Administrative Digital SolutionsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 15, 2025

Availity Essentials maternity update for providers

We are updating the maternity notification process at https://Availity.com to make it more user‑friendly.

When specific conditions are met regarding maternity, a screen will appear after the Eligibility & Benefits (E&B) request and prior to the E&B response screen.

On this screen, users will be prompted to answer a few simple questions:

  • Is the patient currently pregnant? Yes or no.

If the answer is yes, users will also be asked:

  • What is the estimated delivery date?
  • What is or was the first prenatal visit date?

After answering these questions, select Submit to proceed to the E&B response screen.

Answering these questions is optional. However, providing this information assists us with gathering relevant maternity information promptly and efficiently. Please note that this process does not replace the Notification of Pregnancy (NOP) process.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for Aging through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.

NBCBS-CD-074375-24-CPN73956

PUBLICATIONS: February 2025 Provider Newsletter