Resources overview

 

We are committed to supporting you with the necessary resources to facilitate providing quality care and services to the members in our network. 

Provider resources
 

Utilize our selection of resources to access frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to our members.

Forms

 

From office administration to patient care — our forms page offers quick access to the documents you use the most. 

Training Academy

 

The training academy offers webinars, CME courses, orientations, tutorials, and more to support providers in continuing their education.

Policies, guidelines, and manuals

 

Our provider manuals and guides provide key information for assessing coverage options and support for delivering benefits to our members. 

Prior authorizations

 

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

Learn about Availity

 

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

Medical Policies and Clinical UM Guidelines

 

Medical Policies and Clinical Utilization Management (UM) Guidelines help us determine if a procedure is medically necessary.

Explore more provider resources

 

Referrals 

 

Patient360 
 

The Healthcare Effectiveness Data and Information Set (HEDIS®) 
 

Medical management model 
 

Quality management 

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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