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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
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Learn how to work with us online

Get an overview of everything you can do through Availity, our secure provider portal.

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