Welcome, Maryland Providers!

 

Find resources that help health care professionals do what they do best — care for our members.

Our network

 

At Wellpoint, we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

 

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Availity access


The Availity website offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.

 

With Availity, you can:

 

  Request authorizations

  Submit claims

  Confirm eligibility

Don't have an Availity account?

 

Register free now     

Ensure our members are equipped to renew their Medicaid benefits

 

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

 

For questions about eligibility, benefits, authorizations, claims status, and more, log in to Availity Essentials, navigate to Payer Spaces, select a specific payer from the available list, and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

 

 Ready, Set, Renew

 

 Medicaid Renewal Provider Overview

 

Medicaid Renewal Availity Provider Support 

Learning opportunities

 

Access the provider learning hub to assist with administering your patient’s health plan by using features like Availity’s multi payer features and our payer spaces applications. Use our library of self-paced courses and instructor-led training sessions, available 24/7 at no cost so you can be prepared with the knowledge to assist our members.

 

Launch Provider Learning Hub 

Receive email from Wellpoint

Wellpoint is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities, and more to providers via email.

Provider News

 

Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Featured resources

Learn about Availity

 

Availity simplifies provider prior authorization transactions such as electronic data exchange, requests, claim status, and member inquiries.

 

Learn about Availity 

Prior authorization requirements

 

Check which services require prior authorization and submit requests through Availity, phone, or fax on our prior authorizations page.

 

Prior authorization requirements 

Claims submissions and disputes

 

Wellpoint uses Availity to submit claims, check the status of claims, appeal a claim decision, and more.

 

Claims submissions and disputes 

Interested in becoming a provider in the Wellpoint network?

 

We look forward to working with you to provide quality service for our members.

 

Join our network