• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Vaya Health

Vaya Health North Carolina

  • Learning Lab
    • Forms
    • Search all documents
    • Provider Operations Manual
    • 2019 Provider Summit
    • In Person Trainings & Events
    • Online Trainings
    • Provider Communication Bulletins
      • Communication Bulletins Archive
  • Authorization & Billing
    • Member Eligibility & Enrollment
    • Coverage Info
    • Authorization Info
      • Authorization Guidelines
      • SAR Process
      • EPSDT
      • Peer Review
    • Member Appeals
    • AlphaMCS
    • Claims
      • Claims Submission
      • Claims Adjudication
      • Claims Denial – Reconsideration
      • Rate and Checkwrite Schedules
  • Network Participation
    • Provider Enrollment
    • Credentialing
    • Relative as Direct Support Employee
    • After-Hours Coverage
    • Crisis Services Continuum
    • Hospital Information
      • Billing for Emergency Services
      • Hospital Enrollment
      • Peer Bridgers
  • Program Integrity
    • Fraud, Waste & Abuse
    • Monitoring
      • AFL Update Form
    • Incident Reporting
    • Performance and Quality
  • Population Health
    • Integrated Care
    • Vaya Total Care
    • Transitions to Community Living
      • TCLI Member Stories
  • VAYAHEALTH.COM
  • Show Search
Hide Search

Authorization & Billing

Vaya Health’s commitment to our network providers includes ensuring you have the information you need to fulfill our authorization and billing requirements both accurately and efficiently.

Service authorization, including authorization requests and clinical oversight, is managed by our Utilization Management Department. Billing issues, including claims submission and adjudication, are overseen by the Claims and Reimbursement Department. This section also includes information on topics including member eligibility and enrollment, member appeals, AlphaMCS, claims denial reconsideration requests and Vaya’s rate and checkwrite schedules.

For additional authorization and billing resources, visit our Provider Learning Lab. The Forms page includes a comprehensive list of forms, worksheets and tools designed to serve you. Or, use our document search tool to quickly locate forms and other resources by entering one or more simple key words.

Visit individual pages within this section for additional information. Please check back frequently to make sure you have the most up-to-date information and documents you need as a network provider.

Primary Sidebar

  • Vaya Health
  • Learning Lab
  • Events
  • Contact
  • Authorization & Billing
    • Eligibility & Enrollment
    • Coverage Information
    • Authorization info
    • Member Appeals
    • AlphaMCS
    • Claims
Facebook Twitter Linkedin

Copyright © 2019 · Vaya Health · All rights reserved