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
- Log in to Availity Essentials
- Launch provider learning hub
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Provider Search Tool
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)