Claims submissions and disputes

Amerigroup District of Columbia, Inc. uses Availity Essentials*, a secure, full-service website that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. Use Availity Essentials to submit claims, check the status of your claims, appeal a claim decision, and much more .

Don’t have an Availity Essentials account?

Finding claims tools on Availity Essentials

Submit claims:

1. From the Availity Essentials home page, select Claims & Payments from the top navigation.
2. Select Type of claim from the drop-down menu.

Claims status inquiry:

1. From the Availity Essentials home page, select Claims & Payments from the top navigation.
2. Select Claim Status Inquiry from the drop-down menu.

Claims dispute

To check claims status or dispute a claim:

1. From the Availity Essentials home page, select Claims & Payments from the top navigation.
2. Select Claim Status Inquiry from the drop-down menu.
3. Submit an inquiry and review the Claims Status Detail page.
4. If the claim is denied or final, there will be an option to dispute the claim. Select Dispute the Claim to begin the process. You will be redirected to the Payer site to complete the submission.

Clear Claims Connection

To use Clear Claims Connection:

1. From the Availity Essentials home page, select Payer Spaces from the top navigation.
2. Select the health plan.
3. From the Payer Spaces home page, select the Applications tab.
4. Select the Clear Claims Connection tile.

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