Wellpoint offers an extensive library of training and continuing education opportunities. We will add presentations, videos and other training documentation as they are available.
Training and tutorials
- Appointment availability and after-hours access requirements
- Provider coding education
- Federally qualified health centers and rural health clinics orientation
- LTSS Provider Orientation
- Medicare Advantage - Interactive Care Reviewer (ICR) FAQ
- Medicare Advantage - Medicare Risk Adjustment Provider Documentation and Coding Guide
- MMP - STAR+PLUS MMP
- Texas Health Steps program provider presentation
- Texas Provider Orientation
Schedules and registration
Wellpoint provider manuals and guides provide key administrative information, including information about member eligibility, covered services, the utilization management program, credentialing standards for participation, claims submission and appeals, rights and responsibilities, reimbursement and administration policies, and the quality management program. On the provider manuals and guides page, you can also find information about medical policies and clinical utilization management guidelines.
Screening, brief intervention, and referral to treatment (SBIRT)
A clinicians' tool for identifying risky behaviors and providing appropriate intervention.
Screening, brief intervention, and referral to treatment, commonly referred to as SBIRT, is an evidence-based, comprehensive, integrated approach to the delivery of early intervention and treatment services to people with substance misuse and those at risk of developing disorders.
The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents, and injuries. Risky substance use is a health issue that often goes undetected; providers can help by incorporating this evidence-based tool that is demonstrated to be valid and reliable in identifying individuals with problem use or at risk for a substance use disorder (SUD).
If you wish to print SBIRT educational materials, please review the links to obtain a downloadable flier and brochure. For any further discussions regarding SBIRT, please contact your Provider Experience or Provider Relations consultant.
Learn about Availity
Many of the tools you need — eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can be accessed from your Availity account. You can find instructions for locating and using these tools on the learn about Availity page.
Cultural competency resources
Patient panels are growing more diverse and needs are becoming more complex. It is important for providers to have the knowledge, resources and tools to offer culturally competent care. Wellpoint wants to help by offering the following comprehensive trainings and resources as we all work together to achieve health equity.
My Diverse Patients
The My Diverse Patients website offers learning experiences, techniques, and helps you to provide the individualized care every patient deserves, regardless of their diverse backgrounds.
Improving the patient experience
What Matters Most: Improving the Patient Experience is an online course for providers and office staff that addresses gaps in care and offers approaches to communication with patients. This course is available at no cost and is eligible for one continuing medical education (CME) credit by the American Academy of Family Physicians.
Cultural competency and patient engagement
A training resource to increase cultural and disability competency to help effectively support the health and healthcare needs of your diverse patients.
Caring for diverse populations toolkit
A comprehensive resource to help providers and office staff increase effective communication by enhancing knowledge of the values, beliefs, and needs of diverse patients.
Online training in Availity
Wellpoint offers online training to assist you in caring for our members with consideration of their personal language needs, thoughts, customs, beliefs and values.
All contracted healthcare providers with Wellpoint should complete the online cultural competency training.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)