Integrations
Every payer channel, in one place.
Klivira covers 33 service lines today, across 8 workflow groups. Each service line lists the live payer portals we automate and the paper-only payers we handle via tracked fax.
Pharmacy & Specialty Drugs
PBM ePA, specialty enrollment, and benefits investigation across every major pharmacy channel.
Retail Medications
PharmacyPharmacy-benefit prior auths across PBMs and direct payer ePA.
- CoverMyMeds
- Surescripts
- Rx Benefits
- OptumRx PreCheckUHC pharmacy
- Express Scripts ePAESI / Cigna PBM
- CVS Caremark / NovoLogixMedical-benefit drugs
- Prime TherapeuticsBCBS PBM
- VAFormulary paper form
Specialty Pharmacy
PharmacySpecialty drug enrollment, benefits investigation, and ordering.
- AccredoSpecialty pharmacy
- CVS SpecialtyLimited-distribution drugs
- Optum SpecialtyUHC specialty
- BriovaRx / Optum Rx Specialty
Endocrinology
EndocrinologyGLP-1s, growth hormone, CGMs, and insulin pumps.
- CoverMyMeds
- Rx Benefits
- AccredoSpecialty pharmacy
- AvailityAetna, Humana, UHC, UMR, BCBS
Infusion & Injectables
Medical-benefit infusions, J-codes, and buy-and-bill coordination — including Botox and Dysport.
Infusion & Buy-and-Bill
InfusionMedical-benefit infusions, J-codes, and white-bag/clear-bag coordination.
- CVS Caremark / NovoLogixMedical-benefit drugs
- Magellan Rx MedicalMedical pharmacy PA
- AvailityAetna, Humana, UHC, UMR, BCBS
- BotoxONE (buy & bill)
- Dysport Direct
Botox
Neurology / DermatologyAuthorization plus buy-and-bill or specialty pharmacy ordering.
- CoverMyMeds
- Tricare
- BotoxONE (buy & bill)
- AccredoSpecialty pharmacy
- BCBS, Cigna, VA, Carolina CompletePaper forms
Dysport
Neurology / DermatologyAuthorization and direct ordering for Dysport injectables.
- CoverMyMeds
- Tricare
- Dysport Direct
- BCBS, Cigna, VA, Carolina CompletePaper forms
Behavioral Health
TMS, Spravato/Esketamine, and outpatient psychiatry authorizations across commercial and Medicare.
TMS
Behavioral HealthTranscranial magnetic stimulation authorizations across major payers.
- AvailityAetna, Humana, UHC, UMR, BCBS
- Cohere HealthHumana commercial & Medicare
- eviCoreAetna, Cigna, BCBS plans
- BCBSPaper form
- TricarePaper form
- Traditional MedicareNo prior auth required
- Other MedicareCall number on back of card
Spravato / Esketamine
Behavioral HealthREMS enrollment and PA across commercial and Medicare plans.
- CoverMyMeds
- AvailityAetna, Humana, UHC, UMR, BCBS
- Cohere HealthHumana commercial & Medicare
- eviCoreAetna, Cigna, BCBS plans
- TricarePaper form
- Other MedicareCall number on back of card
- Traditional MedicareNo prior auth required
Psychiatry & Behavioral
Behavioral HealthOutpatient therapy, IOP/PHP, residential, and behavioral medication PAs.
- Optum Behavioral / Provider Express
- Carelon Behavioral Health
- Magellan Behavioral
- AvailityAetna, Humana, UHC, UMR, BCBS
Imaging & Diagnostics
Advanced imaging, genetic and molecular testing, and cardiology imaging authorizations.
Advanced Imaging
RadiologyMRI, CT, PET, nuclear cardiology authorizations for most national payers.
- RadMDNational imaging — most insurances
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- NIA / MagellanImaging, cardiology, PT/OT
- AvailityAetna, Humana, UHC, UMR, BCBS
Genetic & Molecular Testing
Oncology / GeneticsHereditary cancer panels, tumor profiling, and pharmacogenomics.
- Avalon HealthcareBCBS lab benefits
- Concert Genetics
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
Cardiology
CardiologyEcho, stress tests, cath, EP studies, and implantable device authorizations.
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- NIA / MagellanImaging, cardiology, PT/OT
- AvailityAetna, Humana, UHC, UMR, BCBS
- Cohere HealthHumana commercial & Medicare
Oncology
Chemotherapy, immunotherapy, radiation oncology, and oncology pathway prior authorizations.
Radiation Oncology
OncologyIMRT, proton therapy, SBRT, and brachytherapy authorizations.
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- AvailityAetna, Humana, UHC, UMR, BCBS
Medical Oncology
OncologyChemotherapy, immunotherapy, and oncology pathway authorizations.
- OncoHealth / EvitiOncology pathway PA
- New Century Health
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- AvailityAetna, Humana, UHC, UMR, BCBS
- CoverMyMeds
Surgical & Procedural
Inpatient and outpatient procedures across BCBS, UHC, Aetna, Humana, Tricare, and VA.
Orthopedics & MSK
OrthopedicsJoint replacements, spine surgery, injections, and DME bracing.
- Cohere HealthHumana commercial & Medicare
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- AvailityAetna, Humana, UHC, UMR, BCBS
Gastroenterology
GIEndoscopy, biologics for IBD, and capsule studies.
- CoverMyMeds
- AccredoSpecialty pharmacy
- eviCoreAetna, Cigna, BCBS plans
- AvailityAetna, Humana, UHC, UMR, BCBS
- Cohere HealthHumana commercial & Medicare
Ophthalmology & Retina
OphthalmologyAnti-VEGF (Eylea, Lucentis, Vabysmo), cataract, and retinal procedures.
- CoverMyMeds
- AccredoSpecialty pharmacy
- AvailityAetna, Humana, UHC, UMR, BCBS
- eviCoreAetna, Cigna, BCBS plans
ENT & Allergy
ENTSinus surgery, balloon sinuplasty, biologics for asthma, allergy immunotherapy.
- CoverMyMeds
- AvailityAetna, Humana, UHC, UMR, BCBS
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
Urology
UrologyBPH procedures, oncology meds, and continence devices.
- CoverMyMeds
- AvailityAetna, Humana, UHC, UMR, BCBS
- eviCoreAetna, Cigna, BCBS plans
- Cohere HealthHumana commercial & Medicare
OB-GYN & Fertility
Women's HealthIVF, fertility meds, and surgical OB-GYN authorizations.
- ProgynyFertility benefits
- WINFertility
- CoverMyMeds
- AvailityAetna, Humana, UHC, UMR, BCBS
- Cohere HealthHumana commercial & Medicare
Pain Management
PainInjections, RFA, spinal cord stimulators, and intrathecal pumps.
- eviCoreAetna, Cigna, BCBS plans
- Cohere HealthHumana commercial & Medicare
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- AvailityAetna, Humana, UHC, UMR, BCBS
Surgical Procedures
SurgeryGeneral, bariatric, and elective surgery authorizations across BCBS, UHC, Aetna, Humana, Tricare, VA.
- Blue e
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- Carolina Complete
- Cohere HealthHumana commercial & Medicare
- AvailityAetna, Humana, UHC, UMR, BCBS
- Tricare
- eviCoreAetna, Cigna, BCBS plans
- One Healthcare IDUHC and UMR
- VARFS paper form
Outpatient Specialty
Biologics and procedure-level PAs across the medical specialties driving the highest auth volume.
Neurology
NeurologyEEG, EMG, MS infusions, migraine therapies, and neurostimulators.
- CoverMyMeds
- AvailityAetna, Humana, UHC, UMR, BCBS
- eviCoreAetna, Cigna, BCBS plans
- Carelon Medical BenefitsBCBS, Healthy Blue, Anthem
- AccredoSpecialty pharmacy
Dermatology
DermatologyBiologics, Mohs, phototherapy, and cosmetic-medical crossover PAs.
- CoverMyMeds
- AccredoSpecialty pharmacy
- AvailityAetna, Humana, UHC, UMR, BCBS
- eviCoreAetna, Cigna, BCBS plans
Rheumatology & Immunology
RheumatologyBiologics, IVIG, and infusion authorizations.
- CoverMyMeds
- AccredoSpecialty pharmacy
- CVS Caremark / NovoLogixMedical-benefit drugs
- AvailityAetna, Humana, UHC, UMR, BCBS
Pulmonology & Sleep
PulmonologySleep studies, CPAP/BiPAP, and pulmonary biologics.
- AIM Sleep / CarelonSleep management
- eviCoreAetna, Cigna, BCBS plans
- CoverMyMeds
- AvailityAetna, Humana, UHC, UMR, BCBS
Nephrology & Dialysis
NephrologyESA agents, dialysis access, and transplant workups.
- CoverMyMeds
- AccredoSpecialty pharmacy
- AvailityAetna, Humana, UHC, UMR, BCBS
Pediatrics
PediatricsSynagis, ABA therapy, growth hormone, and pediatric specialty referrals.
- CoverMyMeds
- AccredoSpecialty pharmacy
- AvailityAetna, Humana, UHC, UMR, BCBS
Therapy, DME & Post-Acute
Physical/occupational therapy, chiropractic, durable medical equipment, home health, and multi-payer portals.
Physical, Occupational & Speech Therapy
RehabilitationVisit-limit authorizations and progress note submission.
- WholeHealth Networks (Tivity)
- American Specialty Health (ASH)
- eviCoreAetna, Cigna, BCBS plans
- NIA / MagellanImaging, cardiology, PT/OT
- AvailityAetna, Humana, UHC, UMR, BCBS
Chiropractic & Acupuncture
RehabilitationVisit authorizations and SOAP note submission.
- American Specialty Health (ASH)
- Optum Physical Health
DME & Prosthetics
DMEWheelchairs, braces, CGMs, pumps, and complex rehab equipment.
- CGS DME MAC
- Noridian DME MAC
- AvailityAetna, Humana, UHC, UMR, BCBS
- CoverMyMeds
Home Health & Hospice
Post-AcuteHome health, infusion at home, hospice, and skilled nursing PAs.
- myNEXUS (Anthem)
- CareCentrix
- AvailityAetna, Humana, UHC, UMR, BCBS
- Cohere HealthHumana commercial & Medicare
Multi-payer Portals
Cross-payerAggregator portals used across many specialties and lines of business.
- AvailityAetna, Humana, UHC, UMR, BCBS
- One Healthcare IDUHC and UMR
- NaviNet (NantHealth)Multi-payer portal
- Blue e
- Tricare
Don't see a payer or service line you need?
We add new payer integrations every month. Tell us your top three, and we'll let you know exactly when each will be live.
Talk to us about a payer