We do not require attachments to be included as part of claims submission unless indicated on our clinical edits by code lists or if we send you a request.
Our primary method for requesting and receiving claims-related medical records is through Availity’s Medical Attachment Tool. Register to use the tool by following the registration instructions on the Availity Provider Portal: Login and select Help & Training>Get Trained, then search for Setting Up for Medical Attachments.
Submit the requested records using an easy upload process that will save your office staff hours scanning, printing and mailing—and you’ll receive faster claims processing.
Attachments that we may request include:
- Chart notes
- Accident reports
- Operative reports
- Laboratory reports
- Dental or medical records
Certificates of medical necessity
- Please respond to requests using the same format in which they were received (e.g., Availity Portal, fax or email).
- Sending unsolicited attachments can delay the processing of your claim.
- Please submit coordination of benefit (COB) information as part of your standard American National Standards Institute (ANSI) 837 health care claim transaction. Do not submit other health plan payment information as an attachment.