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District of Columbia

Claims overview

Filing your claims should be simple. That is why Amerigroup District of Columbia, Inc. uses Availity Essentials,* a secure and full-service website that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can use Availity Essentials to submit and check the status of your claims in the Availity Essentials portal .

Don’t have an Availity Essentials account?

Claims Resources

EDI

Electronic data interchange (EDI) is the electronic exchange of data between a healthcare provider and a payer. EDI offers a fast, secure way of exchanging information such as eligibility, benefits, and claim status or submission.

Claims submissions and disputes

You have the right to appeal a claim decision on your own behalf of that of a covered enrollee.

Reimbursement policies

Reimbursement policies outline the basic terms for reimbursement of services covered under our enrollees’ benefits plans. It includes definitions of terms used in the policies and a disclaimer for use of the policies.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our enrollees.