Forms

A library of the forms most frequently used by health care professionals. Looking for a form but don’t see it here? Please contact your provider representative for assistance.

Provider tools and resources

• Log in to Availity Essentials
• Launch provider learning hub
• Learn about Availity Essentials
• Prior authorization lookup tool
• Prior authorization requirements
• Claims overview
• Member eligibility and pharmacy overview
• Provider manuals and guides
• Referrals
• Forms
• Training academy
• Pharmacy information
• Electronic data interchange

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our members.

Apple Health (Medicaid):

Medicare:

Availity, LLC is an independent company providing administrative support services on behalf of Wellpoint Washington, Inc.

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