Administrative Digital SolutionsCommercialMedicaidDecember 26, 2024

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.

Medicaid services provided by Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., or Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NYBCBS-CDCM-074384-24-CPN73956, VABCBS-CDCM-074389-24-CPN73956

PUBLICATIONS: January 2025 Provider Newsletter