MedicaidAdministrativeLow impact
[Virginia] How to locate the UM denial letter in Availity Essentials
Anthem BCBS·VA·Provider Bulletin
Effective date
May 27, 2026
We identified it
May 28, 2026
Summary
This is an instructional bulletin from Anthem Virginia Medicaid explaining how to locate UM (Utilization Management) denial letters within the Availity Essentials portal. The policy clarifies that denial letters are filed under authorization cases, not in the Claims section, and provides step-by-step navigation instructions for providers to access these documents.
Action Required
By June 2026: Billing team and administrative staff should review this instructional bulletin and update internal workflows or staff training documents if currently directing staff to search for UM denial letters in the Claims section of Availity Essentials. Ensure all staff accessing Anthem Virginia Medicaid authorizations know to navigate to Attachments/Correspondence/Letters within the authorization case itself. No system changes required, but process clarification may prevent delays in locating denial documentation.