Learn about Availity

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

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity’s multi-payer features and our payer spaces applications. Use our library of self-paced courses and instructor-led training sessions, available [24/7] at no cost. Be prepared with the knowledge to assist our consumers.

Launch provider hub now

Availity offers

Patient registration

• Get real-time patient eligibility and benefits, including current and historical coverage information, plus detailed co-insurance, co-payment, 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 the Anthem Blue Cross and Blue Shield (Anthem) innovative utilization management (UM) feature within 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 & 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 applications

• Research procedure code edits and receive edit rationale with Clear Claim Connection
• Access job aids, reference guides, and educational videos through Custom Learning Center
• Locate important policies and forms in the Education and Reference Center
• View images of Anthem paper remits from the past 24 months through 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

Availity Organization and Maintenance

To change administrators:

Please call Availity Client Services at 1-800-AVAILITY (1-800-282-4548).

Call:

1-800-AVAILITY (1-800-282-4548).

To update organization information, if you’re an administrator:

• Log in and use the “Maintain Organization” feature.

You’ll be able to change your organization's address, phone number, tax ID, and NPI. Any changes made will automatically apply to all Availity users.