Digitally file claim payment disputes for Commercial member claims beginning in November

When you have more information to share about a claim that has been denied, filing the dispute digitally is a cost-effective and time-saving alternative to paper and fax. This Claims Status application enhancement, available on Availity Essentials, enables a fast, efficient, and streamlined process for filing claim disputes:

• Upload supporting documentation and attach it directly to the claim.
• Use the Appeals Dashboard:
  • To review digitally filed disputes.
  • To retrieve correspondence related to your disputes. 
  • For a history of digitally filed disputes.

How to file a digital claim payment dispute:

1. Log onto Availity.com.
2. Select the Claims & Payments tab.
3. Select Claims Status and enter the information needed to retrieve your claim.
4. When you have found your claim, select the Dispute button (it will be visible when your claim is eligible for a dispute).
5. Access your Appeals Dashboard to upload the supporting documents and complete the dispute request:

• From the Claims & Payments tab, select Appeals to access your Appeals Dashboard.

In the past, you may have used the Attachment button and selected the Dispute option to dispute a claim. We’ve eliminated that process to make disputing a claim more trackable and transparent.

Receive dispute determinations digitally from your Appeals Dashboard

Anthem Blue Cross will review the dispute and communicate an outcome on Availity.com and through the mail. Check the status of a digitally submitted dispute at any time from your Appeals Dashboard.

Timely filing claims disputes

If you have documentation to support a timely filing, we have developed a quick reference guide, Acceptable Proof of Timely Filing, that should help with your submission. Please review it before you submit your timely filing claim dispute.

Attend a learning event

Submitting a digital claim payment dispute is easy, but attending informative learning sessions provides a deep dive into the application and its search and filter functions. These tips are sure to make the submission process even easier. Access on-demand training here.

For more information about the claim payment dispute process, consult your provider manual or reach out to your provider relationship management representative.