Learn about Availity

Availity simplifies provider transactions such as electronic data exchange, prior authorization requests, claim status, and member inquiries.

Attention Kansas Providers: Availity tools and services will be available for use beginning December 15th, 2024. Please contact our Provider Services team for more information.

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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?

Register free now     

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.

 

Launch Provider Learning Hub 

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

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality service for our members.

 

Join our network