BENEFITS, ELIGIBILITY & CLAIMS
Availity
Availity is our secure provider portal, which makes it easy for you to do business with us. The system is online all the time, offering faster prior authorizations, claims decisions and more.
Sign on today to:
- Enroll a provider
- Check benefits, eligibility and coverage details
- Manage prior authorizations and review claims status
- View fee schedules and remittance advice
- Change a BlueCare Tennessee or CoverKids patient’s primary care provider
- Manage your contact preferences
- Review Quality program reports and attest to closing gaps in care
- File inquiries, reconsiderations and appeals
Once you’ve enrolled, you’ll also be able to do business with other health plans that use Availity – all from one convenient sign-on.
EFT & ERA ENROLLMENT
Change Healthcare’s Payer Enrollment Services
Change Healthcare’s Payer Enrollment Services portal simplifies and streamlines the EFT and ERA enrollment processes – helping to improve administrative efficiency and save time.
CREDENTIALING
CAQH ProView
CAQH ProView is more than a credentialing database. CAQH ProView eliminates duplicative paperwork with organizations that require your professional and practice information for claims administration, credentialing, directory services, and more.
ELECTRONIC DATA TRANSFER
Blue CORE
We offer Blue CORE, our CAQH-certified system, to providers who want enhanced levels of automation. Similar to Availity, it provides benefits, eligibility and claim status information.
Register for a Medicaid ID
The Division of TennCare requires all providers caring for patients enrolled in TennCare to get a Tennessee Medicaid ID. You need this ID before we’re able to process claims for payment.
