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Training academy

Provider manual

The provider manual provides key administrative information, including the Quality Improvement program, the Utilization Management (UM) program, quality standards for participation, claims appeals, and reimbursement and administration policies.

View or download manual

Learn about Availity

Many of the tools you need — eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can be accessed from your Availity* account. You can find instructions for locating and using these tools on the Learn about Availity page.

Cultural competency resources

My Diverse Patients

The My Diverse Patient website offers learning experiences, techniques, and helps you to provide the individualized care every patient deserves regardless of their diverse backgrounds:

All contracted health care providers with Amerigroup should complete the online cultural competency training.

Online training

Amerigroup offers online training to assist you in caring for our members with consideration of their personal language needs, thoughts, customs, beliefs and values.

Accessing training within Availity’s Custom Learning Center

  1. Log in to Availity Portal.
  2. From the Availity home page, select Payer spaces from the top navigation.
  3. Select the Amerigroup Real Solutions health plan from the Payer spaces menu.
  4. Select Access Your Custom Learning Center from the Applications tab.
  5. Complete your Profile if prompted.
  6. Choose from the available courses listed, search the catalogue or navigate to specific courses using the Filters menu on the left side of the screen.

Additional resources

Offered for any provider groups that would benefit from a live demonstration of Availity applications.

To register for a webinar, select the date and time hyperlink for a topic that interests you and fill out the registration questions:

  • Participant’s name(s)
  • Participant’s title/email address
  • Practice name
  • Group tax ID number

July 31, 2020, Clear Claim Connection

August 18, 2020, remittance inquiry

September 15, 2020, Precertification Lookup Tool

October 20, 2020, dispute

November 17, 2020 Provider Online Reporting (Panel and Roster)

To access materials from past trainings, please log in to Availity, access your custom learning center, and search the catalogue for the specific course by name.

January 21, 2020, Eligibility and Benefits

February 18, 2020, Authorization and Referrals

March 17, 2020, Claim Submission Professional

April 21, 2020, Claim Submission Facility

May 19, 2020, Attachments (Medical and other)

June 16, 2020, Claim Status Listing

Haven’t registered for Availity?  View instruction guide

This training is offered for new or established institutional provider groups interested in an overview of how to bill and code form CMS-1450 and CMS-837 institutional claims. Institutional providers include hospitals, residential treatment centers, skilled nursing facilities, hospice organizations, critical access hospitals, etc.

Highlights of the training include:

  • An overview of components to ensure accurate billing, such as type of bill, admission type, admission source and discharge status coding, and other key elements that can cause claim denials.
  • Health Care Authority billing guides and revenue codes.
  • Provider educational resources.

February 6, 2020

February 21, 2020

March 11, 2020

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our members.