MVP Payer Space
MVP Payer Space in Availity Essentials gives Providers access to payer-specific resources, tools, and applications. When available, Providers can open MVP applications from Availity without having to sign in again.
Available in Availity Essentials
Availity Essentials is your source for self-service tools, resources, and support. Through Availity Essentials, Providers can access tools MVP has built or licensed from Availity to help streamline administrative tasks. MVP will continue to add new functionality over time.
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The Eligibility and Benefits Inquiry in Availity enables users to submit patient benefit inquiries and receive detailed benefit information directly from MVP in real-time.
- Member Search — Saves time by enabling users to find and select the right MVP Member before checking eligibility and benefits
- Additional Benefits — Available from the Eligibility & Benefits Inquiry results, MVP provides benefits details for the Member’s coverage, including copay, coinsurance, and deductible by service category
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Claims & Encounters Application
The Claims & Encounters application lets users submit Professional (837P) and Facility (837I) claims electronically without third-party billing software. Users can save templates for repeat services or patients, submit secondary and tertiary claims, and send corrected or replacement claims by selecting Frequency Type “7 – Replacement of prior claim.”
Quick Claims Application
The Quick Claims application is designed for smaller practices seeing the same patients or providing the same services on a weekly or monthly basis. It can only be used to submit Professional Claims (837P). It provides a very concise claim form, and templates features that allow for fast claim submissions.
Requirements to use Quick Claims:
- The claim contains no more than 50 service lines and does not have any attachments.
- The claim has two or fewer diagnosis code pointers per service line.
- The patient has only one insurance carrier.
- The patient has agreed to allow the payer to pay the Provider for services.
- The patient’s release of information is on file at the service Provider or utilization review organization.
- The patient’s signature is on file using the authorization form for CMS-1500 claim form block 12 and 13.
- No ancillary claim or treatment information needs to be included.
- No additional claim information needs to be included, such as:
- EPSDT referral information
- Onset date information
- Workers’ compensation
- Hospitalization
- Anesthesia information
- Condition codes
- No additional service line level information needs to be included, such as:
- Claim line notes
- National drug codes
- Durable medical equipment information
- SME certificate of medical necessity information
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The Claim Status application enables users to look up the status of previously submitted claims to track their progress and view detailed claim processing information, delivered straight from MVP.
- MVP displays additional service line claims detail within Availity claims results, including payment amounts, adjustment and denial codes and explanations, and more.
Current MVP Payer Space Applications
Find MVP and third-party applications in one convenient place within Availity Essentials. Below is a list of the current applications available in MVP Payer Space.
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Allows Providers to enter Member, Provider, and service details to determine whether MVP requires prior authorization before services are delivered, helping confirm requirements earlier. Providers are given a reference number for the prior auth verification in case they need to contact MVP. We recommend printing or saving the results as a PDF and storing in the EMR or similar systems for documentation purposes.
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Gives Providers access to clinical criteria that support evidence-based medical necessity reviews, care decisions, and documentation preparation.
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Allows Providers to access attribution lists, registries, Member insights, and care gap data to identify quality improvement opportunities and manage patient populations.
Learn more about MVP Insights by Arcadia
Questions? Contact the MVP Arcadia Analytics Team at mvpinsightssupport@mvphealthcare.com or your MVP Provider Partnership Liaison.
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Connects Providers to Avalon to submit and manage genetic testing prior authorization requests and review guidance on coverage and requirements.
Learn more about Precision Genetic Testing Management (PGTM)
Questions? Contact Avalon’s Call Center at 1-844-227-5769.
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Connects Providers to Optum to submit medical oncology prior authorization requests and manage authorization requirements for applicable oncology services.
Questions about Optum Oncology prior authorization? Contact the Optum Oncology Customer Care Center for Provider Services at 866-654-7432, Monday through Friday, 7 a.m.–7 p.m. Eastern Time.
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Zelis provides full transparency and simple access to payment and remittance information TINs through an easy-to-use platform. This streamlines claim payments by reducing manual tasks and operational expenses while speeding up Provider cash flow.
Learn more about Zelis.
Questions about Zelis payments? Contact Zelis Payments Customer Support at 877-828-8770 for payment status, payment method, account information, portal assistance, EOR copies, 835 setup, payment research, reversals, refaxing payments, or reissuing checks.
Frequently Asked Questions
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Why has MVP partnered with Availity?
Availity Essentials provides a singular Provider experience for checking eligibility and benefits, managing claims, and completing other secure administrative tasks for MVP. MVP is partnering with Availity to make transactions easier and simpler and reduce administrative burden. MVP will continue investing in increasing the features and functionality available to Providers in Availity Essentials.
What is Availity Essentials?
Availity Essentials is an online, multi-payer portal that gives Providers, hospitals, and other health care professionals access to multiple payer information with your own secure user ID and password.
If I am already utilizing Availity, what steps should I take next?
If you are using Availity, please continue to use your existing account. Providers can search for MVP Members to check eligibility and benefits, submit claims, check claims status, and access tools for prior authorization and additional resources in MVP's Payer Space in Availity.
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If I don’t currently use Availity, how do I register?
To get started with Availity, your organization must first designate an administrator for your office. The administrator is required to register with the organization and will be responsible for adding new users to the group’s account.
How do I register as an organization administrator?
If you are the administrator for your organization, you first need to register a user account. Go to availity.com and select Portal Login in the upper-right corner, then select Create Account. For registration training, refer to Availity’s Provider registration training site.
Are there any additional resources for new users?
Yes, reference the Help Center for step-by-step instructions.
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How do I contact Availity Client Services if I have specific questions?
For additional registration support, contact Availity Client Services at 1-800-282-4548, 8 a.m. to 8 p.m. ET, Monday through Friday.
Is Availity Essentials free?
Yes. Providers can transact with sponsoring health plans on Availity Essentials for free. MVP is a sponsoring health plan on Availity Essentials.
Does Availity offer training for new users?
Availity provides many training resources for new users to help you work with MVP on Availity Essentials. After logging into Availity Essentials, select Help & Training, then Get Trained to access live and recorded webinars.
Are there future enhancements planned?
Yes. Phase 2 deliverables for Availity in Q1–Q2 2027 include: Claim Appeals, Enhanced Claim Status API, Enhanced Eligibility & Benefits (Member ID card and Fee Schedule), Authorization Transaction x12 278, Authorization Inquiry Services Review (Is Auth Required and Auth/Referral Dashboard), Enterprise Attachments (275), Secure Messaging with CRM integration, and Provider Search.
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When will you turn off my MVP Provider Online Account?
MVP understands the importance of a smooth transition and will not sunset the current Provider portal until Providers have fully transitioned to the new Availity portal.
Should I continue using my current MVP Provider Online Account during the transition to Availity?
Yes, Providers can continue using their current MVP Provider Online Account as they do today.
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What are Payer Spaces Applications?
Payer Spaces Applications are tools available within MVP’s Payer Space in Availity Essentials. They give Providers access to MVP-specific resources and transactions from one secure location.
Where do I find MVP’s Payer Space Applications?
After logging in to Availity Essentials, select Payer Spaces, choose MVP Health Care®, and review the available applications and resources in the MVP Payer Space.
Which MVP tools are available through Payer Space Applications?
Providers can use MVP’s Payer Space to access key tools and resources, including eligibility and benefits, claims-related information, prior authorization resources, and other MVP-specific applications as they become available.
Do I need separate login credentials for MVP’s Payer Space Applications?
No. Providers can use their existing Availity Essentials user ID and password to access MVP’s Payer Space and available applications. Access may vary based on the permissions assigned by the organization’s Availity administrator.
Who manages user access to MVP’s Payer Space Applications?
Your organization’s Availity administrator manages user access and permissions. If you do not see an MVP application you need, contact your administrator to confirm your role and access settings.
What should I do if an MVP application is not working or does not appear?
First, confirm that you are in MVP’s Payer Space and that your organization’s administrator has assigned the correct permissions. If the issue continues, contact Availity Client Services for support.
Educational Resources
MVP Availity Essentials Provider Portal User Guide
Availity Learning Center User Guide
Availity Learning Center (ALC) User Guide
Availity Learning Center (ALC) User Guide
Availity Learning Center (ALC) Overview Video
Contact Information
| Contact Availity Client Services when you need help with: | Contact MVP when you need help with: |
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| Registering for Availity Essentials or creating an account | MVP benefits, coverage, claims, or prior authorization questions |
| Managing user access, roles, or permissions in Availity | Questions about MVP workflows or how to use MVP-specific tools in Payer Space |
| Troubleshooting login, navigation, or technical issues in Availity Essentials | Support from your Provider Partnership Liaison or Provider Relations Representative |
| Accessing Availity Help & Training resources | Questions about MVP Payer Space applications, including prior authorization check resources, clinical decision support, and population health tools |
Availity Client Services
For additional registration support, contact Availity Client Services at 1-800-282-4548, 8 am to 8 pm ET, Monday through Friday.
MVP Provider Services
Refer to our Contact Us page to find your designated MVP Provider Partnership Liaison or Provider Relations Representative.