Claims Submissions and Disputes

HealthKeepers, Inc. uses Availity, a secure, full-service website offering a claims clearinghouse and real-time transactions at no charge to Anthem HealthKeepers Plus healthcare professionals. Use Availity to submit claims, check the status of claims, appeal a claim decision and much more.

Don't have an Availity account?

Finding claims tools on Availity

Submit claims

1. From the Availity home page, choose Claims & Payments from the top navigation.
2. Select Type of claim from the drop-down menu.

Claims status inquiry

1. From the Availity home page, select Claims & Payments from the top navigation.
2. Select Claim Status Inquiry from the drop-down menu.

Claims dispute

To check claims status or dispute a claim:

1. From the Availity home page, select Claims & Payments from the top navigation.
2. Select Claim Status Inquiry from the drop-down menu.
3. Submit an inquiry and review the Claims Status Detail page.
4. If the claim is denied or final, there will be an option to dispute the claim. Select Dispute the Claim to begin this process. You’ll be redirected to the Payer site to complete the submission.

Clear Claims Connection

To use Clear Claims Connection:

1. From the Availity home page, select Payer Spaces from the top navigation.
2. Select the health plan.
3. From the Payer Spaces home page, select the Applications tab.
4. Select the Clear Claims Connection tile.

Related information

• Claims and Billing Manual
• Claim Payment Disputes
• NUCC 1500 Claim Form Instruction Manual

Provider tools & resources

• Log in to Availity
• Launch Provider Learning Hub Now
• Learn About Availity
• Prior Authorization Lookup Tool
• Prior Authorization Requirements
• Claims Overview
• Member Eligibility & Pharmacy Overview
• Policies, Guidelines & Manuals
• Referrals
• Forms
• Provider Training Academy
• Pharmacy Information
• Electronic Data Interchange (EDI)

Interested in becoming a provider in our network?

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

©2020 copyright of Anthem Insurance Companies, Inc.

HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees.

Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers, Inc. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

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