To register and add Availity as your EDI Clearinghouse click on the below link.
Select Online Provider Enrollment Tool at the bottom of the page
Click Start, resume, or check the status of an application for revalidation or enrollment.
Select Enrollment Application
New enrolling providers will receive status notifications via email, as well as an email welcome packet. Be sure to fill out the Trading Partner Agreement Form with the following information:
Submitter ID: 9961041
Billing/Agent/Clearinghouse/Provider Name: Availity LLC
COTXIX_MEDICAID COLORADO_837835_092024.pdf