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
Use 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.
Manuals, policies, and guidelines
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 Essentials, fax, or phone.
Learn about Availity Essentials
Availity Essentials 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 Guidelines (CUMG) help us determine if a procedure is medically necessary.
Explore more provider resources
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.