--- title: "Availity Reviews 2026. Verified Reviews, Pros & Cons | Capterra" description: "Is Availity the right Hospital Management solution for you? Explore 154 verified user reviews from people in industries like yours to make a confident choice." source_url: "https://www.capterra.com/p/68854/Availity/reviews/" page_type: "reviews" language: "en" --- Availity 3.7 (154) [View alternatives](https://www.capterra.com/p/68854/Availity/alternatives/) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated August 26th, 2026 # Reviews of Availity Ease of use 3.6 Customer Service 3.3 ## Pros and Cons in Reviews HJ L ChiropractorHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: More than 2 years. “It is a great site that provides real time insurance eligibility and benefits information for most insurance carriers.“ February 1, 2026 Cameron F Director of OperationsHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: 1-2 years. “It's EOB and remittance viewer was always more difficult than it needed to be.“ May 1, 2026 Cameron F Director of OperationsHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: 1-2 years. “It was very user friendly with navigating between different payer spaces.“ May 1, 2026 Cameron F Director of OperationsHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: 1-2 years. “I felt that finding certain payments took longer than it should have“ May 1, 2026 tp theresa p ownerHospital & Health Care, 11 - 50 employeesUsed the software for: More than 2 years. “short hold time and calls get through to a live person quickly quick caller validation and easy access to log in“ April 21, 2025 MY Marcia Y BillingMental Health Care, 11 - 50 employeesUsed the software for: More than 2 years. “Customer support could be improved, as responses to online inquiries are often delayed, and phone support can be inconsistent.“ March 4, 2025 SF Sarah F mAHospital & Health Care, 501 - 1,000 employeesUsed the software for: More than 2 years. “My favorite thing about availity is how easy it is to run insurance eligibility and submit for prior authorization.“ September 24, 2025 Erica M Administrative AssistantHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: More than 2 years. “I also don't like that with Aetna, we cannot access acupuncture benefits and always have to call.“ July 14, 2025 ## Showing most helpful reviews Showing 1-25 of 154 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use Sue Z. Business Manager Mental Health Care Used the software for: 1-2 years ### "Good over all." October 31, 2025 4.0 My experience has been good overall. Easy to use for the most part. Has a lot of the carriers we work with. Pros It is easy to use and it makes sense when trying to figure it out. It is nice to go to one place for our insurance info. Cons Unfortunately, it is not a one stop shop for us. We have to go to another place to get some of our claims info. Alternatives considered [Service Center](https://www.capterra.com/p/10009271/Service-Center-Clearinghouse/) Reason for choosing Availity We run these both, out of necessity to access all our carriers. Review Source Christina M. Patient Accounting and Insurance Coordinator Hospital & Health Care Used the software for: 2+ years ### "Availity-A good tool for Health Insurance Lookup" June 13, 2025 4.0 I like Availity and the way it's organized better than other Insurance lookup portals. It would be helpful if I could search Cigna and United plans so it was a one stop for searches. Pros Makes it very easy to search multiple Insurance Plans. I like that it saves clients so I can go back to look them up when verifying monthly. The Website is very organized. Cons Too many places to search for Remits and Authorizations. I wish it would let you search by HPT code for all payers. Switched from [NaviNet Open](https://www.capterra.com/p/132973/NaviNet-Open/) Ease of search is a bit better. More simplified and user friendly for people without great tech skills. Review Source SK Susan K. Finance Hospital & Health Care Used the software for: 1-2 years ### "Worst Customer Service Ever Ever Provided " September 2, 2026 1.0 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 GV Gabriela V. PMHNP Health, Wellness and Fitness Used the software for: 2+ years ### "Useless, cant wait until I don't have to use it.. cant even log in " August 26, 2026 1.0 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 VR Verified Reviewer Chiropractor Health, Wellness and Fitness Used the software for: 2+ years ### "Great for healthcare providers for eligibility, benefits and claims" February 1, 2026 5.0 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 BH Brenda H. Counselor, owner, sole proprietor Health, Wellness and Fitness Used the software for: 1-2 years ### "Review of Availity" July 26, 2025 2.0 Did not like using so found a different billing platform that much easier to use and met my needs better. Pros Online accounting of claims submitted, payment received. Includes what insurance paid and what copay client owes. Good for benefit checks. Cons No live person to call and speak with. I am old school. I like having a phone number to call and then speak with a live person! Alternatives considered [EHR 24/7](https://www.capterra.com/p/134091/EHR-24-7/) Reason for choosing Availity I did not purchase Availity. I found another medical biller that much easier to use and better customer support. Used Availity for looking up claim remittance information which is useful. Review Source VR Verified Reviewer Director of Operations Health, Wellness and Fitness Used the software for: 1-2 years ### "It gets the job done " May 1, 2026 4.0 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 TG Tristan G. Insurance Medical Practice Used the software for: 2+ years ### "Horrible website" January 7, 2026 1.0 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 YR Yaelis R. Medical Office Assistant Medical Practice Used the software for: 1-2 years ### "Nightmare on Availity " April 30, 2026 1.0 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 ZO Zakia O. Operator Administrator Health, Wellness and Fitness Used the software for: Less than 6 months ### "Worst customer service ever!" August 20, 2026 1.0 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 tP theresa P. owner Hospital & Health Care Used the software for: 2+ years ### "poor support and rude " April 21, 2025 1.0 called for assistance in modifying a newly created team member log in first rep \[sensitive content hidden\] had no idea how to assist -wasted 20 min then transf me to \[sensitive content hidden\] - gave my info and explained problem and she went to put me on hold and I asked if she had training to assist and I just wasted 20 min with first rep and I was told I was being UNPROFESSIONAL! I tried to explain it is a valid question to ask any rep before beginning if I am in the correct dept and area and she cut me off and was condescending and rude to me as the client - terrible! Pros short hold time and calls get through to a live person quickly quick caller validation and easy access to log in Cons first responder team is not adequately trained and tries to assist but in the end wastes the callers time - need to escalate the call quicker if support does not know what to do Review Source AD Ashley D. Medical Management Medical Practice Used the software for: 2+ years ### "Overall All Ok" March 30, 2025 3.0 Overall satisfactory, but could use improvements to make every insurance carrier the same . Pros It has a selection of insurance carrier to select from with one login Cons Not having the same options for every carrier Ex: submitting medical records, shy with rep, etc Review Source LM Lauren M. Healthcare Manager Medical Practice Used the software for: 2+ years ### "Major time saver and generates accurate benefits/eligibility information!" May 4, 2019 5.0 Availity has increased productivity and efficiency in the office as a major time saver. In most cases, Availity has replaced the need to call insurance companies and deal with long hold times, inaccurate information, and miscommunication with insurance representatives. Pros Availity is a game changer when it comes to checking general patient health insurance policy benefits/eligibility. Phone calls to insurance companies can take up to an hour so the fact that Availity is capable of pulling up the same information in less than a minute is incredibly valuable. Furthermore, when I have compared the information generated through Availity to the details verbally given over the phone by an insurance representative, there is basically no difference. There have been a few times that Availity has provided even more accurate policy data than the live reps! The interface is easy to use and there are multiple ways to pull up a patient's health plan, so even if you don't have the exact ID number, you can use name, DOB, etc. and usually find the patient. Availity is really easy to use and has been a great tool for my practice. Cons There is a feature on Availity that allows you to pull up the actual image of a patient's insurance card, which is really great. It usually doesn't work, however. It would be great if this tool was fully functional and could bring up the ID itself. There are a few major insurance companies that aren't available via Availity, so we end up needing to call for those patients. Reason for choosing Availity To check general benefits and eligibility through Availity, the tool is free (and easy to use)! Review Source KP Kamber P. Office Administrator Medical Devices Used the software for: 2+ years ### "Availity is a HUGE disappointment" June 20, 2023 3.0 My overall experience is that life was better before Availity. BCBS of TN and Humana had PERFECT websites, now I have issues all the time with Availity. I can't even get benefits for Aetna and Availity seems uninterested to help. Overall I absolutely wish Availity would disappear. Pros Nothing, there is no positive to Availity since we had to use them. Nothing at all. Cons Constantly having intermittent issues (system always down) and constantly changing platform. Most recently they made looking up benefits more difficult than before. Review Source IC Irina C. Director Health, Wellness and Fitness Used the software for: 2+ years ### "Nothing but a nightmare!" October 23, 2023 1.0 SUPER DIFFICULT to get any useful information that you need regarding claims or claim status. Pros If the EOB shows up, it's fairly easy to use. IF!! being the operative word. Also entering a claim through Availity is fairly simple, but it'll do you little good because you won't be able to find it after Cons Ability to locate claims that you entered. Ability to verify patient's benefits Review Source JP Jeffrey P. BILLING SPECIALIST Hospital & Health Care Used the software for: 2+ years ### "Availity is Awful" April 24, 2024 1.0 Very poor. Very poor. Very poor. The sad part is the insurance companies make us use it particularly BCBS and they have no idea how horrible it is. Pros Nothing. Nothing. Nothing. Because there is always an issue with something. Cons Constantly down for certain insurance companies. Always an issue with our account. Customer service is...well there is none and in order to get any you have to complain. For example I opened a ticket for an issue and was met with a reply a few days later that due to high volume of tickets (meaning they have tons of issues) they couldn't help me. I replied letting them know that is terrible customer service and once I did that I got a reply the next day. Review Source JB Jazel B. Pharmacist Hospital & Health Care Used the software for: 1-2 years ### "Availity Review" May 30, 2024 4.0 Pros Availity has been useful in our claims management. It is set-up to check eligibility and claim status. The remittance viewer is also very helpful. Cons No all insurances are linked with Availity. Also, it took me some time to set it up as there are a lot of insurance companies that we have to set-up. Review Source HH Heidi H. Owner Medical Practice Used the software for: 2+ years ### "Availity for Chiropractic Practice" January 14, 2020 4.0 Overall my experience with availity is positive. It is convenient to be able to check benefits from multiple insurance companies in one place. Customer service has been good when needed. Pros Availity allows you to check patient insurance benefits for multiple insurance companies. It is convenient to be able to check the majority of benefits in one place. One of my favorite features is the ability to add patients into the system so you don't have to re-enter their information every time you need to check benefits. Cons Availity doesn't always provide the necessary benefit information. We often have to call the insurance company to get the necessary details. Sometimes the benefit information provided on Availity is different from the information given over the phone. Acupuncture benefits are often incorrect, so we must call to verify for every patient who gets acupuncture treatments. Review Source GR Gloria R. Prior Authroization Medical Practice Used the software for: 2+ years ### "Verifying multiple insurances made easy" March 27, 2024 5.0 Pros You can verify 10+ insurances through one portal which makes it much more efficient for our branch User friendly Able to verify patient information, copays, medical groups and deductibles Cons i have no complaints when it comes to using availity the last two years Review Source AT Altrina T. Director of Reimbursement Hospital & Health Care Used the software for: 2+ years ### "Availity" July 26, 2019 4.0 Pros We use Avality most for Insurance verification and to pull remits for certain payors. its very easy to use when verifying insurance its give you up to date correct information Cons I often get emails saying I need to attach medical documents to claims when we don't submit claims through availity, its also difficult sometime to pull up remit information with a check # because of although the check I have in front of me might say BC/BS Minnesota I may have to use a different payor name on the list in availity Review Source VR Verified Reviewer Office Manager Health, Wellness and Fitness Used the software for: 2+ years ### "Useless" December 8, 2022 1.0 I wish it didn't exist. It costs our practice time and money because we can't get what we need online and have to call the insurance (like we did years ago) Pros Nothing. There is nothing good about this software. Cons Horrible software. I work with dental insurance websites every day. ALL are way better. Availity is way to big, complicated, and not functional. One shouldn't need training modules to look up eligibility! Review Source bW brandy W. Administrative supervisor Medical Practice Used the software for: 2+ years ### "Great way to get patient benefits!" November 14, 2022 4.0 Pros Easy access to patient medical benefits to be able to give patient there out of pocket or copay due for surgery or consultations. Cons Having to have multiple things for identification. Review Source JS Jay S. Owner, Service Provider Mental Health Care Used the software for: 2+ years ### "Irresponsible to it's customers. " March 22, 2023 1.0 Availity played games with my termination form and refused to terminate services. Availity should be fined. Pros Not one single thing about availity is good. Cons I tried for months to terminate my monthly payment and contract. I got absolutely no help with the process. I get spam emails from "do not reply" emails about services and agreements. This Availity feels like a criminal enterprise- they care none for the customer and only about finding ways to keep charging you monthly fees. It costs $250 an hour to waste time on this $35/month charge. I hate Availity. Review Source jT joyce T. Manager Medical Practice Used the software for: 2+ years ### "Availity " February 25, 2020 5.0 We love the ease of having all the Anthem claims information and eligibility in one place. It has helped save time for the users in the office while checking people in and out. Pros I like the ease of having eligibility and claim explanation of benefits all in one place. It is easy to use and to find things. It is a staple in our office. Easy to look up all the Anthem claims and EOB's for discussion on the phone with patients. Cons I do not like it when the system is down and we can not use it. It doesn't happen very often, but it does from time to time. Review Source VR Verified Reviewer Board Member Hospital & Health Care Used the software for: 2+ years ### "Easy access and use" December 12, 2018 4.0 Near perfect! I use this weekly! 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. Review Source Similar Products Featured