Learn about Availity

Did you know Availity simplifies provider transactions such as HIPAA, administrative and clinical data exchange, and payer tools? Our secure multi-health plan portal gives you easy access to all the things you need.

Availity can help you with:

Patient registration

• Get real-time patient eligibility and benefits, including current and historical coverage information, plus detailed co-insurance, copay and deductible information.
• Submit secure, online authorizations or check the status of existing ones with our Interactive Care Reviewer.

Prior authorizations

Interactive Care Reviewer (ICR) is our innovative utilization management (UM) feature that allows you to:

• Submit prior authorization requests, clinical information and receive status updates without having to pick up a phone or fax any information.
• Have instant access to all submission records from any location at any time of day.
• Create and submit UM prior authorization cases quickly by attaching clinical documents for review.
• Automatically authorize more than 40 common procedures.

Claims and payment

• Find everything you need to take care of your patient’s needs, including claim submissions, detailed payment information, claim payment disputes and appeals.
• Submit your medical records electronically when requested to support a pending or denied claim, including an itemized bill and requested medical records.

Payer Spaces

• Research procedure code edits and receive edit rationale with Clear Claim Connection.
• Access training and educational videos through Custom Learning.
• Locate important policies and forms in the Education and Reference Center.
• View images of paper remits from the past 15 months in Remittance Inquiry.
• Get a thorough snapshot of your patient's health and treatment history that now includes gaps in care and care reminders with Patient360.
• Access your proprietary reports such as member rosters in Provider Online Reporting.