Learn about claims and coverage, billing and payments and prior authorizations.
Prior authorizations
Access lists of services and medications that may require preauthorization.
Prior authorization search tool Prior authorization submission information Professionally administered drug prior authorizations
Claims
Learn how to submit claims and find coding guidance.
Claims submission Claims processing edits Claims coding Code edit simulations
Billing and payments
Learn about payment information, payment policy information and guidelines for appeals.
Payment policies Electronic payment options Payment inquiries Payment integrity Appeals and grievances
Coverage policies
Search our tool for medical procedures, devices, and medication coverage.
Explore coverage policies
Learn how to work with us online
Get an overview of everything you can do through Availity, our secure provider portal.