Claims Overview

Filing your claims should be simple. That’s why Healthy Blue uses Availity,* a secure and full-service website that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. You can use Availity to submit and check the status of all your claims and much more at .

Don’t have an Availity account?

Need help with Availity?

More Resources


Electronic data interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims.

Provider Disputes

You have the right to dispute a claim decision. You may initiate a dispute on your own behalf or on behalf of a covered Individual.

Reimbursement Policies

Reimbursement policies are policies outlining the basic terms for reimbursement of services covered under our members’ benefits plans. You can also find definitions for terms used in the policies and disclaimer for the policies’ use.

Provider Tools & Resources

Interested in becoming a provider in the Healthy Blue Network?

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