ConnectiCare is making it easier to submit claim reconsideration requests, appeals, and disputes in the Availity Essentials provider portal. These updates are designed to improve routing accuracy and reduce processing delays.
What’s changing
- Simplified submission screen to reduce steps and improve clarity
- Enhanced attachment handling, including
- The ability to select an attachment type
- Improved organization of uploaded documents
- Automatic routing of attachments to the appropriate team
- Select from two options:
- Claim reconsiderations – your request will be routed to the claims department for review. This option allows you to include more attachments than previously, and you will receive a response with the outcome of the review.
- Appeals – your request will be routed directly to the appeals department for review and processed through the standard regulatory appeal process. If you submit medical records and select the document type "Medical Records," your request will automatically be routed to the appeals department, regardless of the option selected.
How does this help you
- Reduces submission errors and rework
- Ensures supporting documentation reaches the right team the first time
- Improves processing efficiency and turnaround time
- Provides a more intuitive and streamlined submission experience
Training opportunities
Access on-demand training anytime to explore all the features that Availity Essentials offers. Sign in to Availity Essentials and click Help and Support | Get Trained. Make sure your browser allows pop-ups from:
- apps.availity.com
- availity.com
- learnupon.com
If you do not currently use Availity Essentials, you can registerfor an account. If you need help with registering, call Availity Client Services at 800-AVAILITY (282-4548).
