Claims Submissions and Disputes

Claims and Availity

Anthem Blue Cross and Blue Shield (Anthem) uses Availity Essentials — a secure, full-service platform that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Use Availity Essentials to submit claims, check claims status, dispute a claim decision, and much more.

Don’t have an Availity Essentials account?

Claims tools on Availity Essentials

Submit claims

From the Availity Essentials homepage, select Claims & Payments from the top navigation.
Select Claims & Encounters from the drop-down menu.

Claims status inquiry

From the Availity Essentials homepage, select Claims & Payments from the top navigation.
Select Claim Status from the drop-down menu.

Claim dispute

To check claims status or dispute a claim:

From the Availity Essentials homepage, select Claims & Payments from the top navigation.
Select Claim Status from the drop-down menu.
Submit an inquiry and review the Claims Status Detail page.
If the claim is denied or final, there will be an option to dispute the claim. Select Dispute the Claim to begin the process. You will be redirected to the Payer site to complete the submission.

Clear Claims Connection

To use Clear Claims Connection:

From the Availity Essentials homepage, select Payer Spaces from the top navigation.
Select the appropriate health plan.
From the Payer Spaces home page, select the Applications tab.
Select the Clear Claims Connection tile.

Related information

Provider tools & resources

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