Billing & Claims
Provider Resources
| 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 |
| 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 |
Provider Training Guides
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.
How to Submit Electronic Funds (EFT) Requests
Learn how to submit EFT requests through the Availity portal.
