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.
Don't have an Availity account?
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.
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 outline the basic terms for reimbursement of services covered under our members’ benefits plans.
Provider Tools & Resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview