with descriptions found under “Resources” in the CareAffiliate area of the website.
You can search by pressing the magnifying glass next to the Requesting Provider/Facility field to bring up the search dialogue; enter the NPI or the provider name.
You can also use the type-ahead feature to find providers associated with your profile. Type in any part of the provider’s name in the Requesting Provider/ Facility field and available providers will be displayed. The type-ahead feature will only work if the user has previously submitted a request for the specific requesting provider/facility.
This would not work when entering the provider for the first time. If you still don’t see your provider, please contact the Help Desk at 800-442-7979, option 2 to make sure your account is correctly associated to the provider you’re searching for.
Yes. You can also search by NPI.
To add a procedure code, click on the Edit link. Enter the procedure information where indicated.
Each service line is configured to hold only one procedure code. The default number of service lines is determined by the request type selected. To add more procedure codes, click on the Copy Service Line tab, which appears on the top right of the screen. This will copy the procedure code from the service line. Click on Edit to change this to the desired procedure.
The preauthorization request only accepts one CPT per service line, so each applicable code requires a separate line. Though this may feel burdensome, there are five key reasons that this approach is more efficient than submitting preauthorization requests via email or fax:
Put any additional information that you believe we need to know to make a determination (e.g., hardware details, assistant surgeon NPI#, etc.). Do not copy and paste clinical information in this field. Clinical notes should be included as an attachment.
Yes. We need this information to review the request.
Please refer to the Code Lists for information on noncovered codes and codes that require preauthorization review. Please do not enter codes that do not require preauthorization. This can delay the processing of your request. If you still have questions, call Member Services at 800-538-5038.