Claims overview
Filing your claims should be simple. That’s why UniCare Health Plan of West Virginia, Inc. uses Availity*, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. You can use Availity to submit and check the status of all your claims and much more at www.availity.com .
Don’t have an Availity account?
* Availity, LLC is an independent company providing administrative support services on behalf of UniCare Health Plan of West Virginia, Inc.
More resources
EDI
Electronic data interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims.
Provider disputes
You have the right to request an appeal of a claim decision. You may request this appeal on your own behalf or on behalf of a covered Individual.
Reimbursement policies
Find policies outlining the basic terms for reimbursement of services covered under our members’ benefits plans. Also, helpful definitions for terms associated with reimbursement policies.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Reimbursement Policies
- Provider Manuals, Policies & Guidelines
- Referrals
- Forms
- Provider Training Academy
- Pharmacy Information
- Provider News & Announcements