Thank you for your interest in joining our provider networks. We contract with physicians, dentists, pharmacists, other health care professionals and facilities to form provider networks essential for the delivery of health care services to our members. By contracting with us:
- Claims payments made directly to you on a weekly basis
- You are listed in our provider directory, Find a doctor
- Our members have financial incentives to see you for their care
- You are invited to provide input on our medical and reimbursement policies
- We have dedicated teams and resources available to help you and your staff
Ready to get started?
The following tasks are required as part of the onboarding process. Incomplete tasks will result in cancellation of credentialing, onboarding and contracting processes.
An Availity Essentials account is required to access eligibility, benefits and claims-related information for most members; to enroll for electronic funds transfer (EFT), submit pre-authorizations. provider appeals, claims attachments and more.
We require claims to be submitted electronically, and all claim payments be received via EFT. We are unable to credential and onboard providers with incomplete EFT enrollment.
The Onboarding Tracker provides your status for credentialing, contracting and EFT enrollment at a glance. Want to check the status of your credentialing application? Use the Onboarding Tracker, available in the Availity Portal: Payer Spaces.
If you are not joining an existing group, agreement documents will need to be signed to complete the onboarding process. The individual you designated with the authority to accept and sign agreement documents on your behalf will be notified by email that documents are ready for review and signature via DocuSign.
Learn more and view our guide to contracting.
Add or update your electroinic contracting email.
Within 10 business days of signing your agreement document, you will receive confirmation of your participation on our network(s) and your effective date of participation. Our participation effective date guide explains this process.
Follow our guide to determine your participation effective date.
It is critical for us to have accurate information about your practice to ensure our members can find you in our provider directories and contact you for timely access to care. Contracted providers are required to validate their practice information every 90 days. Quickly verify your information and notify us of changes.
We put all our news and publications in one place to make it easier for you to stay informed. Quickly learn about changes that impact your office, view summaries of monthly changes, access issues of our newsletter or bulletin and subscribe to receive notifications.
Reimbursement schedules and other pricing documents are available to contracted providers after logging into Availity Essentials: Claims & Payment>Fee Schedules>Fee Schedule Listing.
Get setup to receive requests and send medical records via the Availity attachments application. It’s the fastest, secure and easy way so submit documentation.
Our dedicated Onboarding Team is here to support you every step of the way through the onboarding process. You can find their contact information in the emails you receive after you submit a credentialing application.
Bookmark our tools
Our manual includes procedural, dental and medical policy information, and contractual requirements and responsibilities. It is a helpful day-to-day reference for your staff.
Our self-service tool is available to you online, 24/7. The tool helps you make the most out of partnering with us. Quickly find the answers to frequently asked questions or navigate our website resources and tools.