The Healthcare Effectiveness Data and Information Set (HEDIS)
HEDIS® is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 81 measures across five domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an apples-to-apples basis.
Related information
Documents
- HEDIS ECDS Prenatal and Postpartum Coding Bulletin 2024
- HEDIS ECDS Coding Booklet 2024
- HEDIS Coding Booklet 2024
- HEDIS Cat II Coding Bulletin 2024
- HEDIS Cat II Coding Bulletin 2023
- HEDIS ECDS Prenatal and Postpartum Care Coding Bulletin 2023
- HEDIS Well Child and Immunizations Coding Bulletin 2024
- HEDIS Well Child and Immunizations Coding Bulletin 2023
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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