Eligibility, Claims and Reimbursement Resources
Check claims and eligibility information
You can access this information online or via interactive voice response (IVR)
Availity Portal – File claims and get quick online access to eligibility and claims status for your
UniCare patients. You’ll also find benefits information and the status of the yearly deductible. If you’re
not already registered on Availity, register now.
24-hour IVR Access – Use our interactive voice response (IVR) system for claims and eligibility information for your patients who are UniCare State Indemnity Plan members.
Get detailed benefits information for UniCare members.
Check reimbursement policies
Check UniCare’s reimbursement policies.
Important information about paper claims requirements –
UniCare will return incomplete paper claims submitted
on professional provider CMS 1500 Form (02/12 version) and institutional
provider UB-04 Forms. Providers should ensure that paper claims are complete and follow data element
usage, required fields, and valid code sets as defined in the National Uniform Claim Committee CMS-1500
Health Insurance Claim Form Reference Instruction Manual and the National Uniform Billing Committee
Official UB-04 Data Specifications Manual.