-
- Home
- Network Participation
- Claims and Eligibility
Claims and Eligibility
- Claims and Eligibility
- Electronic Commerce
- Eligibility and Benefits
- Utilization Management
- Prior Authorization and Recommended Clinical Review
- How to Request Prior Authorization and Recommended Clinical Review
- Prior Authorization Lists
- Claim Submission
- Claim Payment
- Claim Review and Appeal
- Refund Management
- ClaimsXten
- Evicore
- Interactive Voice Response (IVR) System
- Carelon
- Education and Reference
- Clinical Resources
Clinical Resources
- Pharmacy Program
- Standards and Requirements
- Availity® Essentials Portal
- Employers
- Producers
- Providers
- Company Information
News and Updates
Subscribe to Blue Review - Provider Newsletter
Pharmacy Program Quarterly Update Changes Effective Oct. 1, 2024 – Part 2 Semptember 27, 2024
Utilization Management Review Expanding for Advanced Imaging for Some Commercial Members Jan. 1, 2025 September 26, 2024
Register for a Coding Webinar on Coagulation Defects and Other Hematological Disorders September 13, 2024
ClaimsXten™ Quarterly Update Effective Dec. 9, 2024 September 9, 2024
Closing Care Gaps in Child and Adolescent Weight Assessment and Nutrition Counseling September 5, 2024
Reminder: Submit Claims and Inquiries to Correct PO Boxes to Avoid Delays September 4, 2024
Use the Updated Claims Referral Form for American Indian/Alaska Native Limited Cost Share Plans September 4, 2024
Free Webinar Focuses on Angioedema and Asthma August 20, 2024
Watch for our Provider Availability and Access Survey August 20, 2024
Physician Performance Insights Reports Are Now Available August 15, 2024
Shared Decision-Making Aids Can Help Guide Care Choices August 15, 2024
Register for Webinars on Coding for Stroke, Cancers and Heart Failure August 14, 2024
Check ID Cards for New Coupe Health Plan Members August 13, 2024
30-Day Supply Limit: Select Commercial Members Have New Pharmacy Benefit for GLP-1 and/or Anti-Obesity Drug Therapy August 12, 2024
View all 2024 news and updates
View all 2023 news and updates
View all 2022 news and updates
View all 2021 news and updates