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It’s easy to work with us on Availity®

The Availity Provider Portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. You can still access the old Medicaid Web Portal (MWP) too.  If you need new access to it, you can complete this form (PDF). If you need help, email Provider Experience.

 

Log in to Availity  Log in to MWP

Technical issues?

Call Availity at 1-800-282-4548 Monday through Friday, 8 AM to 8 PM ET (excluding holidays) for help.

What’s new on Availity?

Eligibility and benefits

You now have access to a member’s eligibility and benefits in the Provider Portal. Just go to “Patient Registration” to find the Eligibility and Benefits function.

See claims details

You can review claims payment info and download a PDF of the Explanation of Benefits (EOB). Simply submit a claims status inquiry request. Then, choose “View EOB” from the results page.

Authorization submission and inquiry

You can submit prior authorizations electronically through the Provider Portal. And you can check the status of authorizations you’ve already submitted. Just go to “Patient Registration” to find the Authorizations & Referrals function.

All the tools you need, all in one place

All the tools you need, all in one place

The Provider Portal helps you spend less time on administration. This way, you can focus more on patient care. You get a one-stop portal to quickly perform key functions you do every day.

 

You can:

 

  • Look up the status of a claim, or submit new claims through Change Healthcare
  • Submit authorizations or check the status of a previously submitted prior authorization
  • Check patient eligibility and benefits
  • Submit appeals and grievances and check the status of your submission
  • Submit disputes and reconsiderations using the “Send attachments” function in Claim Status Inquiry  
  • Message our Claims Inquiry Claims Resolution (CICR) department
  • Submit HEDIS® record submissions using our Contact Us application

 

 

How to get started

How to get started

If your practice already uses Availity, simply contact your administrator to request a username. If you don’t know who your administrator is, call Availity at 1-800-282-4548 for help.

 

If your practice is new to Availity, you can use the registration link below to set up your account.

 

Set up Availity account

 

Need help registering for Availity? Browse tips, webinars and training to get on board.

 

Availity registration resources

Need help using Availity? You can find free Availity tutorials in the Availity Learning Center (ALC).  

Just log in and:

 

  • Choose “Help & Training”

  • Choose “Get Trained”

  • Search the ALC catalog with keyword “ABHMC” for Aetna Better Health® training

 

You can also call Availity Client Services at 1-800-282-4548, 8 AM to 8 PM, Monday through Friday.

 

Keep your info current

Make sure your details are up to date in our directories. This helps members find you. It also helps you get payments and communications on time.

Update my info

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

Questions?

Just call us at 1-855-221-5656 (TTY: 711).  We’re here for you 8 AM to 5 PM.

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