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It’s easy to work with us on Availity®

The Availity Provider Portal gives you the info, tools and resources you need to support the day-to-day needs of your patients and office. You can still access the old Medicaid Web Portal (MWP) too. If you need help, email Provider Relations.

 

Log in to Availity  Log in to MWP

¿Tiene problemas técnicos?

Call Availity at 1-800-282-4548 Monday through Friday, 8 AM to 8 PM ET (excluding holidays) for help.

¿Qué novedades hay en Availity?

  • Elegibilidad y beneficios

    You now have access to a member’s eligibility and benefits in the Provider Portal. Just go to “Patient Registration” to find the Eligibility and Benefits function.

  • Ver detalles de reclamaciones

    You can review claims payment info and download a PDF of the Explanation of Benefits (EOB). Simply submit a claims status inquiry request. Then, choose “View EOB” from the results page.

  • Authorization submission and inquiry

    You can submit prior authorizations electronically through the Provider Portal. And you can check the status of authorizations you’ve already submitted. Just go to “Patient Registration” to find the Authorizations & Referrals function.

Community Resource Directory

 

You can now use the Community Resource Directory (CRD). It’s where you can go to create referrals to help members address Health-Related Social Needs (HRSN) needs and more. Learn more about how to get to the CRD. 
 

How to access the CRD (PDF)

Todas las herramientas que necesita en un solo lugar

El Portal para proveedores le ayuda a dedicar menos tiempo a la administración. De esta manera, podrá centrarse más en la atención al paciente. Dispondrá de un portal integral que le permitirá realizar rápidamente las funciones clave que lleva a cabo a diario.

 

Puede hacer lo siguiente:

 

  • Look up the status of a claim, or submit new claims through Change Healthcare
  • Presentar autorizaciones o verificar el estado de una autorización previa presentada anteriormente
  • Verificar la elegibilidad y los beneficios del paciente
  • Presentar apelaciones y quejas, y verificar el estado de su presentación
  • Submit disputes and reconsiderations using the “Send attachments” function in Claim Status Inquiry 
  • Enviar mensajes a nuestro Departamento de Investigación sobre Reclamaciones/Consultas de Reclamaciones (CICR)
  • Submit HEDIS® record submissions using our Contact Us application

 

 

Cómo comenzar

If your practice already uses Availity, simply contact your administrator to request a username. If you don’t know who your administrator is, call Availity at 1-800-282-4548 for help.

 

Si su consultorio es nuevo en Availity, puede usar el enlace de registro a continuación para configurar su cuenta.

 

Configurar la cuenta de Availity

 

¿Necesita ayuda para registrarse en Availity? Consulte los consejos, seminarios web y cursos de capacitación para dar sus primeros pasos.

 

Recursos para el registro en Availity

Availity reporting guide

Mantenga su información actualizada

Asegúrese de que sus datos estén actualizados en nuestros directorios. Esto ayuda a los miembros a encontrarlo. Además, le permite recibir los pagos y las comunicaciones a tiempo.

¿Tiene preguntas?

Just call 1-866-329-4701. We’re here for you Monday to Friday, 8:30 AM to 5:00 PM.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Also of interest:

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