Availity Enhancements
Date: 04/18/25
Effective April 21, 2025, Centene will have new features on Availity Essentials, including:
- Claim Corrections – Submit correct claim from the Claim Status Response page on any finalized claim
(paid or denied status). - Remittance Viewer – Locate remittances with ease using the extensive search and filter options. You can also review and reconcile detailed remittance data in an easy-to-read format and gain visibility into claims associated with a check/EFT by downloading a Check Summary.
- InterQual – Complete an InterQual review within the authorization request to help facilitate the authorization review process. When completing an Authorization Request in Essentials, select the
“Take Me to InterQual” button.
Providers can view the schedule and register to join live trainings on Claims Corrections and Remittance Viewer via the link listed below. Registered Availity providers will receive an email from Availity about live trainings the week of April 14.
Session Information:
Monday, April 21, 2025 | 2 p.m. – 3 p.m. CT
Tuesday, April 22, 2025 | 12 p.m. – 1.p.m. CT
Wednesday, April 23, 2025 | 11 a.m. – 12 p.m. CT
Thursday, April 24, 2025 | 3 p.m. – 4 p.m. CT
For questions or concerns, contact your provider engagement account manager in your area or call Provider Services at 1-833-404-1061, Monday – Friday 7:30 a.m. to 6 p.m. CT.
Thank you for your partnership in serving our members.