Claims submission

Claim attachments

Learn more about when, and how, to submit claim attachments.

Claims edits

If you do not submit your claims through Availity Essentials, follow this process to submit your claims to us electronically.

Coding toolkit

Learn more about our customized editing rules, including clinical edits, bundling edits, and outpatient code editor.

Modifiers

Learn more about informational, preventive services and functional modifiers.

Benefit coordination

Coordination of Benefits, Medicare crossover and other party liability or subrogation.

ANSI v5010 transactions

Type

Description

Contact information

270/271

Eligibility Request and Response

Contact Availity

276/277

Claims Status Inquiry and Response

Contact Availity

277CA

Health Care Claim Status Acknowledgement

No enrollment needed, submitters will receive this transaction automatically

278

Web portal only: Referral request, referral inquiry and pre-authorization request

Contact Availity

835

Remittance Advice

Contact Availity

837

Health Care Claim

Contact Availity

999

Implementation Acknowledgement for Health Care Insurance

No enrollment needed, submitters will receive this transaction automatically

TA1

Interchange Acknowledgement

No enrollment needed, submitters will receive this transaction automatically