We are committed to supporting you in providing quality care and services to the members in our network. Here you will find frequently used forms, training resources, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to our members.
Provider forms are located in our online library for easy access.
Wellpoint Iowa, Inc. offers training and tutorials to support providers in continuing their education. Presentations, videos and other training documentation will be added as they become available.
Provider manuals and guides
Provider manuals and guides provide key administrative information, including the quality improvement program, utilization management, quality standards for participation, claims appeals, and reimbursement and administration policies.
Learn about Availity
Many of the tools you need — such as eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can now be accessed by logging into your account on the Availity Portal.
Wellpoint makes determinations based on selected inpatient or outpatient medical services including surgeries, major diagnostic procedures and referrals to validate medical necessity.
The behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality service for our members.Join Our Network