Contracted providers are strongly encouraged to use Alignment Health's AVA Provider Portal for submitting Pre-Service (Outpatient) and Admission (Inpatient) prior authorization requests, instead of submitting the requests via fax.

Benefits of using our self-service portal are many but to list a few, the AVA portal allows:

• Fast, secured, and accurate prior authorization requests submissions
• Faster claims processing and payments
• Instant confirmation and tracking for successful submissions
• Instant authorization request approvals for many procedures codes
• Significantly better service level on authorization adjudications (decisions)
• Automatic status updates straight to submitter’s email (can be turned On/Off)
• Access to authorization approval letters, attachments, and notes
• Printing authorization summary and letters

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FOR ALIGNMENT HEALTH CONTRACTED PROVIDERS

AVA Provider Portal Login

(If existing user)

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FOR NON-CONTRACTED PROVIDERS

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• Prior Authorization Guidelines for Nondelegated Providers
• Alignment Health Medical Guidelines
• Prior Authorization Request Form (last updated July 22, 2024)
• Prior Authorization Metrics For Medical Items and Services (Excluding Drugs)