Claims submissions and disputes

 

Locate claims tools, check a claim status, dispute a claim, and access other Availity features.

Use Availity for all your claims needs

 

Wellpoint uses Availity — a secure, full-service website offering a claims clearinghouse and real-time transactions at no charge to healthcare professionals. Use Availity to submit claims, check the status of claims, appeal a claim decision, and much more.

 

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Finding claims tools on Availity

 

Submit claims

  1. From the Availity home page, choose Claims & Payments from the top navigation.
  2. Select Type of claim from the drop-down menu.

 

Claims status inquiry

  1. From the Availity home page, select Claims & Payments from the top navigation.
  2. Select Claim Status Inquiry from the drop-down menu.

 

Claims dispute

 

To check claims status or dispute a claim:

  1. From the Availity home page, select Claims & Payments from the top navigation.
  2. Select Claim Status from the drop-down menu.
  3. Submit an inquiry and review the Claims Status Detail page.
  4. If the claim is denied or final, there will be an option to dispute the claim. Select Dispute Claim to begin the process. You will be redirected to the Payer site to complete the submission.

 

Clear Claims Connection

 

To use Clear Claims Connection:

  1. From the Availity home page, select Payer Spaces from the top navigation.
  2. Select the health plan.
  3. From the Payer Spaces home page, select the Applications tab.
  4. Select the Clear Claims Connection tile.

Related information

 

Prior authorization lookup tool 
 

Forms 

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