Wisconsin Providers

Learn About Availity


Anthem providers have access to Availity, a secure, multi-health plan portal offering quick access to clinical tools, member data, and health plan information. Availity simplifies provider transactions such as electronic data exchange, prior authorization requests, claim status, and member inquiries.

Availity tools and features

Benefits and eligibility

  • Get real-time member eligibility and benefits

Prior authorization

The Availity Interactive Care Reviewer (ICR) is a utilization management tool that allows you to: 

  • Submit prior authorization requests and receive status updates
  • Attach clinical documentation 
  • Auto-authorize over 40 common procedures
  • Report a member’s pregnancy

Claims & payment 

  • View claim status and payment details
  • Submit documentation to support a pending or denied claim

Other resources

Several other tools and resources are available in the Payer Spaces section of Availity:

  • Clear Claim Connection: Research procedure code edits 
  • Custom Learning Center: Find job aids, reference guides, and educational videos
  • Education and Reference Center: Locate important policies, forms and educational resources
  • Remittance Inquiry: View, print or save a remittance advice from the past 24 months
  • Patient360:  Access a member’s health and treatment history
  • Provider Online Reporting: Generate custom reports, including member rosters

Don’t have an Availity account?

Availity account maintenance

To change administrators:

Call Availity Client Services


Phone:

800-282-4548

To update organizational information:

Log in to Availity as an administrator and use the Maintain Organization option to update your organization’s information.

Provider tools & resources

Interested in becoming a provider in the Anthem network?

We look forward to working with you to provide quality services to our members.