Filing your claims should be simple. That’s why Amerigroup Community Care 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. You can use Availity to submit and check the status of all your claims and much more at https://www.availity.com.
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.
Availity serves as the EDI partner for Amerigroup for all electronic data and transactions.
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.
Policies outlining the basic terms for reimbursement of services covered under our members’ benefits plans. Also, helpful definitions for terms associated with reimbursement policies.
You can find claims contact information, pharmacy claims instructions, guidelines for claims submission and more in the provider manual.