Resources overview
We are committed to supporting you with the necessary resources to facilitate providing quality care and services to the enrollees in our network.
Provider resources
Utilize our selection of resources to access frequently used forms, reference materials, provider manuals and guides, prior authorization information, clinical practice policies, and other support for delivering benefits to our enrollees.
Forms
From office administration to patient care — Our Forms page offers quick access to the documents you use the most.
Training Academy
The Training Academy offers webinars, CME courses, orientations, tutorials, and more to support providers in continuing their education.
Policies, guidelines, and manuals
Our provider manuals and guides provide key information and support for delivering benefits to our enrollees.
Prior authorizations
Check which services require prior authorization using the Prior Authorization Lookup Tool and submit requests through Availity Essentials, fax, or phone.
Learn about Availity Essentials
Availity Essentials simplifies provider transactions such as prior authorization requests, electronic data exchange, claim submission and status, and enrollee benefit and eligibility inquiries.
Medical Policies and Clinical UM Guidelines
Medical Policies and Clinical Utilization Management (UM) Guidelines help us determine if a procedure is medically necessary.
Interested in becoming a provider in the Wellpoint District of Columbia network?
We look forward to working with you to provide quality service for our enrollees.