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 .
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.
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.
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
- Provider Training Academy
- Pharmacy Information
- Provider News & Announcements