Welcome, Texas Providers!
Attention care providers!
Amerigroup in Texas is now Wellpoint. Our new name fits with our brand vision to be a source of lasting wellness for our members — your patients — at all points in their health journey. There is no action needed by our care providers. There will be no changes to your agreements or contract, reimbursement, or level of support — now or in the future — because of our new name. For members, our new name will not cause any change to coverage or access to care.
For more information, please refer to these Frequently Asked Questions or contact your provider relationship management representative.
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
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 and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.
Join our network
We provide resources that help healthcare professionals do what they do best — care for our members. At Wellpoint, we value you as a care provider in our network. That's why we’ve redesigned the care provider site to make it more useful for you and easier to use.
Interested in joining our care provider network? We look forward to working with you to provide quality services to our members.
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 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.
Provider Advisory Groups
Our Provider Advisory Groups meet regularly to provide a forum for care providers to have ongoing input into the activities of Wellpoint. We welcome and encourage active participation of our contracted care provider partners.
For additional information about participation, please contact your local provider relationship management representative.
Documents
Provider search tool
Use our online provider directory to search for a PCP or specialist.
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.
Wellpoint is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities, and more to providers via email.
Featured resources
Learn about Availity Essentials
Availity simplifies care provider transactions such as prior authorization requests, electronic data exchange, claim submission and status, and member benefit and eligibility inquiries.
Prior authorization requirements
Check which services require prior authorization using the Precertification Lookup Tool and submit requests through Availity, fax, or phone.
Claims submissions and disputes
Wellpoint providers can use Availity to submit claims, check the status of claims, appeal a claim decision, and more.
NCQA Health Plan Recognition
NCQA Health Plan Accreditation evaluates the quality of healthcare health plans provide to their members.
Accredited
Long-Term Services & Supports Distinction
Multicultural Health Care Distinction
Wellpoint Texas, Inc.
Wellpoint Insurance Company
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality services to our members.