Average Ratings

35 Reviews

  • 4 / 5
    Overall

  • 4 / 5
    Ease of Use

  • 4 / 5
    Customer Service

Product Details

  • Starting Price
    Not provided by vendor
  • Deployment
    Cloud, SaaS, Web
  • Training
    Webinars
    Live Online
  • Support
    Online

Vendor Details

  • Availity
  • www.availity.com

About Availity

Manage the revenue cycle with tools that allow you to collect more up front, while streamlining billing and reimbursement.


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Availity Features

  • Accounting Integration
  • Appointment Scheduling
  • Bed Management
  • Claims Management
  • In-Patient Management
  • Inventory Management
  • Medical Billing
  • Out-Patient Management
  • Patient Records Management
  • Physician Management
  • Policy Management

Availity Reviews Recently Reviewed!


Capterra loader

I use Availity to check claim and eligibility status for various insurances.

Jul 10, 2018
4/5
Overall

3 / 5
Ease of Use

4 / 5
Features & Functionality

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
Likely
Extremely
Likely

Pros: I like that I have access to eligibility and claim status for multiple insurance companies in one place. Some of the companies even let you manage your prior auth/referrals through Availity.

Cons: Sometimes Availity fights with me horribly. I would like to be able to use our billing NPI to check the status of claims for all insurance companies, but most require the provider's NPI and that is just more difficult. Also, a few of our newer provider's NPIs are not loaded so I can't check their claim status at all. That is frustrating because some insurance companies won't give you claim status over the phone.

Overall: I give it "Extremely likely" to recommend this product to others because some insurance companies will only deal with you through Availity. You just have no other choice. If that were not the case, I would still give it a 7.

Availity

Dec 21, 2018
4/5
Overall

3 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support
Likelihood to Recommend: 7.0/10 Not
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Extremely
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Pros: pros for Avalility are being able to pull insurance verifications for certain insurance like Florida Blue, and print remits for checks we receive with the EOB attached. its pretty easy to use but the page does seem a little busy so sometimes it can take you a minute to find the link you need to click on if its not one you use all the time. it very easy to setup new employees with access and to do a password reset. the informartion given on the verifications is very helpful and gives more than some of the

Cons: i recevie emails telling me i hav med dos request when i do not use the clearinghouse portion of the software, then a few days later i will get an email saying i dont need to send anything.

Great for verifying insurance coverage for several insurance companies

Feb 12, 2019
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality
Likelihood to Recommend: 8.0/10 Not
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Pros: Easy to check benefits for several major insurances. Information regarding all providers can be updated electronically in an easy to use format. Availity is user friendly and has an intuitive feel.

Cons: Not all of the information I need is available on Availity. However, that very well might be because of what each insurance allows Availity to handle.

Overall: I work at a counseling center and assist in insurance billing. We use Availity to verify benefits for several insurance companies so that we are aware of what to charge each client as they come in. It is straightforward in what it does and has an intuitive feel. It has definitely simplified benefit checks and removed the need to call and have needless wait time while trying to obtain benefit information.

Easy to Use! Fast Results!

Jul 12, 2018
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Extremely
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Pros: We use this software to check insurance eligibility for our patients. Its quick! Has multiple search options to find your patient and the results are easy to understand.

Cons: If there is something that can be considered a con: It would be the verification of information on a quarterly basis. We are a home health agency and not an MD office so navigating through the verification questions are cumbersome.

Overall: Up to date Insurance eligibility answers.

I use it to check patient benefits and submit insurance claims.

Mar 08, 2018
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Pros: It has drop down menus and check boxes that make it virtually impossible to submit the wrong information for insurance billing. It walks me through a claim step by step to allow me to do my chiropractic insurance billing. I also like that it shows me patient benefits with up to date co-pays and deductible information.

Cons: I wish it offered access to more insurance companies. It has the main ones that I use, but there are a few that don't allow me to check benefits and eligibility through Availity.

Overall: Patient benefits information and insurance billing.

Capterra loader

A wonderful resource

Jan 02, 2019
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 8.0/10 Not
Likely
Extremely
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Pros: I really appreciate Availity. Running a practice, it made life so much easier. Before we had to confirm client's Insurance, worry about collections, remember to update insurance info with expiration dates and more when we used an older software. Availity cuts all of that out and allows you way more time to do other things instead of worry about every single detail about charging for sessions. Their customer service is also so great. We could contact them anytime and they would respond very quickly.

Cons: They're slightly expensive and take it out of the payments made to you so if you aren't taking in a lot of money, it may not be your best bet.

Capterra loader

Increases efficiency and flow of patient care

Dec 04, 2018
4/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality
Likelihood to Recommend: 10.0/10 Not
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Pros: Availity helps our office provide excellent service to patients by correctly understand their insurance plan benefits as they relate to the care we provide. We are able to inform patients on financial details at the beginning of their treatment, which they appreciate very much.

Cons: A few times the benefits listed have been completely wrong, creating misinformation for the patient and more work for the office.

Overall: Availity is an integral part of our work flow and a program we use almost every day.

Usually good

Feb 21, 2018
4/5
Overall

5 / 5
Ease of Use

4 / 5
Features & Functionality

3 / 5
Customer Support

3 / 5
Value for Money

Pros: I like the ease of being able to electronically bill several insurance companies at once. It is also nice to be able to retrieve eobs.

Cons: Sometimes bills that show as accepted on the availity portal, somehow disappear before the insurance companies receive them.

Helpful if you know how to navigate!

Aug 01, 2018
4/5
Overall

3 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Pros: This software has a lot of benefits! I use it to get estimates for our patients, check for CCI edits, checking patient eligibility, and much more! The doctors I work for our contracted with lots of insurances so it is nice to be able to access so many of them on one website!

Cons: The only thing negative that I can say about this software is that it takes a little while to learn how to navigate...not the most user friendly site I use! Once you get that part figured out though it is very helpful!

Overall: The doctors I work for our contracted with a ton of insurances and this software helps me avoid having to call insurance companies!

Availity and Me

Dec 18, 2018
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality

5 / 5
Customer Support
Likelihood to Recommend: 9.0/10 Not
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Extremely
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Pros: The option to search for EOB'S , eligibility and benefits.

Cons: The site, while fairly easy to navigate, doesn't provide clear benefits on everyone.

Overall: Over all Availity is a good tool that we will continue to use in our practice.

Best verification

Jan 05, 2017
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Pros: Instant access to eligibility.

Cons: Sometimes the system times out.

Overall: Availity has eliminated denials for our office. Instant response. We also use this portal for claims that we are having trouble getting through our clearing house.

Recommendations to other buyers: Easier access to resubmitting the information.

Capterra loader

One of the better website

Dec 21, 2018
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality
Likelihood to Recommend: 9.0/10 Not
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Pros: I can get information from multiple payors.

Cons: It has changed recently where we can't get if the patient has met there deductible or out of pocket.

Overall: Has been a good experience.

Availity good for many uses

Dec 18, 2018
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality
Likelihood to Recommend: 9.0/10 Not
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Pros: Check claim status

Pull Eobs

Check eligibility

Cons: Doesn't have all of the insurances I work with

Overall: Been fantastic to use, have used in many practices over the year where I have worked.

Easy access and use

Dec 12, 2018
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality

4 / 5
Customer Support

4 / 5
Value for Money
Likelihood to Recommend: 8.0/10 Not
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Extremely
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Pros: Availty is really easy to use. It is nice to be able to check patient eligibility on a few types of insurances in one place. We can access benefits, eligibility, deductibles, claim history...etc. It is great

Cons: I wish more insurances could be added. Also, not all coverage benefit information is available. I wish this could be expanded. It has improved in the past 6 months but missing some key information still.

Overall: Near perfect! I use this weekly!

Capterra loader

Good for Some things, not so good for important stuff

Dec 12, 2018
3/5
Overall

3 / 5
Ease of Use

3 / 5
Features & Functionality

1 / 5
Customer Support

3 / 5
Value for Money
Likelihood to Recommend: 6.0/10 Not
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Pros: Relatively easy benefit checks and good looking portal

Cons: locating detail of past claims is difficult at best, and non-existent most of the time

Overall: Generally ok, it does about 1/2 of the things I need, really well, and the other 1/2 is practically impossible. I can easily locate a patient for a benefit check, but, instead of having a past claims identifier from the same place where I just found the patient, I have to start a brand new search that rarely finds the patient or the DOS I'm looking for. It simply doesn't locate the person, even though I just found them for the benefit check! Also, I would greatly appreciate a distinction between Regence, Premera, and BCBS billing procedures as all three are found through the Availity benefit portal, but they are not distinguished from each-other and that can cause confusion as to what insurance I should bill for chiropractic procedures.

Leaves a Lot to be Desired

Feb 05, 2019
4/5
Overall

3 / 5
Ease of Use

3 / 5
Features & Functionality

2 / 5
Customer Support
Likelihood to Recommend: 7.0/10 Not
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Pros: Once one gets used to Availity, it is not difficult to use. It can be good for looking up eligibility of clients and some benefits, as well as submitting claims. There are tutorials for you to watch to show you how to add payers and payer services.

Cons: There is a definite learning curve to using Availity. It is not as user friendly as many other billing software formats I have used. I really do not like that to ask a question, one has a "support ticket," versus being able to call a customer representative to ask a question. It is annoying, as sometimes one has to clarify problems through several support tickets.

Overall: I bill for client insurances with Availity. The processing of claims sees to go smoothly and this is a plus.

Great tool for healthcare providers

Oct 20, 2017
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality

4 / 5
Customer Support

4 / 5
Value for Money

Pros: Easy to use, can set up multiple users in the practice and very easy to use to bill insurance companies

Cons: Cannot use for all carriers and hey took out the batch cycle.

Availity

Feb 01, 2019
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support
Likelihood to Recommend: 10.0/10 Not
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Pros: It's an easy way to submit my mental health claims and view ERAs.

Cons: Billing statements are moved out after a few months. I wish there were an easy way to access them.

Overall: I haven't had problems navigating availity or submitting my claims through them.

Excellent insurance verification software

Nov 05, 2018
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality
Likelihood to Recommend: 10.0/10 Not
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Extremely
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Pros: Provides accurate insurance eligibility, copay, and coinsurance info for billing.

Cons: Several plans do not use it and I have to go to their individual portals.

Great for verifying benefits

Dec 02, 2018
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Extremely
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Pros: I like that we can quickly verify Chiropractic benefits for many of our patients.

Cons: I have nothing negative to say - we don't utilize all of the available features

Easy to use & great customer service

May 06, 2018
3/5
Overall

5 / 5
Ease of Use

3 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 8.0/10 Not
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Pros: Easy transfer between medical software and their system. Great reporting system & customer service that you can speak to that day.

Cons: System wide payor problems should be corrected & recognized by them. Instead you have to make them aware before its addressed

Overall: Eligibility, Reports, Claim Processing and other medical office task

VERY EASY TO CHECK MY PATIENTS ELIGIBILITY AND BENEFITS , CLAIMS, AUTHORIZATION AND REFERRALS

Jun 07, 2017
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Pros: VERY EASY TO USE , VERY HELPFUL . I USE AVAILITY ALMOST DAILY IT IS NOW BECOME PART OF MY DAILY ROUTINE.

Cons: THE CON WOULD BE THAT WE ARE NOT ABLE TO VERIFY ALL INSURANCE PLANS WE ARE IN NETWORK WITH . NOT ALL ARE LISTED

Overall: EASY ,FAST AND EFFICIENT

Great tool for healthcare providers

Dec 13, 2016
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality

4 / 5
Customer Support

4 / 5
Value for Money
Likelihood to Recommend: 8.0/10 Not
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Pros: Easy to use, can set up multiple users in the practice

Cons: Cannot use for all carriers

Overall: Have been using for over a year. great tools to determine eligibility for provider offices. Can get claim status and outstanding deductibles and use to submit claims for certain carriers.

Availity is confusing, time consuming and frustrating to use.

Mar 13, 2018
3/5
Overall

3 / 5
Ease of Use

3 / 5
Features & Functionality

2 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
Likely
Extremely
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Pros: In comparing Availity with other software of the same type, there are not many things I like about Availity. I can add providers to one log on, that is helpful and efficient. Ease to switch from page to page, provider to provider.

Cons: The info needed to find eligibility on patients is a lot and time consuming. Too many clicks to get around the site. The log on process is laborious and it is too easy to lock yourself out.

Overall: There is no other software out there to find info on Regence patients. They have a monopoly.

Needed for insurance claims

Dec 22, 2018
4/5
Overall

3 / 5
Ease of Use

3 / 5
Features & Functionality

3 / 5
Customer Support
Likelihood to Recommend: 9.0/10 Not
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Pros: It is a good way to get payor reports that my practice management software doesn't give.

Cons: I do not utilize all the functions and the the company calls me frequently to upgrade.

Excellent Billing Software

Oct 03, 2016
5/5
Overall

5 / 5
Ease of Use

4 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
Likely
Extremely
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Pros: Ease and use to check on client benefits and very easy to use to bill insurance companies

Cons: They took out the batch cycle.

Overall: I use Availity to bill most insurance companies. I have not had any problems and it is very user friendly to use with no problems. Customer Service is excellent!

Recommendations to other buyers: Not scary to use for first time therapists opening up their own private practice.

Using Availity

Nov 03, 2016
4/5
Overall

5 / 5
Ease of Use

3 / 5
Features & Functionality

4 / 5
Customer Support

4 / 5
Value for Money
Likelihood to Recommend: 8.0/10 Not
Likely
Extremely
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Pros: comparing it to the software we used previously, it is much cleaner looking. Easier to navigate and search for information.

Cons: nothing so far

Overall: Overall Availity is a great software. We are currently switching from HeW who is merging with Availity and the software is much better than HeW's. More user friendly and easier to navigate.

Recommendations to other buyers: No

Availity

Oct 10, 2018
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
Likely
Extremely
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Pros: This software has been great for assisting staff and I in billing our ins companies. They have been great when the Dr forgets the login --their response time is great!

Cons: The only complaint is the time when they are updating --not great when we work and bill on Saturdays.

Great Idea but flawed

Jan 23, 2019
2/5
Overall

2 / 5
Ease of Use

2 / 5
Features & Functionality

3 / 5
Customer Support

4 / 5
Value for Money
Likelihood to Recommend: 6.0/10 Not
Likely
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Pros: I use Availity mainly to verify insurance eligibility and benefits. I like that it is quick to access and find the information.

Cons: The biggest problem is that the information is incomplete or false. It often creates a situation where the information is searched on Availity and then a phone call to the insurance carrier is still needed. This ends up causing more wasted time.

Overall: I would say my experience was overall positive with using Availity but at times increased my frustration.

Great for statusing claims

Nov 14, 2018
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 10.0/10 Not
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Extremely
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Pros: This is a great tool when it comes to having a real time claim status on our claims. Its shows up paid or denied and if so why.

Cons: Only thing I have is I wish we had it sooner.

I work in a dental office and find the site laid out poorly

Sep 29, 2017
1/5
Overall

1 / 5
Ease of Use

2 / 5
Features & Functionality

2 / 5
Customer Support

1 / 5
Value for Money

Pros: The only pro that I can come up with is that I can find the patient that I am looking for and there is lots of information.

Cons: I need a basic rundown of benefits- too much time spent to scroll through the benefit booklet . Searching for payment is also difficult

Overall: Very limited. I can find a ton of information but I have to really search for it

MESSY

Dec 13, 2018
3/5
Overall

3 / 5
Ease of Use

3 / 5
Features & Functionality
Likelihood to Recommend: 5.0/10 Not
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Pros: THE INTENTIONS OF AVAILITY ARE POSSITIVE...

Cons: THE SITE ITSELF IS MESSY AND CONFUSING. VERY HARD TO GET COMPLETE INFO NECESSARY.

clear instructions

Feb 28, 2018
4/5
Overall

4 / 5
Ease of Use

3 / 5
Features & Functionality

3 / 5
Customer Support

5 / 5
Value for Money
Likelihood to Recommend: 6.0/10 Not
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Extremely
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Pros: When using this for multiple insurance companies, the ease of use is excellent for saving me time. They update all of my companies at once.

Cons: They do not support all of the insurance companies that I contract with, so I still have to have multiple log ins and locations for information.

Overall Availity is a great software. We are currently switching from HeW who is merging with Availi

Oct 19, 2017
4/5
Overall

4 / 5
Ease of Use

4 / 5
Features & Functionality

4 / 5
Customer Support

4 / 5
Value for Money

Pros: Pros: comparing it to the software we used previously, it is much cleaner looking. Easier to navigate and search for information.

Cons: Cons: I need a basic rundown of benefits- too much time spent to scroll through the benefit booklet . Searching for payment is also difficult

Availing is a must have!

Nov 03, 2016
5/5
Overall

5 / 5
Ease of Use

5 / 5
Features & Functionality

5 / 5
Customer Support

5 / 5
Value for Money

Comments: It is very easy to get insurance eligibility and claim information for many payers. I use it all day and highly recommend it!