Submit Multiple Clinical Claim Appeal Requests Online 

05/04/2022

Starting on May 22, 2022, providers will have the option to electronically initiate one clinical claim appeal request for multiple claims when it is for the same patient and denial reason using the Availity® Claim Status tool.

As a reminder, a Clinical Appeal is a request to change an adverse determination for care or services when a claim is denied based on lack of medical necessity, or when services are determined to be experimental, investigational, or cosmetic.

Using this online offering allows the following:

  • Status management
  • Upload of clinical medical records with submission
  • View and print confirmation and decision letter  
  • Generates Dashboard view of appeal-related activity

Training and Resources

If your provider organization is not yet registered with Availity, you can sign up today at Availity Essentials, at no charge. For registration assistance contact Availity Client Services at 1-800-282-4548.

This information is not applicable to Medicare Advantage, Texas Medicaid, or BlueCard® (out-of-area) claims.

 

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.

Please send us your question so a licensed agent can contact you.

Please enter a valid first name

Please enter a valid last name

Please enter a valid phone number

Please enter a valid email address

How would you prefer to be contacted?

Please enter a question

You must be at least 18 years old to submit a request.

*Required

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

We can send you an email with information on our health care plans.

Please enter a valid first name

Please enter a valid last name

Please enter a valid email address

Please enter a valid phone number

If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have.

You must be at least 18 years old to submit a request.

*Required

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

Please select the product you are interested in:

Please enter a valid first name

Please enter a valid last name

Please enter a valid email address

Please enter a valid date of birth (MM/DD/YYYY)

Please enter a valid city

Please select a state

Please enter a valid zip code

Please enter a valid phone number

You must be at least 18 years old to submit a request.

*Required

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.