Billing & Claims
| Upload Transaction Files through Availity | Instructions for how to upload an EDI batch file | Download Form |
| Professional Claim Adjustment Form | Use this form to file a professional claim adjustment. | Download Form |
| Institutional Claim Adjustment Form | Use this form to file an institutional claim adjustment. | Download Form |
| Claim Remark Codes | View Remittance Advice Remark Codes. | View Codes |
| Instructions for CMS 1500 Form | Instruction manual detailing how to complete the CMS 1500 Form. | Read More |
| Electronic Claim Correction Instructions | Instructions detailing electronically processed claims corrections. | Read More |
| Obesity Coverage Guidelines | Guidelines for the full Obesity Benefit Synopsis. | Read More |
| Behavioral Health Guidelines | Guidelines to ensure timely and accurate payments for mental health and substance abuse programs. | Read More |
| Hospice Billing Guidelines | Guidelines to ensure more timely and accurate processing of hospice claims. | Download Guide |
| Telemedicine Matrix | Keep updated on Telemedicine Services. | Read More |
| Bright Futures Guidelines | BCBSWY covers the Bright Futures recommendations for pediatric screenings. | Read More |
| A1C Code Information | Keep updated on A1C coding information. | Download Guide |
| Home Infusion Therapy Guidelines | Guidelines to ensure more timely and accurate processing of HIT claims | Download Guide |
| Preventive and Medical Billing Guidelines | Billing and Claims Guidelines for Preventive and Medical Office Visits | Download Guide |
Learn How it Works
How to Upload Attachments to Availity
View our Online Medical Document Attachment Training Guide.
How to Submit a Online Prior Authorization Request
View our Prior Authorization Online Training Guide.
Electronic Funds (EFT) Requests
Providers set up for electronic remits can receive EFT payments. Use Availity to enroll or make changes to an EFT account.