Availity
Senior Whole Health, LLC (“SWH”) is partnering with Availity to help reduce administrative resources by eliminating paperwork and phone calls. Availity Essentials (formerly known as the Availity Portal) is a secure, multi-payer site where providers can check eligibility and benefits, manage claims, submit prior authorizations, and complete other secure administrative tasks for SWH.
Senior Whole Health Availity Introduction Letter
Claim dispute (appeal) enhancement
Changes to Reconsiderations Process on Availity Essentials
Prior Authorizations Application Update
MCG Cite AutoAuth Provider QRG
MCG Cite AutoAuth Video (Provider would start Prior Authorization via the SWH Payer Space on Availity)
Availity Essentials Provider Portals Overview for Senior Whole Health Providers
Availity Secure Messaging from Claim Status
Provider Training (will require Availity Essentials log-in)
Availity Essentials Provider Portal Overview for Molina Providers - Recorded Webinar
Claim Status recorded training-availitylearning.learnupon.com/catalog/courses/3374979
Authorization Request and Follow-up for Molina Healthcare Providers
Recorded Webinar here (must be logged into Availity)
Provider Overpayments
To request a claims retraction please utilize this form. A copy of overpayment letters sent to providers and all overpayment details are now available in the Availity Provider Portal. In the Overpayment Application section, providers can make an inquiry, contest an overpayment with supporting documentation, resolve an overpayment, or check status. This is Senior Whole Health's preferred method of communication.
Availity Provider Overpayments Guide
Availity Contact Number: (800) 282-4548 (Monday - Friday 8 a.m. - 8 p.m.)
Website: Availity.com/MolinaHealthcare
FAQs and Helpful Resources including training and registration help can be found on the right side of Availity.com/MolinaHealthcare