Resources overview
We are committed to supporting you with the necessary resources to facilitate providing quality care and services to the members in our health plan.
Provider resources
Utilize our selection of resources to access frequently used forms, reference materials, provider manuals and guides, prior authorization information, clinical practice policies, and other 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 and support for delivering benefits to our members.
Prior authorizations
Check which services require prior authorization using the Precertification Lookup Tool and submit requests through Availity, fax, or phone.
Learn about Availity Essentials
Availity simplifies provider transactions such as prior authorization requests, electronic data exchange, claim submission and status, and member benefit and eligibility inquiries.
Medical Policies and Clinical UM Guidelines
Medical Policies and Clinical Utilization Management (UM) Guidelines help us determine if a procedure is medically necessary.
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
Additional information
Healthcare Effectiveness Data and Information Set (HEDIS®)
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.