Claims submission
Filing your claims should be simple. That’s why Healthy Blue uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Healthy Blue has a strategic relationship with Availity to serve as our electronic data interchange (EDI) partner for all electronic data and transactions. Availity is an independent company that provides a secure portal on behalf of BlueChoice HealthPlan. You can use Availity to submit and check the status of all your claims and much more at https://www.availity.com.
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EDI
Electronic data interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims.
Provider disputes
You have the right to request an appeal of a claim decision. You may request this appeal on your own behalf or on behalf of a covered individual.
Reimbursement policies
Reimbursement policies outline the basic terms for reimbursement of services covered under our members’ benefits plans.
