Learn about Availity
Availity simplifies provider transactions such as electronic data exchange, prior authorization requests, claim status, and member inquiries.
Availity tools and features
Providers for Healthy Blue have access to Availity, a secure, multi-health plan website offering quick access to clinical tools, member data, and health plan information. Availity simplifies provider transactions such as electronic data exchange, prior authorization requests, claim status, and member inquiries.
Benefits and eligibility:
- Get real-time member eligibility and benefits, including co-insurance, copayment, and deductible information
- Submit or check status of authorizations
Availity Authorizations
Availity Authorizations is a utilization management tool that allows providers to:
- Submit prior authorization requests
- Review previous submission and receive status updates
- Attach clinical documentation for utilization management (UM) review
- Report a member’s pregnancy
Other resources
Several other tools and resources are available in the Payer Spaces section of Availity:
- Alerts Hub: Primary care physicians (PCPs) can access a list of patients with recent clinical events
- Clear Claim Connection: Research procedure code edits and receive edit rationale
- Custom Learning Center: Find job aids, reference guides, and educational videos
- Remittance Inquiry: Access, print, or save a remittance advice from the past 24 months
- Patient360: Access a member’s health and treatment history, including care reminders and gaps in care
- Provider Online Reporting: Generate custom reports, including member rosters
- Precertification Lookup Tool: Check if preauthorization is required
Availity access
The Availity website offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.
With Availity, you can:
Request authorizations
Submit claims
Confirm eligibility
Don't have an Availity account?
Learning opportunities
Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.
Availity account maintenance
To update organizational information, log in to Availity as an administrator and select the Maintain Organization option. To change administrators, please call Availity Client Services.
Availity Client Services
Call: 800-282-4548