Claims Information

Claims Policies and Procedures

Find AdvantageCare policies and procedures related to claims. In addition find information regarding electronic claims connectivity.

Claims Submission and Payment

Find information on our claims address, appeals process, and timely claim filing limit. Also find information related to AdvantageCare claim payment processing and turnaround time.

Availity

AdvantageCare uses the Availity Gateway for providers to check member eligibility and claim status. Availity optimizes the flow of information between health care professionals, health plans, and other health care stakeholders through a secure internet-based exchange. The Availity ® Gateway encompasses administrative, financial, and clinical services, supports both real-time and batch transactions via the Web and electronic data interchange ( EDI ) , and is HIPAA compliant . For more information, please visit www.availity.com.

The Availity customer service center is available Monday through Thursday 8:00 am to 6:00 pm and Friday 8:00 am to 5:00 pm. You may contact Availity at:

Telephone:	800.AVAILITY (282.4548)
Email:	support@availity.com
Web:	Click to send a secure message

NPI

Information on NPI for providers.

Complete Claim Requirements

View a sample copy of AdvantageCare HCFA 1500 & UB92 and ensure that you are providing AdvantageCare with accurate claims information

HCFA 1500
UB92

Our documents are in PDF format and can be viewed using Adobe Acrobat Reader. If you do not have this application, visit the Adobe site at www.adobe.com to download a free copy.