Stay informed about the COVID-19 virus. Learn more

• 
• 
  Member Benefits Find Health Care Providers Member Resources Health and Wellness Request Printed Plan Materials Member Forms Contact Us
• 
  Eligibility, Claims & Reimbursement Medical Policies, Clinical UM Guidelines & Clinical Criteria Preapproval Requirements Patient-Centered Primary Care Program Provider Listings Specialist Tiering Forms and Documents Contact Us
• 
  Our Plans Request Printed Plan Materials Member Forms Find Health Care Providers Contact Us
• 

Interactive Care Reviewer

Interactive Care Reviewer (ICR) is UniCare's innovative utilization management (UM) portal that allows healthcare professionals to submit prior authorization requests and clinical information and receive status updates without having to pick up a phone or fax any information. ICR is available to you through your existing Availity account with the appropriate role designation (assigned by your Administrator). Log into Availity and select Patient Registration / Authorizations and Referrals.

Log into Availity

Don't have an Availity account? You can register here.

Key features

ICR is a free, electronic UM solution with a variety of features to simplify the prior authorization process. Benefits include:

• Instant access from any location at any time of day
• Creation and submission of UM prior authorization cases
• Ability to attach clinical documents for review – no faxing required
• Status reports for any case, regardless of the method originally used to submit them
• Immediate decision for more than 40 common procedures
• A complete record of all submissions and dispositions in one place

Available training

We provide training to help you take advantage of this useful resource. Our live ICR Webinar provides an overview of the tool for new users and helpful tips for getting started. Additionally, our library of on-demand videos provides additional support and answers to common questions.

Register to attend the next live ICR webinar

On-demand videos

• How to Access Availity and Register – Healthcare professionals can access Interactive Care Reviewer through Availity. This video is a high-level demonstration of how to get started using the Availity portal and navigate to ICR for authorizations. (3 minutes)

Watch the Availity Registration video

• Dashboard Overview – This video highlights features of the main landing page in ICR—called the "dashboard"—where users can view recent requests for their organization and the current status of those requests. (7 minutes)

Watch the Dashboard Overview video

• End-to-End Overview – This video is a high-level demonstration of ICR and covers: logging in, submitting an authorization request, getting an immediate decision on a request, viewing the status of requests, and viewing letters. (11 minutes)

Watch the End-to-End Overview video

• Detailed End-to-End – This video expands upon the topics reviewed in the End-to-End Overview, providing a more detailed walk-through of ICR. This video also includes additional examples of utilization management authorization requests in ICR, such as an urgent request and a behavioral health request. (31 minutes)

Watch Detailed End-to-End Demo video

• Intermediate Decisions and Templates – This video focuses on ICR's ability to deliver immediate decisions for some authorization requests based on diagnosis and procedure codes or based on clinical information gathered in a structured template. (1 minute)

Watch the Immediate Decisions video

• Provider Favorites and Email Notifications – This video highlights some ICR shortcuts, such as favorites for frequently used providers and facilities and email notifications when a request is updated. (5 minutes)

Watch the Provider Favorites and Email Notifications video

• Viewing Letters – This video demonstrates how you can use ICR to view authorization letters for utilization management requests, regardless of whether the request was initially submitted via ICR. (3 minutes)

Watch the Viewing Letters video

• Precertification and Predetermination Outcomes – This video demonstrates how ICR displays precertification determinations for authorization requests. ICR reports whether a service requires precertification, does not require review, or when a procedure is vendor-delegated for review. (10 minutes)

Watch the Precertification and Predetermination Outcomes video

• Print/Save/View Transaction History – This video demonstrates the transaction history in ICR, which details what was entered by whom and when and when a decision was made on the authorization. (4 minutes)

Watch the Transaction History video

• Updates to an ICR Case – Outpatient – This video demonstrates how an ICR user can update an outpatient request, including adding diagnosis or procedure codes, that was originally submitted in ICR. (7 minutes)

Watch the Outpatient Case Updates video

• Updates to an ICR Case – Inpatient – This video demonstrates how an ICR user can update an inpatient request, including adding additional days or changing the facility, that was originally submitted in ICR. (14 minutes)

Watch the Inpatient Case Updates video

• Behavioral Health Outpatient Demo – This video highlights how to submit a utilization management authorization request for a behavioral health outpatient service. (10 minutes)

Watch the Behavioral Health Outpatient Demo video

• Viewing Fax and Phone Cases (Authorization Inquiry) – ICR allows a user to view the status of a utilization management authorization request even if it was not submitted via ICR. This video shows how to check the status of a request submitted by phone or fax. For certain statuses, an ICR user can also add additional clinical information to a request submitted by phone or fax. (6 minutes)

Watch the Fax and Phone Cases video

For self-funded plans, claims are administered by UniCare Life & Health Insurance Company. © 2000-2020 UniCare.