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Streamline provider workflows, improve collaboration, and reduce administrative waste

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Payers across the country have selected Availity Essentials™ as their exclusive provider portal, leveraging the power of Availity’s network – 3 million credentialed providers processing 13 billion transactions a year—to reach 170 million covered lives instantly.

By taking advantage of a multi-payer provider portal, you can redirect staff toward high-impact work—boosting Stars/HEDIS scores, launching value-based-care programs, staying audit-ready, fixing provider-data accuracy, and containing costs.

With Availity, you leverage:

Robust security infrastructure

Industry-leading 5-day recovery, with an air-gapped backup environment that ensures business continuity for 95 % of payers and 3.4 million providers, even after catastrophic cyber events.

Role-based registration

Access and permissions are tied to each user’s job function, so a biller, coder, or front-desk rep sees only the tools and data they need.

Multi-payer approach to product innovation

New capabilities (e.g., API-powered prior auth, enhanced claim appeals) are co-designed with peer health plans and rolled out to the entire network, eliminating one-off development costs.

Ongoing product training and communications

On-demand tutorials, live webinars, and in-portal tips keep providers up to speed.

Collaboration with peer health plans on best practices

Payers share compliance insights and benchmark workflows, strengthening the shared roadmap for everyone.

A proven track record of reducing call center volume and increasing provider satisfaction.

Providers: Get started with Essentials

If you’re a healthcare provider and want to register to use Essentials to work with your payers, visit our training site to get started. Gain real-time access to eligibility, claims status, remittance details, appeals, and more-all in one centralized portal.

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Essentials Provider Workflows

Availity’s ongoing investments in the following administrative workflows reduces provider reliance on manual processes to drive adoption.

Eligibility and Benefits

•   Verify patient eligibility and benefits in real-time
•   View member ID cards
•   Send care reminders
•   Access additional benefits information
•   Estimate patient costs

Prior Authorizations

•   Check authorization requirements
•   Track status via authorization dashboard
•   Submit prior authorizations with medical attachments

Claims and Remittance Management

•   Submit claims electronically
•   Check claim status
•   Attach supporting medical documentation
•   View remittance
•   Submit and track claim appeals
•   Communicate on claim overpayment

Communication and collaboration

•   Receive and send secure messages and notifications
•   Eliminate paper-based communication with the Digital Correspondence Hub
•   Engage via plan-specific Payer Spaces

Case Study

Mitigating Cost and Abrasion with Electronic Claims Submission

One of the largest health insurance plans in the South and Availity, the nation’s largest real-time health information network, recently collaborated to eliminate the submission of paper claims by the health plan’s provider network.

Read the study

How a Health Plan Closed Care Gaps and Increased Provider Engagement with Electronic Clinical Quality Validation

A leading health plan partnered with Availity to implement a fully digital solution for capturing clinical data and collaborating with providers. The result: reduced fax-based outreach, faster execution of quality programs, and improved provider satisfaction through stronger digital engagements.

Fill out the form below and we will follow up to help you get started with Availity Essentials and explore how to improve your provider engagement strategy.           

It’s time to find a better way with Availity and build the foundation for smarter, more connected care through a trusted, scalable multi-payer provider portal.