release communication - availity€¦ · 15/06/2019 · never been easier! we improved the design...

Availity Portal and EDI Clearinghouse

Release Communication © Availity, L.L.C. All rights reserved | of 38

June 15, 2019

Release Communication



June 15, 2019

Availity Portal Enhancements Availity EDI Clearinghouse Enhancements

When noted and for the purpose of this release communication only, Availity refers to the following organizations by informal name:• Humana Inc. – Humana• Blue Cross and Blue Shield of Minnesota, Inc. – BCBSMN• Health Care Service Corporation – HCSC or individually BCBSIL, BCBSNM, BCBSOK, BCBSTX• Anthem, Inc. – Anthem or individually Anthem – CA, Anthem – CO, Anthem – CT, Anthem – GA, Anthem – IN, Anthem – KY, Anthem – ME, Anthem – MO, Anthem – NH, Anthem – NV,

Anthem – OH, Anthem – VA, Anthem – WI, Empire BlueCross – NY, Empire BlueCross BlueShield – NY

TABLE OF CONTENTS

General

AZ ● IA ● KS ● MN ● MO ● NE ● TN ● TX ● WI

CA ● CT ● CO ● DC ● GA ● KY ● LA ● MD ● MO ● NY ● NV ● NJ ●NM ● OH ● WI

CA ● CO ● CT ● IN ● KY ● ME ● MO ● NH ● NV ● NY ● OH ● VA ● WI

Connecticut ● Indiana ● New York ● Wisconsin

CT ● GA ● IN ● KY ● NY ● Western NY ● WI

Florida

Idaho ● Oregon ● Utah ● Washington

Minnesota

Pennsylvania

South Carolina

Tennessee

EDI Implementations

EDI Payer Name Changes

EDI Cancellations

B2B Implementations

B2B Payer Name Changes

B2B Cancellations



June 15, 2019

The following Availity Portal enhancements, and any Availity Help topic updates, are available with the release.

To access Availity Help, click Help & Training | Find Help at the top of Availity Portal.

If you do not see these enhancements upon login, ask your Availity administrator to grant you access to the feature. To identify your administrator, click your name in the top navigation bar, and then click My Administrators on the My Account page.

Note: These enhancements do not apply to Availity Revenue Cycle Management.

Availity Portal Enhancements



June 15, 2019

Availity Learning Center – Product Training CoursesCheck out ways in the Availity Learning Center (ALC) to learn about Availity tools. Select Help & Training | Get Trained at the top of the Availity portal. The ALC opens in a new browser tab. Search the Catalog by keyword or filter by category, and then select the Enroll button to enroll for a course. New to Availity? Get the jump-start you need! Search the ALC Catalog by keyword onboarding. Find the onboarding program that’s right for you, and then select the Enroll button to get started.

AVAILITY PORTAL – GENERAL

NEW/UPDATED ON-DEMAND COURSESIn the ALC, search the Catalog by course title to enroll for these new and updated training demonstrations and programs.

Training Demos

Availity Overpayments – Training Demo

Fee Schedules for Capital BlueCross Providers - Training Demo

Patient Payments (New) - Training Demo

Recorded Webinar

Availity Claim Status – Recorded Webinar

Availity Overview Training for Capital BlueCross Providers – Recorded Webinar

Claim Submission and Follow-up Training for Capital BlueCross Providers – Recorded Webinar

LIVE WEBINARSIn the ALC, click Sessions and use the interactive calendar to find the live session. You can also search the Catalog by keyword (Live Webinar). We add new titles and dates often. Look for these upcoming live webinar sessions.

Important Note: Payer and region participation varies. Be sure to check Availity Help topics by application for participating payers.

Availity Appeals

Availity Attachments Tools

Availity Claim Status

Availity Administrator Training for Capital BlueCross Providers

Availity Overpayments for Humana

Availity Overview Training for Capital BlueCross Providers

Availity Referrals and Fee Schedules Training for Capital BlueCross Providers

Claim Submission and Follow-up Training for Capital BlueCross Providers

FAQs for Registered Capital BlueCross Providers

Looking for courses you’ve enrolled in? In the ALC, click Catalog | Dashboard to find courses you enrolled for, started, and completed. Your Dashboard has two tabs — Enrolled Courses and Completed Courses.

Find a session you want to attend? Enroll in the course. The ALC will send you information to join. You’ll also receive reminder emails.

Can’t make a live session? Sessions are recorded and available in the ALC. Search the ALC Catalog by webinar title or keyword On-Demand.

Wondering if a session applies to a feature you have access to? Check course descriptions and Availity Help for details about participating payers.

FEATURED COURSEWe’ve made some exciting enhancements to Patient Payments. Collecting one-time payments and setting up recurring payments has never been easier! We improved the design of the payment page and made it more intuitive. Collect one-time payments or set-up recurring payments from the same payment page. Find out about these changes and more in the updated Patient Payments (New) – Training Demo.



June 15, 2019

Additional Payers Available for Availity Portal TransactionsAvaility is pleased to announce the following payers are now available for the specified transactions on Availity Portal.


Payer Regions Eligibility & Benefits

Claim Status

Professional Claims

Facility Claims

EncounterClaims

Dental Claims Remittance Referrals Authorizations

CAPITAL BLUECROSS Pennsylvania COMMUNITY FIRST HEALTH PLANS

Texas NEBRASKA TOTAL CARE Nebraska PENNSYLVANIA HEALTH AND WELLNESS

Pennsylvania

Base plan (available for all providers)



June 15, 2019

Transaction enrollment is now available to help registered providers with a Base EDI Clearinghouse subscription manage different enrollments in one place.

Using the tool, providers with a Base EDI Clearinghouse subscription can initiate enrollments and determine the status of those enrollments in one glance. The tool flags enrollments requiring further action from the provider in order to complete them, such as completing the payer’s own paper or electronic form.

After enrollments are added to the tool, the links previously used in the enrollments center will be phased out gradually. Eventually, the transaction enrollment tool will be used for all enrollments.

Users must have the 951 - Transaction Enrollment permission to access the tool.

HOW WILL I ACCESS THIS?In the Enrollments Center, under My Account Dashboard on the Availity home page, click Transaction Enrollment.

New Transaction Enrollment Tool




June 15, 2019

Providers can now research claims filed with Humana Long Term Care. You can search claims by claim, patient, and subscriber information.

GETTING STARTED1. At the top of Availity Portal, click Claims

& Payments | Claim Status and Remittance Inquiry.

2. On the Claim Status & Remittance Inquiry page, click Claim Status.

3. Select your organization and Humana Long Term Care in the Payer field. Click Continue.

Claim Status Now Available for Humana Long Term Care


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Click this link to watch the claim status demo.

Click this button to give us feedback about the claim status app.



June 15, 2019

We’ve added the following features to the new patient payments application:

A. You can set up recurring payments, such as weekly or monthly, by selecting a value from the Frequency field, and then specifying the details of the payment schedule.

B. You can collect payment from a checking or savings account (referred to as an ACH payment) by selecting ACH/eCheck for Payment Method, and then specifying the routing number for the customer’s bank, the account type (checking or savings) and the associated account number.

ACH and Recurring Payments Now Available for New Patient Payments App


A

B



June 15, 2019

The overpayments app is now officially available to all providers who use Availity’s overpayments app to manage and submit requests when there is an overpayment on aclaim.

ACCESS OVERPAYMENTS 1. At the top of Availity Portal, click Claims

& Payments | Overpayments in the top navigation bar.

2. Click any card in the worklist to open the overpayment in detailed view.

Learn more on how to manage your requests with the overpayments app.

Overpayments App Now Available to Humana Providers


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NOTE:

Please check the app periodically for any new requests that Humana sends.

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Overpayments%2FMain_Help%2FManaging_Overpayments.htm



June 15, 2019

When an overpayment has an attachment, more information about the document displays on the Attachments tab in the detailed view of the card.

VIEW CARD DETAILS 1. On the Overpayments page, in the

worklist, click any card that has an attachments icon.

2. In the detailed view of the card, click the Attachments tab.

3. Review the additional information on the tab that pertains to the attached document.

Learn more on how to manage attachments for your overpayments.

More Information Displays on Overpayments Card Based on Uploaded Attachments


HUMANA ATTACHMENT DETAILS

BLUE CROSS BLUE SHIELD ATTACHMENT DETAILS

ANTHEM ATTACHMENT DETAILS

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Overpayments%2FMain_Help%2FAttach_Files_to_an_Overpayment.htm



June 15, 2019

The fee schedules app is now accessed from a common landing page where other payers can also choose to link out to their fee schedule app.

With the addition of the landing page, the navigation has changed to access the fee schedules app.

ACCESS FEE SCHEDULES1. At the top of Availity Portal, click Claims

& Payments | Fee Schedule Listing under Fee Schedules in the top navigation bar.

2. On the Fee Schedules page, click Fee Schedules.

Learn more on how to manage your fee schedules.

Landing Page for Fee Schedules App


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https://apps.availity.com/public/apps/home/#!/loadApp?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Fee_Schedules%2FManaging_Fee_Schedules.htm



June 15, 2019

In the patient information section of the printed eligibility and benefits results, Availity has changed the PLAN DATE label to ELIGIBILITY DATE.

Note: This change applies to the printed eligibility and benefits results for all payers (the example shows the printed eligibility and benefits results for Florida Blue).

Plan Date Changed to Eligibility Date on Printed E&B Results


LEARN MORE

See Printing Eligibility and Benefits for information about printing the eligibility and benefits results.

Now

Before

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Eligibility_Benefits_Inquiry%2FMain_Help%2FPrinting_Eligibility_and_Benefits.htm



June 15, 2019

A Provider Last Name/Org Name field and Provider Last Name field were added to the eligibility and benefits request page for Aetna.

Note: If you enter a payer-assigned provider ID in the eligibility and benefit request, the patient cost estimator can calculate a more accurate estimate of a patient’s financial responsibility.

Provider Name Fields Added to Aetna E&B Requests


Tip: Use express entry to add the provider’s name. When you select a provider in the Express Entry field, the Provider Last Name/Org Name and Provider First Name fields will be populated for you.

LEARN MORE

• See Checking Eligibility and Benefitsfor information about submitting eligibility and benefits requests.

• See Managing Express Entry Providers for information about adding a payer-assigned provider ID using express entry.

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Eligibility_Benefits_Inquiry%2FMain_Help%2FEligibility_and_Benefits_Inquiry_New.htm

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Maintain_Provider%2FMain_Help%2FManage_Providers.htm



June 15, 2019

You can now access the chat feature to chat with Availity Client Services from almost anywhere in Availity Portal.

Previously, you could only access the chat feature from the Support Community home page.

START A CHAT SESSION1. Click Chat With Us on the right side of

Availity Portal.

2. In the Live Chat window, complete the pre-chat survey, and then click Chat Now to begin your chat session with an Availity Client Services representative.

Chat Feature Now Available Throughout Availity Portal


LEARN MORE

See Chat with Availity Client Services for information about using the chat feature.

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https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Support%2FChat_Session.htm



June 15, 2019

CCStpa No Longer Available Through Availity Portal


At CCStpa’s request, providers can no longer submit the following types of Availity Portal and EDI transactions to CCStpa through Availity Portal:

• Eligibility and benefit inquiries (270/271)

• Claim status inquiries (276/277)

• Professional claims (837P)

• Facility claims (837I)

• Dental claims (837D)



June 15, 2019

The Availity EDI Clearinghouse can now receive 278N transactions, either via EDI batch or real-time B2B (SOAP-based web service). The term “two-seventy-eight N” (278N) refers to a Health Care Services Review Notification of Admission transaction. 278N transactions apply to entities who send, receive and/or route notifications associated with health care review outcomes, and include the following types of transactions:

• Advance notification of authorizations for planned or scheduled admissions, health services, or specialty referrals.

• Completion notification of admissions and discharges that have occurred or the completion of the delivery of previously authorized health care services.

• Information copy or courtesy copy to notify a receiving entity of a health care services review outcome.

• Acknowledgment of receipt of a health care services review notification or information copy.

For more information about 278N transactions at Avality see the Availity EDI Guide or the Availity B2B Specifications Guide.


278N Transactions Now Supported Through Availity EDI Clearinghouse

https://apps.availity.com/availity/documents/edi%20guide/edi_guide.pdf

https://www.availity.com/documents/support/B2B_SpecificationsGuide.pdf



June 15, 2019

Humana providers in the following regions can now correct claims from the new Claim Correction application in Availity Portal:

• Arizona• Iowa• Kansas• Minnesota• Missouri• Nebraska• Tennessee• Texas• Wisconsin

HOW TO USE THIS FEATURE1. Submit a claim status inquiry for the

claim that you want to correct.

2. From the search results, click the claim that you want to correct.

3. From the available actions on the Claim Status page, click Correct This Claim.

4. On the Claim Correction page that displays, make any changes that you want, and then click Submit.

New Claim Correction App Now Available for Humana

AVAILITY PORTAL – AZ ● IA ● KS ● MN ● MO ● NE ● TN ● TX ● WI



June 15, 2019

In the appeals application, when a user disputes a claim and does not attach a document to the Complete Dispute Request window and then submits the claim, a warning message displays.

WARNING MESSAGEThe warning message that displays indicates to the user that they do not have any supporting documentation attached to the claim, which may be required to process the dispute request.

The user can select a check box to confirm that they understand if they submit the dispute request without any supporting documents that the processing time of their request may get delayed.

Learn more on how to dispute a claim and to access the Complete Dispute Request window.

New Warning Message in Appeals App

AVAILITY PORTAL – CA ● CT ● CO ● DC ● GA ● KY ● LA ● MD ● MO ● NY ● NV ● NJ ● NM ● OH ● WI

Warning message that displays when no document is attached and user submits the request.

User can submit the request without any document by selecting this check box.

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Appeals%2FDispute_a_Claim.htm



June 15, 2019

Users will be able further refine their search by filtering on claims based on case number. Case numbers are automatically assigned to a claim once the claim has been initiated.

REVIEW THIS FEATURE1. On the Appeals page:

A. Click Filter.

B. Enter the case ID.

C. Click Add To Search and then click Apply.

D. View the search results in the worklist.

2. Learn more on how to do an initial search for claims to initiate and take through the dispute process.

Filter Claims by Case Number in Appeals App

AVAILITY PORTAL – CA ● CT ● CO ● DC ● GA ● KY ● LA ● MD ● MO ● NY ● NV ● NJ ● NM ● OH ● WI

A

B C

D




June 15, 2019

You can now access the Patient360 app from the eligibility and benefits results from the following payers:

• Anthem BlueCross Dental

• Anthem BlueCross BlueShield Dental

• Empire BlueCross BlueShield Dental

• Golden West Dental

Note: This feature was made available on May 18, 2019.

You can also access the Patient360 app from the payer’s payer space.

ACCESS THE PATIENT360 APP1. Click Patient Health History near the

top of the eligibility and benefits results.

2. Complete the fields on the Patient360 page, and then click Continue.

Patient360 App Now Available from E&B Results for Select Dental Payers

AVAILITY PORTAL – CA ● CO ● CT ● IN ● KY ● ME ● MO ● NH ● NV ● NY ● OH ● VA ● WI

Tip: These fields are populated with information from the eligibility and benefits results.

LEARN MORE

See Viewing Eligibility and Benefits for information about accessing the Patient360 app from the eligibility and benefits results.

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https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Eligibility_Benefits_Inquiry%2FMain_Help%2FEligibility_and_Benefits_Results_New.htm



June 15, 2019

Availity’s legacy claims status inquiry tool is being retired and replaced with a new and easier workflow to search for and view claims. Anthem Blue Cross Blue Shield provider offices in the following regions now have access to the new claims status tool located under Claims & Payments | Claim Status and Remittance Inquiry:

• Connecticut

• Indiana

• New York

• Wisconsin

GETTING STARTED1. At the top of Availity Portal, click Claims

& Payments | Claim Status and Remittance Inquiry.

2. On the Claim Status & Remittance Inquiry page, click Claim Status.

3. Select the organization associated with the claims you want to research, and then click Continue.

Availity Legacy Claim Status Inquiry Retiring for Anthem Blue Cross Blue Shield Providers

AVAILITY PORTAL – CONNECTICUT ● INDIANA ● NEW YORK ● WISCONSIN

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Click this link to watch the claim status demo.

Click this button to give us feedback about the claim status app.



June 15, 2019

Anthem BlueCross provider users in Connecticut, Georgia, Indiana, Kentucky, New York, Western New York, and Wisconsin will be able to dispute and manage claims using the appeals application.

REVIEW THIS FEATURE1. At the top of Availity portal, click Claims

& Payments | Appeals.

2. On the Appeals page:

A. Click Filter.

B. Search for and filter claims based on Appeal Status, Substatus, Claim Number, and Provider.

C. Click Apply.

D. View the search results in the worklist.

Learn more on how to do an initial search for claims to initiate and take through the dispute process.

Dispute and Manage Anthem Claims

AVAILITY PORTAL – CONNECTICUT ● GEORGIA ● INDIANA ● KENTUCKY ● NEW YORK ● WESTERN NEW YORK ● WISCONSIN

A

B

C

D




June 15, 2019

A Payer Assigned Provider ID field was added to the eligibility and benefits request page for Florida Blue.

Note: If you enter a payer-assigned provider ID in the eligibility and benefit request, the patient cost estimator can calculate a more accurate estimate of a patient’s financial responsibility.

Payer Assigned Provider ID Field Added to Florida Blue E&B Requests

AVAILITY PORTAL – FLORIDA

Tip: Use express entry to add the payer-assigned provider IDs for the providers in your organization. When you select a provider in the Express Entry field, the Payer Assigned Provider ID field will be populated for you.

LEARN MORE

• See Checking Eligibility and Benefitsfor information about submittingeligibility and benefits requests.

• See Managing Express EntryProviders for information about addinga payer-assigned provider ID usingexpress entry.


https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Maintain_Provider%2FMain_Help%2FManage_Providers.htm



June 15, 2019

AUTHORIZATION INQUIRYCambia providers can now inquire about inpatient and outpatient authorization requests (as well as referral requests) from the authorization/inquiry application in Availity Portal.

1. At the top of Availity Portal, click Patient Registration | Authorizations & Referrals.

2. On the Authorizations & Referrals page, click Auth/Referral Inquiry, under Multi-Payer Authorizations & Referrals.

3. On the initial Authorization/Referral Inquiry page, specify the particular Cambia payer in the Payer field, select an organization (if you are associated with more than one organization), and ignore the transaction type. You are then redirected to the new Authorization/Referral Inquiry page.

4. Select a value from the Request Type field, specify the required fields for the selected request type, and then click Submit.

New Features for Cambia Authorizations

AVAILITY PORTAL – IDAHO ● OREGON ● UTAH ● WASHINGTON

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June 15, 2019

ADDITIONAL CONTACT FIELDS FOR REQUESTING PROVIDERWe’ve added the following new fields to the Requesting Provider information for both inpatient and outpatient authorization requests:

A. Contact Extension – An optional extension for the contact number.

B. Confidential Voicemail – Specifies whether the contact number has a confidential voicemail.

C. Contact Email Address – Auto-populates based on the profile for the selected provider, or can be manually specified.



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A

B

C



June 15, 2019

SUB SERVICE TYPE FOR HOME HEALTH CAREWhen Home Health Care is selected for service type, for an outpatient authorization request, you will now be required to specify a value for the Sub Service Type field.



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June 15, 2019

In the eligibility and benefits for Blue Cross and Blue Shield of Minnesota (BCBSMN) members, Availity has removed the timely filing information from the additional benefit notes because it does not apply to providers.

Timely Filing Information Removed from BCBSMN Additional Benefit Notes

AVAILITY PORTAL – MINNESOTA

LEARN MORE

See Viewing Eligibility and Benefits for information about accessing additional benefit notes from the eligibility and benefits results.

Now

Before

https://apps.availity.com/public/apps/home/#!/newPage?appUrl=%2Favaility%2FAvHelp%2FAvaility_Help.htm%23Eligibility_Benefits_Inquiry%2FMain_Help%2FEligibility_and_Benefits_Results_New.htm



June 15, 2019

Authorizations via EPA Now Available for Capital BlueCross

AVAILITY PORTAL – PENNSYLVANIA

Capital BlueCross providers can now submit authorizations via the Electronic Provider Access (EPA) flow, from Availity Portal.

When submitting an authorization request for an out-of-area patient, select Capital BlueCross for the payer. You’re then routed to the appropriate landing page, for the out-of-area blue plan, based on the member ID.



June 15, 2019

As a result of Blue Choice of South Carolina being rebranded to Healthy Blue South Carolina, all references to Blue Choice of South Carolina on Availity Portal will now be changed to Healthy Blue.

A. Instances of Blue Choice Health Plan Medicaid that display in any payer lists or Payer Spaces in Availity Portal will now be changed to Healthy Blue South Carolina.

B. Instances of Blue Choice Health Plan Medicaid (South Carolina) or Blue Cross Blue Shield of South Carolina Blue Choice Health Plan in Availity Help will now be changed to Healthy Blue South Carolina.

Blue Choice of South Carolina Rebranded to Healthy Blue South Carolina

AVAILITY PORTAL – SOUTH CAROLINA



June 15, 2019

If you submit an eligibility and benefits request for a BCBS Tennessee member and the payer is not available, a message showing the Fast Path information displays at the top of the eligibility and benefits request page.

You can use the Fast Path information to contact BlueCross for support.

BCBS Tennessee Fast Path Information Available on E&B Requests

AVAILITY PORTAL – TENNESSEE

LEARN MORE

See Checking Eligibility and Benefits for information about submitting eligibility and benefits requests.




June 15, 2019

The following EDI enhancements are either currently available, or will soon be available for Availity EDI Clearinghouse. For assistance or additional information on any of these enhancements, please contact Availity Client Services at 1.800.AVAILITY (282.4548).

For more information, access Availity’s EDI Guidelines.

Note: These enhancements do not apply to Availity Revenue Cycle Management.

EDI Clearinghouse Enhancements



June 15, 2019

EDI ImplementationsThese payers are now available for the transmission of certain EDI transactions via EDI Clearinghouse.

EDI CLEARINGHOUSE – EDI IMPLEMENTATIONS

Payer Name Payer ID 270 276 278 837P 837I 837E 837D 835

ALTAMED ALTAM BENEFIT PLAN ADMINISTRATORS EAU CLAIRE INCORPORATED (UCS)

46891

CARE N' CARE 66010

CARPENTERS BENEFIT PLAN CWSTL

CHRISTIANA CARE VBR VB002 FIRST HEALTH (THE LEWER AGENCY) 96708

GLOBAL ONE VENTURES GLOBAL1 HEALTHCOMP INCORPORATED HCOMP

NEXT LEVEL HEALTH PARTNERS 81085

SAUDI HEALTH MISSION SHM01

VARIPRO 72187

Comprehensive plan (fee-based subscription required)



June 15, 2019

EDI Payer Name ChangesThis payer’s name has changed for the transmission of certain EDI transactions via EDI Clearinghouse.

EDI CLEARINGHOUSE – EDI PAYER NAME CHANGES

Old Payer Name New Payer Name Payer ID

HEALTHYBLUE HEALTHY BLUE LOUISIANA 00661




June 15, 2019

EDI CancellationsThese payers are no longer available for the transmission of certain EDI transactions via EDI Clearinghouse.

EDI CLEARINGHOUSE – EDI CANCELLATIONS

Payer Name Payer ID Expiration Date 270 276 278 837P 837I 837E 837D 835CINCINNATI FINANCIAL CORPORATION

46871 5/6/2019

LOCAL 135 HEALTH BENEFITS (INDIANAPOLIS INDIANA)

35107 5/24/2019

MOLINA HEALTHCARE IDAHO 61799 5/10/2019

MOLINA HEALTHCARE PUERTO RICO

81794 5/10/2019

MOLINA MEDICAID NEW JERSEY 610505 5/10/2019

NATIONWIDE MUTUAL WS038 and WS039 5/31/2019

TODAYS OPTIONS (AMERICAN PROGRESSIVE AND PYRAMID LIFE)

48055 7/1/2019

Base plan (available for all providers) and comprehensive plan (fee-based subscription required)



June 15, 2019

B2B ImplementationsThese payers are now available for the transmission of certain B2B transactions via EDI Clearinghouse.

EDI CLEARINGHOUSE – B2B IMPLEMENTATIONS

Payer Name Payer ID 270 276 278 837P 837I 837E 837D 835AETNA BETTER HEALTH CALIFORNIA 128CA

AETNA BETTER HEALTH MARYLAND 128MD

FREEDOMHEALTH FRH01 and OPT01 HEALTHCOMP INCORPORATED HCOMP

MERCY CARE 86052 UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE)

96385

Comprehensive plan (fee-based subscription required)



June 15, 2019

B2B Payer Name ChangesThis payer’s name has changed for the transmission of certain B2B transactions via EDI Clearinghouse.

EDI CLEARINGHOUSE – B2B PAYER NAME CHANGES

Old Payer Name New Payer Name Payer ID

HEALTHYBLUE HEALTHY BLUE LOUISIANA 661




June 15, 2019

B2B CancellationsThese payers are no longer available for the transmission of certain B2B transactions via EDI Clearinghouse.

EDI CLEARINGHOUSE – B2B CANCELLATIONS

Payer Name Payer ID Expiration Date 270 276 278 837P 837I 837E 837D 835

BOON GROUP BOONA 5/21/2019

THE BOON GROUP 10821 5/21/2019

Base plan (available for all providers) and comprehensive plan (fee-based subscription required)



June 15, 2019

Availity is committed to providing you with comprehensive customer service and enhancements that make your Availity experience a more enjoyable one.

For questions, send an email message to us using the Contact Us page. We look forward to hearing from you.

Call us at 1.800.AVAILITY (282.4548).

Contact Availity

http://www.availity.com/about-us/contact-us/

release communication - availity€¦ · 15/06/2019 · never been easier! we improved the design...

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