DIGITAL RESOURCES

Online tools for everyday transactions

From coverage to claims management, our Availity® and eBusiness technical support teams can provide the service you need to streamline operations.

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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.

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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.

VISIT PAYER ENROLLMENT SERVICES PORTAL
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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.

VISIT CAQH PROVIEW
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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.

Change Healthcare logo
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.

CAQH Solutions Logo
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.

Certified Core Health Plan Logo
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.

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Get technical support from our eBusiness team

We’re here to help you manage our web-based tools and electronic processes that support your everyday business transactions.

GET HELP WITH
Electronic Funds Transfer (EFT/ERA)

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.

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.

Blue CORE Enrollment

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.

 

 

Holiday Schedule
 
please note that Blue CORE will not be available on the following holidays:
  • New Year's Day
  • Martin Luther King Jr. Day
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving
  • Christmas
Regular Scheduled Maintenance
 
Blue CORE may not be available due to regular system maintenance during the following times:
  • Every Tuesday from 7 to 10 pm (ET)
  • Every Sunday
For more information about the CAQH CORE program, please visit the CAQH website.

 

 

Electronic Data Interchange (EDI)

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