Claims overview
Filing your claims should be simple. That is why Wellpoint uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. You can use Availity to submit and check the status of your claims in the Availity Portal.
Claims resources
EDI
Electronic Data Interchange (EDI) is the electronic exchange of data between a health care provider and a payer. EDI offers a fast, secure way of exchanging information such as eligibility, benefits, and claim status or submission.
Provider disputes
You have the right to appeal a claim decision on your own behalf of that of a covered member.
Reimbursement policies
Reimbursement policies outline the basic terms for reimbursement of services covered under our members’ benefits plans. It includes definitions of terms used in the policies and a disclaimer for use of the policies.