Payer List
As of today, how many payers does Availity work with?
11,566
Does BCBSMT offer EFT Enrollment on the portal? If so, what tool?
Yes, Transaction Enrollment tool
TRUE or FALSE: Do you need a video for an Analyst Ticket for Ghost Errors?
What role is needed to add users to an org's account?
User Administration
Can a person authorize themselves on the OBC for a primary admin change?
ONLY if they are the authorized NPI Official
Can users submit Facility Claims (837I) to AETNA BETTER HEALTH KANSAS (Payer ID 128KS) directly on the portal (Claims & Encounters?)
No
If a situation requires a user to provide a 147C letter, but they do not have one, how can they obtain this document?
Contact the IRS at 1-800-829-4933 to request a copy
How recent does the video recording need to be for an Analyst Ticket?
3 days
What role is needed to add Providers to MMO, if the user is not the Primary Administrator?
Administrator Assistant
There are 2 versions of PDM. Which version would a user be able to update their payment address through?
Core PDM
What is the Trading Partner ID AND Trading Partner Name for Mercy Care Arizona (Payer ID: AZM01) Claim Status Inquiry (276) transactions?
AMA, AETNA MEDICAID ADMINISTRATORS
A user submits an organization application and SOC has stated our requirements to get the app approved are ===DOCS Required and AMIN AUTH CALLOUT===
Focusing on the document requirements, what document type is needed is the user states their org is an S-Corp? How recent does the document need to be dated?
Certificate of Good Standing dated within 90 days
If you are creating a payer ticket for Ambetter for claims, would this be sent to payer support or directly to the payer? If directly to the payer, what is the contact name?
Payer Support, "Centene EDI Support"
What role is needed to complete a File Restore?
EDI Management
A new employee gets hired on at the organization, however, the email address they need to use is currently attached to an employee who is no longer employed for that organization. The admin for that org has revoked this user from their account. What should you do?
Clear Email
Does Driscoll offer Professional Claim (837P) submission directly on the portal (Claims & Encounters?)
Yes
Does a user need an ERA Enrollment to access Baycare Health EOBs on the Remittance Viewer?
No, Baycare health is an auto remit sender
If you need to open a payer review ticket for Triwest-Tricare, what queue do you assign the ticket to?
Triwest Support Queue
What role is needed to access the Fee Schedule tool?
Provider Fee Schedule Role
Can you submit Professional Claims to UnitedHealthcare via batch (Payer ID 87726) with the basic plan? How do you know?
No, per Payer List they require the EDI Plan upgrade
A caller is submitting an ERA enrollment to MEDICARE WISCONSIN PART B (Payer ID: 06302) and is stating that the enrollment is asking for Availity's Trading Partner ID.
1. How would they locate this?
2. What is the trading partner id for this transaction?
The trading partner ID for this transaction will be listed on the enrollment form (can download from Payer List)
Trading Partner ID: 70000
If determined that an Analyst ticket is needed for not receiving a password reset email, what Analyst Template is needed?
User ID:
Caller's Name:
Caller's Email:
Date/Time the user tried to get the email: (VERY IMPORTANT)
Is this an issue for just this user or their entire organization?
What role is needed to submit an appeal?
Claim Status
If an org has no Type 1 Providers, what would they need to update in order for the 'Manage Type 1 Providers' section to be removed from PDM?
Taxonomy