Filing your claims should be simple. That’s why Amerigroup Iowa, Inc. uses Availity, a secure and full service website that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Visit Availity's website to submit claims, check status, verify eligibility and much more.
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System configuration updates
This document provides information regarding known claims issues and is updated weekly on Fridays. Please contact Provider Services with any questions or concerns.
Electronic data interchange (EDI) is the electronic exchange of data between a health care provider and a payer. EDI offers a fast, secure way of exchanging information such as eligibility, benefits, and claim status or submission.
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 member.
These policies outline the basic terms for reimbursement of services covered under our members’ benefits plans. You’ll also find definitions of terms used in the policies and a disclaimer for their use.
You can find claims contact information, claim submission guidelines and pharmacy claim instructions in our Medicare and Medicaid provider manuals.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange