Enhancing Collaboration Through Digital Solutions
Availity, Electronic Medical Record (EMR) Integration, and More
Anthem’s digital solutions transform care provider and payer interactions, end-to-end, improving transparency, actionability, confidence, and experience.
Training Opportunities
Use our library of self-paced courses and live instructor-led training sessions available 24/7 and at no cost. These learning opportunities will assist you in administering your patient’s health plan and provide you with the knowledge to best assist our members.
Work with a live instructor to learn how to maximize the applications available to you, such as Claims, Claims Status, Authorization, Eligibility and Benefits, and Medical Attachments.
You can view the live training schedule to learn more about specific launches.
Utilizing Digital Solutions
Anthem is dedicated to fostering collaboration and a trusted partnership with providers by utilizing digital solutions that streamline provider-payer interactions through each process — from credentialing to payment. Our digital solutions help remove systemic complexities and non-value-added steps from processing requests, approvals, and payments. We strive to improve transparency, traceability, and experience for both providers and patients, ultimately supporting providers’ ability to impact health outcomes, run their practice successfully, and be more effective overall.
The Availity platform hosts multi-payer applications that enable providers to access real-time information and instant responses, consistent from payer to payer. EMR Integration can streamline the exchange of information and saves staff time on manual medical record retrieval. Business to business, EDI, API, and other digital and electronic integration makes it easier and more efficient to work together.
Contact your provider relationship manager for more information about our digital processes and how we can collaborate for success.
Don't have an Availity account? You can register here.
Trending Topics
Learn about what’s new! Digital features, expansions, and integrations all developed to give you a productivity lift and streamline transactions. Take advantage of training and other information to make working together the best it can be.
Provider Data Management
Use Provider Data Management to:
Update and manage provider demographic information for all participating payers in one place
Review all history in one location
Multi-Payer Authorization Application
Enables providers to submit prior authorizations for multiple payers in one application
Digital authorizations are processed faster with fewer errors
Clinical documentation is attached directly to the authorization request
Digital Request for Additional Information (Digital RFAI)
Digital notifications when supporting documents are needed for claim processing on your Attachments dashboard
Takes the guesswork out of claims attachments
100% claim-to-attachment match
50% faster claims processing
Check out the training opportunities for Digital RFAI
Submit authorizations for medical or behavioral health inpatient or outpatient services
Inquire about a previously-submitted medical or behavioral health authorization request
Access proprietary reports
Find important policy information and commonly used forms, as well as presentations and reference guides on using self-service tools
Digital Applications and Resources
Anthem provides a number of solutions to help you care for our members. Take advantage of our admission, discharge, and transfer (ADT) Data Exchange tools which expedite patient information. Explore our Availity resources to streamline the entire provider-patient relationship. Incorporate electronic medical records (EMR) integration to manage patient information more efficiently.
Dive deeper into our digital applications and resources on our Availity Digital Applications and Resources page.
Applications may vary by state. Ask your provider relationship manager for additional information.
Register with Availity
Need to register?
Visit the Availity registration page to get started.
Is your organization already registered?
No additional registration is needed. Your organization’s Availity Administrator should create a unique login for each user and grant them access to the tools they need.
Support
For questions about access and registration, call Availity Client Services at 800-Availity (800-282-4548). Availity Client Services is available Monday through Friday, 8 a.m. to 7 p.m. ET (excluding holidays) to answer your registration questions.
Prior authorization/precertification terminology varies by market/brand. Absent clear direction, prior authorization prevails as it’s the preferred term of providers per research
Medicare won’t be applicable to every market/brand.
There should be no downloads of any materials outside of PDFs across the site
Ready to become a provider in the Anthem network?
We look forward to working with you to provide quality service for our members.
Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place.