Forms
A library of the forms most frequently used by healthcare professionals. Looking for a form but don’t see it here? Please contact Provider Services for assistance.
Prior authorization requests should be submitted using our preferred electronic method via https://www.availity.com . If you prefer to fax, please utilize the forms listed.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality services to our members.
Join our network