Welcome, West Virginia Providers!
Attention care providers!
UniCare Health Plan of West Virginia, Inc. 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 contact your provider relationship management representative.
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.
Medicaid Renewal Provider Overview
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 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 Essentials website offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.
With Availity Essentials, you can:
Request authorizations
Submit claims
Confirm eligibility
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.
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 Essentials
Availity Essentials simplifies provider prior authorization transactions such as electronic data exchange, requests, claim status, and member inquiries.
Prior authorization requirements
Check which services require prior authorization and submit requests through Availity Essentials, phone, or fax on our prior authorizations page.
Claims submissions and disputes
Wellpoint uses Availity Essentials to submit claims, check the status of claims, appeal a claim decision, and more.
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality service for our members.