Provider Service Center
Provider Implementation Hub
Delivering a seamless provider experience with our partners Availity and Zelis.
Participating and Non-Participating Providers
Non-participating providers must register with Availity to:
- Check Eligibility and Benefits
- Claim Submission and Status
- Authorizations
All providers can access full payment details through our partner, Zelis.
Visit ePayment Center Enroll for Zelis ACH Register for AvMed EPC
Submission Requirements for Claims
Non-Participating Providers must register and update tax information with AvMed Health Plans using the Non-Participating Provider Registration Form.
Claims received without receipt of the Non-Participating Provider Registration Form first will be rejected. Once confirmation has been received that the enrollment form has been processed, claims can be resubmitted.
If this is your first time submitting a claim through this method, include a completed Form W-9 with your submission. Claims received without the required W-9 may be rejected and may need to be resubmitted, which could delay payment.
Simplify Your Day-to-Day Administration
Provider News
Stay up-to-date on the latest healthcare news, policies and even access training.Forms
Find appeal forms and more to keep patient care moving.Medical Coverage Guidelines
Take a closer look at our policies on a range of different care options and therapies.
Provide Care within the AvMed Network
Join the AvMed network of providers and start the credentialing process by completing the interest form.
Provider Manuals
View or download the provider manuals for a deeper understanding of our processes.