Availity Essentials

Availity Essentials offers secure online access to multiple payers and the ability to check eligibility and benefits, manage claims and remittances, request authorizations and referrals and complete other secure administrative tasks online.

Availity Essentials is a multi-payer site where you can use a single user ID and password to work with BCBSND and other participating payers online. Availity Essentials is compliant with all HIPPA regulations and there is no cost for providers to register or use any of the online tools.

Available Functionality: 

The one-stop, secure BCBSND provider portal makes it easy to submit and manage claims data online.

Availity Essentials helps streamline the claims process, from submission to reimbursement.

Through the Availity Essentials portal, providers will have access to: 

  • Submit eligibility and benefits inquiries for BCBSND members
    • BCBSND payer plans
    • Out-of-state BlueCard plans, call the number on the back of the member’s insurance card
    • International Blue Plans 
      • Verify eligibility and benefits using one of two methods: send an electronic inquiry through the Availity Essentials Provider Portal, or call the BlueCard Eligibility® line at 800-676-BLUE (2573) and provide the prefix
    • ND Medicaid Expansion plan
  • Submit claims and review statuses
    • Submit claim transactions (837I & P), member eligibility (270), claim status (276), etc. 24 hours a day, seven days a week. 
  • Correct and void claims
    • Make a correction to change the diagnosis code, date of service or charges or to add services or remove a line of the claim
    • Void a claim submitted in error
  • Request authorizations and referrals
    • A listing of services requiring precertification can be found on our website under Policies & Precertification
  • View your electronic remittance advice (835)
    • Receive claim acknowledgment (277CA) and claim payment/remittance advice (835) transactions
  • Direct Messaging
    • Ask a claim question related to a claim denial or eligibility status
  • Complete credentialing and recredentialing forms
    • Complete and/or update the electronic funds transfers (EFT) forms 

For more information on how to register, and the variety of tools that are available to you, contact Availity using the details below or visit the Availity website.

Availity Essentials Registration

For more information on how to register and see the variety of tools that are available to you, contact Availity Essentials using the details below or visit the Availity Essentials website at www.availity.com.

Availity Essentials Questions:

  • Contact Client Services at 1-800-282-4548
    • Monday through Friday, 8 a.m. to 7:30 p.m. EST

Training:

  • Once registered with Availity Essentials
  • Take advantage of on-demand Availity Essentials portal training.
  • Log in to your Availity Essentials Account and click on Payer Spaces located on the upper menu bar.
  • Find access to Applications, Resources and News and Announcements.