Benefits, Eligibility & Claims
Availity
Availity is our secure provider portal, which makes it easy for you to do business with us. The system is online all the time, offering faster prior authorizations, claims decisions and more.
Sign on today to:
- Enroll a provider
- Check benefits, eligibility and coverage details
- Manage prior authorizations
- View fee schedules and remittance advice
- Request claim status
- Manage your contact preferences
Once you’ve enrolled, you’ll also be able to do business with other health plans that use Availity – all from one convenient sign-on. 
EFT & ERA ENROLLMENT
Change Healthcare’s Payer Enrollment Services
Change Healthcare’s Payer Enrollment Services portal simplifies and streamlines the EFT and ERA enrollment processes – helping to improve administrative efficiency and save time.
CREDENTIALING
CAQH ProView
CAQH ProView is more than a credentialing database. CAQH ProView eliminates duplicative paperwork with organizations that require your professional and practice information for claims administration, credentialing, directory services, and more.
ELECTRONIC DATA TRANSFER
Blue CORE
We offer Blue CORE, our CAQH-certified system, to providers who want enhanced levels of automation. Similar to Availity, it provides benefits, eligibility and claim status information.
EFT & ERA ENROLLMENT
Change Healthcare’s Payer Enrollment Services
Change Healthcare’s Payer Enrollment Services portal simplifies and streamlines the EFT and ERA enrollment processes – helping to improve administrative efficiency and save time.
CREDENTIALING
CAQH ProView
CAQH ProView is more than a credentialing database. CAQH ProView eliminates duplicative paperwork with organizations that require your professional and practice information for claims administration, credentialing, directory services, and more.
ELECTRONIC DATA TRANSFER
Blue CORE
We offer Blue CORE, our CAQH-certified system, to providers who want enhanced levels of automation. Similar to Availity, it provides benefits, eligibility and claim status information.
Get technical support from our eBusiness team
GET HELP WITH
When you enroll for a BlueCross network, you’re directed to the Change Healthcare Payer Enrollment Services portal to verify your data and apply for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) capabilities.
During the Change Healthcare outage, you can use our Electronic Remittance Advice (ERA) authorization agreement form to submit an ERA request.
If you have trouble using this tool, please feel free to contact our eBusiness technical support team at 1-800-924-71411-800-924-7141 and follow the prompts to eBusiness support.
We offer Blue CORE, our CAQH-certified system, to providers who work outside of Availity. Like Availity, you can use Blue CORE to access real-time eligibility, benefits and claim status information.
Blue CORE 270 / 271 companion guide
- New Year's Day
- Martin Luther King Jr. Day
- Memorial Day
- Juneteenth
- Independence Day
- Labor Day
- Thanksgiving
- Christmas
- Every Tuesday from 7 to 10 pm (ET)
- Every Sunday
EDI Enrollment and Updates
If you need to enroll in electronic claims filing, add a provider to an existing electronic practice or make any changes to your electronic filing process you must complete an Electronic Provider Profile form. For questions, please call 1-800-924-71411-800-924-7141 and follow the prompts to connect with eBusiness Enrollment.
If you’re a new Billing Agent, Clearinghouse or Vendor you must complete an Electronic Vendor Profile form.
If you’d like to make changes to your current electronic mailbox or add additional users to access your mailbox, you must complete a Secure File Gateway (SFG) Request for Access form.
Security Information
Each person who wants access to our Secure File Gateway must submit a Provider Account Security form. The answers to these questions will be used later as a “token” so users can gain access if they’ve forgotten a password and need access.
Click here if you’ve lost your password and need to reset it.
Secure File Gateway
Secure File Gateway Scheduled Maintenance
- Every Thursday from 5 to 9 pm (ET)
EDI Companion Guides
HIPAA ANSI X12 Information
