Durable medical equipment Availity Essentials instructions

Provider contract and fee schedule notifications via Availity Essentials* plus Durable Medical Equipment Orthotics and Prosthetics and Supply Provider amendment update

The 2023 amendment package for durable medical equipment (DME), orthotics and prosthetics, and supply providers can now be found by following the below navigation:

1. Select the Payer Spaces menu option.
2. Select the Applications tab.
   
   
   
3. Select the Information Center box.
   
   
   
4. Select the Administrative Support tab.
   
   
   
5. The amendment package for DME providers will be available there.
   
   
   

Reminder

As a reminder, periodically log into the Availity Essentials Provider Online Reporting tool to make sure you don’t miss any notifications placed for your review. Here is a recap of the tool and instructions on how to sign up and access your notifications.

Anthem Blue Cross and Blue Shield and our affiliate HealthKeepers, Inc. notified you by mail on November 16, 2022, of the provider contract amendment that included a statewide fee schedule update. You may also log into Availity Essentials to securely access and download a digital copy of your amendment documents using the Provider Online Reporting tool.

Keep in mind that only authorized users in your practice or facility can view the confidential contract amendments using the reporting tool. Your Availity Essentials administrator must grant access to the reporting tool if you do not currently have access.

For easy reference, we’re again including the information to help you get started with Provider contract and fee schedule notifications.

Provider Online Reporting reference guide

Getting started

This document will familiarize you with the Provider Online Reporting application found on Availity Essentials at availity.com. Using our web-based Provider Online Reporting application, you will be able to access your updated fee schedule.

For Availity administrators: How to assign access

If your organization is not currently registered for Availity Essentials, go to availity.com and select Register to complete the online application.

Your administrator will need to take the following steps to assign access to Provider Online Reporting:

1. Assign the user role of Provider Online Reporting to your Availity Essentials access.
2. Select Payer Spaces in the top menu bar and select the payer tile that corresponds to the market.
3. First-time users accessing Payer Spaces will be asked to accept a Terms of Use Agreement. The agreement will appear for users once every 365 days.
4. On the Applications tab, select Provider Online Reporting.
5. Select Organization and select Submit.
6. On the Welcome to Provider Online Reporting page, select Register/Maintain Organization.
7. Select Register Tax ID(s) for the applicable program to register the tax IDs.
8. A pop-up window will display all tax IDs that need to be registered for the program. Check the box for each tax ID to be registered and select Save.
9. You now have successfully completed the tax ID registration. Notice that after the registration has been completed, the status has changed from Register Tax ID(s) to Edit Tax ID(s).

For users: How to navigate to the report accessing reports:

1. Log in to availity.com.
2. Choose Payer Spaces in the top menu bar.
3. Select the payer tile that corresponds to your market.
4. Accept the User Agreement (once every 365 days).
5. On the Applications tab, select Provider Online Reporting.
6. Select Organization and choose Submit.
7. Select Report Search, choose the type of report, and then launch your program’s reporting application.

The home page in Provider Online Reporting will open. This page lists all programs for which that organization is eligible.

Use the navigation options on the left side of the page to easily move around within the tool.

The Programs page describes the program your organization is participating in and includes helpful documents related to your program if applicable. Select a program using the dropdown arrow.

The Report Search page launches the corresponding reporting application to your program. Select the appropriate program from the dropdown menu.

Tip: Save Provider Online Reporting as a favorite

Save Provider Online Reporting as a favorite to be able to access it quickly from the Availity Essentials home page:

1. Log into Availity at availity.com.
2. Choose Payer Spaces in the top menu bar.
3. Select the payer tile that corresponds to your market.
4. On the Applications tab, select the heart icon next to Provider Online Reporting so it fills in and turns red.
5. Now, Provider Online Reporting will appear at the top under the My Favorites dropdown.
   

Questions

If you have questions regarding Availity, contact Availity Client Services at 800-282-4548.

If you have questions about Provider Online Reporting, use the Contact Us section of the application.

If you have other questions, contact your local contract advisor, consultant, or Provider Relationship Management representative.