Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 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.

Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc., serving all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123, are 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