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Information for Virginia

Availity for Providers

The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Use the secure Availity Portal during patient check-in, checkout or billing, or whenever you might benefit from easy access to health plan information.

Don't have an Availity account? You can register here.

Point of Care

Point of Care (POC) is a medical management tool that is available to network participating providers. Providers use POC to process authorizations for Virginia contracts.

If you already have POC access, please log in to Availity to continue.

To enroll your organization for POC access, visit the Point of Care New Access Request page and complete the form. You will need this information:

  • Your organization name and address
  • Federal Tax ID number(s)
  • The name(s) of the POC administrator(s) who will coordinate the use of POC at your organization. For each administrator, you will need the person’s name and date of birth; the last 4 digits of their social security number; and their business phone number and email address
  • A legally authorized representative to electronically sign the request form.
  • If you are a designated agent, you will also need the request code you received from POC Registration. 

Once your organization is set up, the POC administrator(s) you designated can set up access for individual employees.

Please allow 3 to 5 business days for us to process your request. We’ll notify you by email once the request is finalized.  

If you have questions, please call us at 866-755-2680 (select option 2, then 1)
Mon. – Fri. 8 a.m. to 6 p.m. EST

To request changes to your organization’s POC access, visit the Point of Care Change Request page and complete the form. You can request these changes:

  • Add or remove a POC administrator
  • Add or remove Federal Tax IDs
  • Request access to create or submit authorizations
  • Designate, add, or remove an agent or third-party biller

Based on the change(s) you’re requesting, you’ll need some or all of this information:

  • Your organization unit code and name (required for all requests)
  • Your Federal Tax ID number(s)
  • Information for each POC administrator for whom you are requesting a change: their full name, date of birth, the last 4 digits of their social security number, phone number(s), email address and department
  • A legally authorized representative to electronically sign the request form (required for all requests)

Helpful Hints

  • The POC administrator(s) at your organization maintain individual POC users. If you need individual access or access changes, please contact your POC administrator.
  • Complete only the sections that apply to your requested change(s).  
  • To avoid delays in processing or the need to repeat your request, please double check your entries before submitting the form.

We’ll contact you with your access information within 3 to 5 business days.

If you have questions, please call us at 866-755-2680 (select option 2, then 1)
Mon. – Fri. 8 a.m. to 6 p.m. EST

Digital Tools and Resources

Availity is your secure, one-stop, self-service website to:

  • Get current patient insurance coverage information, including eligibility and benefits
  • Submit medical claims online
  • Monitor the status of claims submissions
  • View remittance advices
  • Prescreen or review clinical information along with documented source information for approximately two million claim edits using Clear Claim Connection
  • Use Patient360 to view health and treatment history
  • Submit authorizations for medical or behavioral health inpatient or outpatient services
  • Inquire about a previously-submitted medical or behavioral health authorization request
  • Access proprietary reports
  • Find important policy information and commonly used forms, as well as presentations and reference guides on using self-service tools

Available tools will vary depending on your state and/or line of business. Ask your network relations representative for details.

Register with Availity

Need to register?

Visit the Availity registration page to get started. 

Is your organization already registered?

No additional registration is needed. Your organization’s Availity Administrator should create a unique log in for each user and grant them access to the tools they need.
 

Training opportunities

Use our library of self-paced courses and instructor-led training sessions available 24/7 at no cost. These learning opportunities will assist you in administering your patient’s health plan and provide you with the knowledge to best assist our members.

Questions?

For questions on access and registration, call Availity Client Services at 1-800-Availity (1-800-282-4548). Availity Client Services is available Monday through Friday, 8 a.m. to 7 p.m. ET (excluding holidays) to answer your registration questions.