GuidingCare upgrade and new authorization guides are live

The GuidingCare authorization portal's upgrade work is complete. You can resume submitting your authorizations online.

Reminder: Request Peer Reviews online

Participating providers must now request Peer Reviews online* through GuidingCare rather than calling our phone line. The request process takes just a few minutes, right in GuidingCare.

*This online process doesn’t apply to:

  • Medicare post-acute: Use of phone line to request Peer Reviews
  • All other Medicare: Medical Peer Reviews not offered
  • Behavioral health: Peer review process remains the same

New resource: Authorization guides

We’ve revamped the GuidingCare manual. Goodbye 250+ page PDF, hello simplified slate of guides where you can:

  • Get clear, step-by-step instructions on how to complete their authorization requests, broken down by authorization type
  • Access only the information you need, nothing you don’t
  • Open the guides online, no downloading needed
  • Bookmark the guides in your internet browser
  • Know you'll always have the most up-to-date guide as we push updates to the existing URL

Where can you find the guides?

They’re available on our GuidingCare Resources webpage. To access them:

  1. Log into your prism account
  2. Click on the Authorizations menu item
  3. Click Request an Auth
  4. Click Auth request help page
  5. Click GuidingCare resources