Claims status listing and remittance inquiry updates for Atypical providers

Atypical providers may now utilize the Claims Status Listing and Remittance Inquiry tools on www.Availity.com, Payer Spaces using a State Medicaid ID.

The Remittance Inquiry tool has been updated to allow atypical providers to search for remittances using the date range search option. Enhancements to the claims status-listing tool, allows atypical providers to view a list of claims. Both tools now have a State Medicaid ID search capability.

 

HOW TO ACCESS THE TOOL

From the Availity home page, select Payer Spaces Anthem Blue Cross (Anthem) payer tile | Applications.  Choose the tool you want to proceed with, Claims Status Listing or Remittance Inquiry, followed by the organization name > TIN

CLAIM STATUS LISTING

Choose your provider from the Express Entry drop down box.  *If the selected provider has been designated as atypical, the NPI field will gray out and the Payer Assigned Provider Identifier (State Medicaid ID) field will be populated.

• Enter Dates of Service (DOS) to search (a 30 day date span can be searched at one time) > select Search
• View a list of your claims that fall within the search criteria entered.

REMITTANCE INQUIRY

Choose your provider from the Express Entry drop down box. *If the selected provider has been designated as atypical, the NPI field will gray out and the Payer Assigned Provider Identifier (State Medicaid ID) field will be populated.

• Enter Dates of Service (DOS) to search (a 7 day date span can be searched at one time) > Select Search
• View a list of your remittances that fall within the search criteria entered

*Note: A provider must first be designated as atypical through the Express Entry process.