Learn about Availity Essentials

Anthem providers have access to Availity Essentials, a secure, multi-health plan platform offering quick access to clinical tools, member data, and health plan information. Availity Essentials simplifies provider transactions such as electronic data exchange, prior authorization requests, claim status, and member inquiries.

Availity Essentials tools and features

Check out Availity Essentials for tools to help with patient care. Some of the features include:

Benefits and eligibility

• Get real-time member eligibility and benefits.

Prior authorization

The Availity Essentials Authorization Request is a utilization management tool that allows you to:

• Submit prior authorization requests and receive status updates.
• Attach clinical documentation.
• Report a member’s pregnancy.

Claims & payment

• Access claim status and payment details.
• Submit documentation to support a pending or denied claim.

Other resources

Several other tools and resources are available in the Payer Spaces section of Availity Essentials:

• Clear Claim Connection: Research procedure code edits
• Remittance Inquiry: View, print or save a remittance advice from the past 24 months.
• Total Member View: Access a member’s health and treatment history.
• Provider Online Reporting: Generate custom reports, including member rosters.