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.
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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.
Provider tools and resources
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