--- title: "Availity Software Pricing, Alternatives & More 2026 | Capterra" description: "With the help of Capterra, learn about Availity Software - reviews, pricing plans, popular comparisons to other Human Services products and more." source_url: "https://www.capterra.com/p/68854/Availity/" page_type: "product" language: "en" publication_date: "2026-11-04" --- # Availity Software Review 2026: Features, Integrations, Pros & Cons Last updated on November 4, 2026 Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Description](#description)[Use cases](#use-cases)[Alternatives](#alternatives)[FAQs](#faqs)[Features](#features)[Pricing](#pricing)[Integrations](#integrations)[Support](#support)[Reviews](#reviews) Availity ## What is Availity? Business solution platform that assists health care professionals with managing patient health records, claims, revenue and more. ## What is Availity used for? [Hospital Management](https://www.capterra.com/hospital-management-software/)[Human Services](https://www.capterra.com/human-services-software/) Top alternative Featured Overall rating Based on 155 user reviews Reviews sentiment Positive 66% Neutral 12% Negative 21% Contact vendor for pricing Free trial not available Free version not included Capterra Shortlist charts the highest-rated and most popular products... Our "Best of" badge program showcases products with the highest ratings... Our "Best of" badge program showcases products with the highest ratings... Do you work for Availity?[Manage this product listing](https://www.g2.com/products/availity/claim_requests/new?auto=true) ## Compare with a popular alternative Capterra selects software alternatives based on relevant features, verified user reviews and user interactions. Placement may be influenced by client status. ### Availity 3.7 (155) VS. [4.4 (214)](https://www.capterra.com/p/45512/ZirMed/reviews/) Starting Price Contact vendor Starting Price Contact vendor Free Trial Free Version Pricing Options Free Trial Free Version Ease Of Use 3.6 (155) Ease Of Use 4.4 (73) Value For Money 3.7 (105) Value For Money 4.2 (60) Customer Service 3.3 (118) Customer Service 4.3 (72) ## Availity alternatives [eHospital Systems](https://www.capterra.com/p/138518/eHospital-Systems/) [4.9 (73)](https://www.capterra.com/p/138518/eHospital-Systems/reviews/) Starting price Contact vendor for pricing Pricing Options Free Trial Free Version User Rating 100% of reviewers rated it above 4 stars [Learn More](https://www.capterra.com/p/138518/eHospital-Systems/) [MocDoc HMS](https://www.capterra.com/p/161290/MocDoc-HMS/) [4.9 (45)](https://www.capterra.com/p/161290/MocDoc-HMS/reviews/) Starting price Contact vendor for pricing Pricing Options Free Trial Free Version User Rating 100% of reviewers rated it above 4 stars [Learn More](https://www.capterra.com/p/161290/MocDoc-HMS/) Highest Rated [MedQR](https://www.capterra.com/p/10038767/MedQR/) [5.0 (2)](https://www.capterra.com/p/10038767/MedQR/#reviews) Starting price Contact vendor for pricing Pricing Options Free Trial Free Version User Rating 100% of reviewers rated it above 4 stars [Learn More](https://www.capterra.com/p/10038767/MedQR/) [Administrator Plus](https://www.capterra.com/p/22867/Administrator-Plus/) [4.8 (5)](https://www.capterra.com/p/22867/Administrator-Plus/#reviews) Starting price $10000.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 100% of reviewers rated it above 4 stars [Learn More](https://www.capterra.com/p/22867/Administrator-Plus/) [View all alternatives](https://www.capterra.com/p/68854/Availity/alternatives/) ## FAQs about Availity Overview ### What problems does Availity solve? Availity solves the time-consuming work of checking patient eligibility, benefits, claim status, payment remittances, and explanations of benefits across separate payer portals or phone calls. Provider-office staff, billing teams, revenue cycle specialists, and front-desk teams use it to research coverage, estimate patient responsibility, submit authorizations and referrals, and resolve claim questions. Answer based on 39 reviews Overview ### Which roles and teams benefit most from Availity? Availity is most used by office, practice, and business managers who oversee payer-facing administrative work. Billing and patient accounting teams use it to check eligibility, submit and track claims, and manage remittance details. Practice owners, therapists, counselors, and clinical staff rely on it to verify benefits and support patient coverage coordination. Answer based on 154 reviews Overview ### What company size and industries is Availity built for? Availity is built primarily for small healthcare organizations, which account for 88% of reviewers, especially Hospital & Health Care (28%). As a web-based revenue cycle and business platform, it also serves Health, Wellness and Fitness (26%) and Medical Practice (24%) organizations managing clinical records, claims, benefits, risk adjustment data, and hospital management. Answer based on 155 reviews Features and Usability ### What are the key features of Availity? Availity includes claims management and medical billing tools for submitting claims, tracking them from a dashboard, and downloading explanations of benefits (EOBs). Its patient records management features support eligibility verification and benefit lookups for new and existing patients. It also covers HIPAA compliance, access controls/permissions, API access, and third-party integrations. Answer based on 14 reviews Integrations ### Which third-party tools and platforms does Availity integrate with? Availity integrates with 15 third-party tools and platforms, including eClinicalWorks, CureMD, Compulink, ChiroTouch, ClinicTracker, Axxess Home Health, Agastha EHR, and AbelMed. Its catalog also includes AccuMed, Aeris IoT, CoAction Software, EncounterWorks, Fastrack, HealthPRO, and eTHOMAS. Answer based on 3 reviews Getting Started and Support ### How easy is it to onboard and train a team on Availity? Availity offers live online training and webinars, alongside informational videos and tutorials. Reviewers find navigation manageable once familiar, but new users, amateur billers, and administrators may need time to learn benefit research, payment searches, and setup. Teams may require guided training to address the platform's initial learning curve. Answer based on 10 reviews Getting Started and Support ### What customer support options does Availity offer, and how do users rate the experience? Availity offers email/help desk, FAQ/forum, knowledge base, phone support, and chat. User experiences are mixed: some find chat easy to reach, staff helpful, and responses quick. Others report long phone waits, difficulty reaching the right department, unresolved or prematurely closed tickets, and inconsistent assistance during system issues. Answer based on 30 reviews Features and Usability ### How well does Availity handle insurance management? Availity centralizes eligibility checks, benefits, prior authorizations, and payer information, helping provider offices manage insurance work in one portal. Front-desk and billing teams value real-time coverage details, claim tracking, and access to many carriers, although navigation can feel busy and some searches, EOB access, and benefit details may be limited. Answer based on 84 reviews Features and Usability ### How well does Availity handle claim management? Availity supports claim submission, status checks, remittance viewing, and claim research for participating payers from a single portal. Billing teams often find basic claims tasks easy and timely, but claim searches can require extra identifiers, certain carrier data may be unavailable, and support or dispute workflows can make issue resolution difficult. Answer based on 36 reviews ## Features AI summary Based on 165 Human Services reviews Not all Hospital Management software covers every feature buyers care about most. Here is what Capterra reviewers highlight as essential when choosing a solution: - **Appointment Scheduling** (**44%** of reviewers rated this feature as critical) - **HIPAA Compliant** (**76%**) - **Medical Billing** (**53%**) Availity includes **HIPAA Compliant** and **Medical Billing**, giving healthcare organizations the tools to protect patient information and manage claims and payments more efficiently. However, it does not include **Appointment Scheduling**. Instead, it offers **Document Management** (**48%**), which can support record organization and information access in day-to-day operations, helping businesses keep administrative work organized while supporting billing accuracy and compliance needs. HIPAA Compliant 4.3 (20) 80.00% of 20 reviewers that rated this feature as important or highly important Compliant with HIPAA, which sets standards for sensitive patient data protection Medical Billing 3.4 (38) 71.05% of 38 reviewers that rated this feature as important or highly important Manage billing and payments for a healthcare provider Document Management 3.4 (26) 46.15% of 26 reviewers that rated this feature as important or highly important Store, manage, and track all electronic documents in a centralized location Claims Management 3.4 (38) 73.68% of 38 reviewers that rated this feature as important or highly important Process of submitting and following up on claims with insurance companies Patient Records Management 3.3 (32) 56.25% of 32 reviewers that rated this feature as important or highly important Managing different types of patient records, including paper documents, digital files, billing information, and scheduling details Out-Patient Management 3.2 (21) 52.38% of 21 reviewers that rated this feature as important or highly important Care of patients who do not stay overnight Availity 14 features ### All Features - Access Controls/Permissions: Define levels of authorization for access to specific files or systems - Accounting Integration: Integrate with a third-party accounting system - API: Application programming interface that allows for integration with other systems/databases - Claims Management: Process of submitting and following up on claims with insurance companies - Communication Management: Manage and track all internal and external communication conducted via calls, email, text, or chat - Data Import/Export: Import and export data to and from software applications - Document Management: Store, manage, and track all electronic documents in a centralized location - HIPAA Compliant: Compliant with HIPAA, which sets standards for sensitive patient data protection - In-Patient Management: Care of patients who are admitted and stay in the hospital overnight - Medical Billing: Manage billing and payments for a healthcare provider - Out-Patient Management: Care of patients who do not stay overnight - Patient Records Management: Managing different types of patient records, including paper documents, digital files, billing information, and scheduling details - Physician Management: Track and organize physician schedules and pertinent information - Third-Party Integrations: Set up connections to third-party platforms to improve business processes --- Features 3.6 (155) 3.6 Based on 155 reviews ## Pricing Value for money 3.7 (105) Value for money 3.7 (105) 3.7 Based on 105 reviews ## Integrations [ ChiroTouch](https://www.capterra.com/p/48210/ChiroTouch/)[ eClinicalWorks](https://www.capterra.com/p/120360/eClinicalWorks/)[ Axxess Home Health](https://www.capterra.com/p/114010/AgencyCore/)[ Compulink](https://www.capterra.com/p/209707/Compulink-Healthcare-Solutions/)[ CureMD](https://www.capterra.com/p/98772/CureMD-EHR/)[ ClinicTracker](https://www.capterra.com/p/130373/ClinicTracker-Connect/)[ HealthPRO](https://www.capterra.com/p/152806/HealthPRO/)[ AccuMed](https://www.capterra.com/p/2358/AccuMed/) ## Support, customer service and training options Customer Service 3.3 (118) Support - Email/Help Desk - FAQs/Forum - Knowledge Base - Phone Support - 24/7 (Live rep) - Chat Training - In Person - Live Online - Webinars - Documentation - Videos Deployment - Web - Android - iPhone/iPad Typical users - Freelancers - Small businesses - Mid size businesses - Enterprises Customer Service 3.3 (118) 3.3 Based on 118 reviews ## User reviews Overall rating 3.7 Based on 155 reviews Filter by rating Counts reflect reviews available in this feed. 5(58) 4(45) 3(19) 2(6) 1(27) Mentioned topic Recent reviews first, then most helpful RE Reviewer Medical Assistant Used the software for: 1-3 years ### "Availity is terrible" 1.0 Overall Rating 1.0 1.0 Ease of Use 1.0 1.0 Features 1.0 1.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 September 17, 2026 Not good. Website is not user friendly, not to mention worthless when trying to use for checking and starting prior authorization. Customer service is about as useless. Pros Nothing. Website is not user friendly, not to mention worthless when trying to use for checking and starting prior authorization. Customer service is about as useless. Cons Everything. Website is not user friendly, not to mention worthless when trying to use for checking and starting prior authorization. Customer service is about as useless. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Finance Used the software for: 1-3 years ### "Worst Customer Service Ever Ever Provided " 1.0 Overall Rating 1.0 1.0 Ease of Use 3.0 3.0 Features 3.0 3.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 September 8, 2026 Horrible worst customer service i've ever experienced. Apathetic customer service lack of concern for resolving my issue and made it seem she was doing me a favor by listening to me. Pros At this point none even though in the past i have received excellent customer service but today someone who did not care about her job or the issue i was facing came on the line and proceeded to give me the worst customer service of my life. She was apathetic to my situation and it appeared she could not wait to get me off the phone. Cons I have been using their remittance viewer to check on check payments and to see which claims have been rejected and the reason for the rejection. So far everything was going great i have been able to download the files in an excel version and complete my weekly audit process. On \[sensitive content hidden\] a check was issued and paid to the business but it was never listed in the remittance viewer. I called and was told a ticket would be issued. I was asked for the NPI number that was associated with the check i provided the info and then i received a message saying the ticket was closed and I was referred to provider payments.com. I was never told why the check did not show up in remittance viewer. So today i called to inquire on why the check did not show up on remittance viewer because it appears that there are other payments we are expecting that are not showing up in the remittance viewer. The individual who assisted me on \[sensitive content hidden\] repeated the message of going to provider payments after i gave her the ticket number. I asked why the checks were not showing up and she replied check with provider payments she could not help me any further i asked to speak to someone else who could assist or even a supervisor she said there was no supervisor and no one else would assist me. So i'm here left with this issue still not resolved still not clear why the check did not show up on their portal and if we should be using this portal going forwards. She did not care about my issue she was smirking on the phone which made me extremely frustrated and I told her she was not qualified for her job. I hung up and when i called again the call center message said there were 3 callers ahead of me with a 13 mins wait time that kept increasing to 14 mins then 15 mins so i hung up immediately blocked my number and called again and miraculously I was first in line i had to hang up after waiting a while for someone to come to the phone. Extremely appalling customer service. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer PMHNP Used the software for: 3-5 years ### "Useless, cant wait until I don't have to use it.. cant even log in " 1.0 Overall Rating 1.0 1.0 Ease of Use 1.0 1.0 Features 2.0 2.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 August 31, 2026 Horrible, cant wait until insurance companies come up with something simple and secure, Availity second aunthentification process is a joke Pros Nothing, really want to see the positive but cant find any. Cons Security system is a joke with multiple and complicated verification process useless for most part and time consuming Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Operator Administrator Used the software for: Less than 1 year ### "Worst customer service ever!" 1.0 Overall Rating 1.0 1.0 Ease of Use 1.0 1.0 Features 1.0 1.0 Customer Service 1.0 1.0 Likelihood to Recommend 1/10 August 24, 2026 Horrible customer service and zero problem solving skills ! It’s some serious issues going on in there! I have never dealt with this type of customer service with ZERO problem solving skills and a language barrier! And refused to give me someone who can understand me and vice versa. Pros None Cons I had to call 4 plus times and it took 2 weeks for them to figure out why my providers registration application kept getting rejected Refused to give me their employee 🆔 refused me a supervisor and didn’t offer a solution I’m mean they completely did not understand the assignment Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. Verified Reviewer Director of Operations Used the software for: 1-3 years ### "It gets the job done " 4.0 Overall Rating 4.0 4.0 Ease of Use 5.0 5.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 6/10 May 6, 2026 My overall experience was great. Customer support, security, and claim management were all what was expected. Pros It did a great job with patient eligibility and claim management. It was very user friendly with navigating between different payer spaces. I also felt it was very secure Cons It's EOB and remittance viewer was always more difficult than it needed to be. I felt that finding certain payments took longer than it should have Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Medical Office Assistant Used the software for: 1-3 years ### "Nightmare on Availity " 1.0 Overall Rating 1.0 1.0 Ease of Use 3.0 3.0 Features 3.0 3.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 May 5, 2026 Pros I’d like to share some concerns about my experience with the call center. Unfortunately, the representatives have not been very helpful. Out of multiple attempts, I’ve only been successful twice in obtaining a prior authorization for one of our patients. There has been little to no guidance provided on how to resolve issues, which makes the process more challenging. Additionally, the wait times are extremely long I have personally waited over three hours just to receive a response on a request. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Administrator Used the software for: Less than 1 year ### "Worse website with no support." 1.0 Overall Rating 1.0 1.0 Ease of Use 1.0 1.0 Features 1.0 1.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 March 16, 2026 Very bad and bitter. The worse company that I have ever dealt with. I wouldn't wish my experience on my worse enemy. Pros Nothing good about this company. The website is extreemly difficult to understand and manuver. No customer service support Cons Their website and the attitude of most of the workers. It looks like they do not understand the system themselve Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. Verified Reviewer Chiropractor Used the software for: 3-5 years ### "Great for healthcare providers for eligibility, benefits and claims" 5.0 Overall Rating 5.0 5.0 Ease of Use 4.0 4.0 Features 5.0 5.0 Customer Service 3.0 3.0 Likelihood to Recommend 10/10 February 10, 2026 Overall my experience with Availity has been great. I have been using it since I first started practicing 7 years and continue to use it to this day. Pros Availity is great value for money since it is free to providers. It is a great site that provides real time insurance eligibility and benefits information for most insurance carriers. You can submit and keep track of health claims. You can also keep track of all the claims data on availity. Cons There is a bit of a learning curve with using Availity. They do provide lots of informational videos and one on one training however. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Insurance Used the software for: 3-5 years ### "Horrible website" 1.0 Overall Rating 1.0 1.0 Ease of Use 1.0 1.0 Features 1.0 1.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 January 9, 2026 Poor due to things being down always Pros \\Easy to use after using it for 3 years Cons Verification services are often down, with BCBS down atleast once a week and its a poor website with poor maintenance overall. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Billing Administration Used the software for: 3-5 years ### "Integration all in one portal" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 10/10 November 26, 2025 Overall I am highly satisfied with Availity and I am usually able to use all of my self-service tools to complete my tasks. This allows me to not spend a long time on the phone with Customer Service. Pros I like that I am able to access several Insurance Companies portals in on one platform, as I am using it for Billing/Claims/Eligibility for our clients. Cons Not all functions are available for all Lines of Business. It is limited in the area of Pre-Authorizations and I am unable to view Authorizations for several lines of Business at this time. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. [View all Reviews](https://www.capterra.com/p/68854/Availity/reviews/) ## Top-rated software of 2026 ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox. 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