Beginning August 15, 2026, Meritain Health is enhancing prior authorization workflows for its utilization management program. Providers will now be able to submit requests through Availity®. This enhancement is designed to reduce administrative burden and make it easier for providers to access the information and support they need.
Availity is one of the nation’s leading health care technology platforms, supporting more than three million providers through automated, streamlined workflows By leveraging a platform familiar to many providers, Meritain Health is aligning the prior authorization experience with industry-standard processes and helping to create a more efficient and connected experience.
Getting started with Availity
Providers who do not currently use Availity can register at essentials.availity.com. Existing Availity users can begin submitting prior authorization requests for Meritain Health members using their current account credentials.
Enhancing prior authorization workflows
Transitioning to Availity reflects a simpler process that aligns with the digital experience providers expect today. Through Availity, providers can:
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- Track the progress of prior authorization requests.
- Review authorization determinations.
- Monitor authorization status updates through the portal.
Appeals will not be supported through Availity at this time. To submit an appeal, providers should continue following the instructions outlined in the applicable non-certification determination letter.
Transitioning from the current portal
Effective August 15, 2026, prior authorization requests will no longer be accepted through meritain.mednecessity.com. Users visiting the site will be automatically redirected to Availity.
Receiving ongoing support
Providers will continue to have access to live support for prior authorization requests, status inquiries and related questions by calling the prior authorization phone number listed on the member ID card. Additional support resources are also available within the Availity portal.
Learn more
For additional information about this transition, please contact your Meritain Health representative.
