Administrative Digital SolutionsCommercialNovember 1, 2023

Filing digital claims disputes: Transparent and trackable

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. You can feel confident that we have received your claims dispute when you submit it through the digital workflow.

This Claim Status application feature, available on Availity.com, 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 Claim Status and enter the information needed to retrieve your claim.
  4. When you have found your claim, select the Dispute button to initiate a dispute (it will be visible when your claim is eligible for a dispute).
  5. Access your Appeals Dashboard to upload the supporting documents, locate initiated dispute, 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

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

Learn more

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.

Use this link to access on-demand training.

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

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PUBLICATIONS: November 2023 Provider Newsletter