--- title: "Availity Reviews 2026. Verified Reviews, Pros & Cons | Capterra" description: "Is Availity the right Human Services solution for you? Explore 155 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" publication_date: "2026-10-15" --- Availity 3.7 (155) [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 October 15th, 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 GV Gabriela V PMHNPHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: More than 2 years. “Security system is a joke with multiple and complicated verification process useless for most part and time consuming“ August 26, 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 ZO Zakia O Operator AdministratorHealth, Wellness and Fitness, Self-employedUsed the software for: Less than 6 months. “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“ August 20, 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 SK Susan K FinanceHospital & Health Care, 11 - 50 employeesUsed the software for: 1-2 years. “Apathetic customer service lack of concern for resolving my issue and made it seem she was doing me a favor by listening to me.“ September 2, 2026 MY Marcia Y BillingMental Health Care, 11 - 50 employeesUsed the software for: More than 2 years. “Overall, it has been useful for retrieving benefit and payment information, though there's still room for improvement.“ March 4, 2025 SK Susan K FinanceHospital & Health Care, 11 - 50 employeesUsed the software for: 1-2 years. “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.“ September 2, 2026 ## Showing most helpful reviews Showing 1-25 of 155 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 AS Amanda S. Medical Assistant Health, Wellness and Fitness Used the software for: 1-2 years ### "Availity is terrible" September 15, 2026 1.0 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 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 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 SF Sarah F. mA Hospital & Health Care Used the software for: 2+ years ### "availity Insurance eligibility user" September 24, 2025 5.0 My overall experience has been a learning curve as far as what insurances I can submit for prior authorization on availity for. Pros My favorite thing about availity is how easy it is to run insurance eligibility and submit for prior authorization. Cons My least favorite thing about availity is how much the premium account costs. I feel like it should cost just maybe not as much. 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 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 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 MY Marcia Y. Billing Mental Health Care Used the software for: 2+ years ### "Useful but could be improved" March 4, 2025 4.0 We primarily use Availity because several of our insurance providers require it. Overall, it has been useful for retrieving benefit and payment information, though there's still room for improvement. Pros It's incredibly convenient to have multiple insurance companies available on a single online platform, eliminating the need to spend time waiting on the phone. Generally, accessing benefit and payment information is quick and straightforward. Cons Customer support could be improved, as responses to online inquiries are often delayed, and phone support can be inconsistent. The website’s learning curve is steep due to its extensive features and at times unintuitive navigation. While Availity is valuable for accessing client benefit information, the process would be much more efficient with fewer required details. Often, clients don’t provide their insurance number, or it's recorded incorrectly, so having the option to search by name and date of birth would be a helpful enhancement. Additionally, allowing us to maintain a client list for easier access to benefits would save time by eliminating the need to re-enter client details. 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 CL Cassandra L. office manager Hospital & Health Care Used the software for: 2+ years ### "Everything in one Place" April 22, 2021 5.0 Availity has navigated me through the process and it seems to be self explanatory. I have never needed customer service and it allows you to update your provider through the system by sending reminders and even shows you in the announcement section. The experience is a good one and I would recommend this to anyone. Pros I love this software. Availity is easy to navigate and answers all of your questions under one roof. It is very easy to use and has limited hangups. You can find EOBs, Patient insurance information, documents, informational documents, announcements, and corrections to the facility in which you are registered. There are many ways to find your patients information and if claims were paid. Although we haven't extended out to all of the payors, the ones we do have on file and within the pay spacers, we can find them all. The information is easy to print for patient folders and everything is up to date. Cons I have problems often logging in, not because the system can't find me but because when you hit the log in button, it will hesitate or you will have to hit it a couple of times for the system to log in. That is really the only issue I've had with the system. Review Source LW Lisa W. OWNER Medical Practice Used the software for: 1-2 years ### "ACCESS to this site is very difficult and customer service is very poor" November 14, 2022 1.0 LONG wait times 25-50 mins to get a customer service person on the phone. VArying advice once you get someone., Multiple calls to try and get something done. Website often down or not working properly, with very slow access or crashing.This is our only way to access claim info for BCBS, and it is a non starterI am now paying for 'advanced access' and it still is terrible. Pros being able to research eligibility and SOME claims Cons locked out of site, 2 factor authentication not working by phone, cannot get customer service to fix my login despite 4 calls all lasting 40-50 mins. Reason for choosing Availity I don't have an option, BCBS dictates this is the only way we can access the claims. Review Source QM Quyen M. Analyst Hospital & Health Care Used the software for: 1-2 years ### "Availity= problems" September 27, 2019 1.0 Awful! It is an awful site that does not try to do customer service or fix their problem. They try to close your tickets before it is resolved and when you tell them there is an issue. They tell you there is no issue.For instance, trying file a dispute on a claim and there is no Dispute option. I get this a lot and they tell me "there is no problem... You can file dispute...It has been resolved..." I still have the same problem after they say these things. Pros You can go to Eligibility to claims...most of the time. Cons There is a long list. A lot of times you cannot pick options like the secured message, disputes, etc. on claims. Then when you try contact their support team/customer service.They do not try to help you resolve your issues and they close your tickets before it is even solved. I spent over a week trying to explain to them things like your portal supposed to shows claims and Assurance (the support says it was Assurance issue) is where we send claims electronically. They have nothing to do with denials or claims that has been denied. I will stop here because I run into at least 2 or 3 issues a day for Availity. Review Source KB Kristin B. Customer Servicce Insurance Used the software for: 6-12 months ### "Great Tool, When It Wants To Be..." July 22, 2021 3.0 Overall, its a great tool! I think for a program that has not the great reputation, its can be VERY handy! It houses a great deal of information and can save contacts from having to waste time holding for a phone call when its just a few clicks away! There are surely some improvements that can be made, for example the search feature, having to search by a few different methods in order to get to the results and it matches exactly what you were typing in is kind of a thumbs down, but it is overall a great time saving tool (when it wants to be!) Pros I am impressed with the amount of data housed and how easily it is to add new payors into your portal, or submit items for review such as authorizations or even reviewing EOR/EOBs, and claim status. Cons Sometimes you are typing in the exactly the correct items and you have to submit it 2 or 3 different ways before it "picks up what you're putting down"! I will enter the check number- search.. nothing, claims number-search..nothing, then search a date of service and billed amount and BAM! there it is, same claim number, same check number I tried in previous searches. Review Source TR Tom R. Therapist Health, Wellness and Fitness Used the software for: 2+ years ### "Cumbersome and difficult" September 26, 2023 2.0 We are forced to use Availity because that is what insurance companies use, but generally it is not a good system. Pros Mostly it can be easy to check eligibly and claims Cons It is very cumbersome, and they do not take responsibility when things are not working correctly. They continually require updates of useless information about the company. Reason for choosing Availity We are forced to Review Source CW Craig W. Co-Owner Health, Wellness and Fitness Used the software for: 2+ years ### "Saves crucial time and gives real-time insurance details" July 29, 2019 4.0 This software allows us to discuss financial details with the patient that increases their understanding and maximizes our time with them. Pros This software allows us to pull real-time insurance plan coverage that is customized to our specific niche in the industry. This allows us to discuss financial details with the patient that increases their understanding and maximizes our time with them. Cons With a few smaller insurance plans (i.e. HealthChoice), we've learned the hard way that the information Availity shows is consistently incorrect. It will show a patient has a copay, when in reality they need to meet a deductible first. Initially, it created real difficulty and embarrassment regarding patient financials. Review Source AG Amy G. Medical Billing Manager Insurance Used the software for: 2+ years ### "Simple and Easy Program" February 7, 2020 5.0 We use Availity daily to check eligibility for patients, check claims status, look up payments, and submit appeals. I find it to be the most useful insurance portal for these purposes that we have. Pros I appreciate the user friendliness of Availity, and the convenience of having so many insurances available on one website to check eligibility, claim status, records requests, etc. Some very useful insurance-specific functions have been added in the last few years that are incredibly helpful as well (ie BCBS ERM, BCBS "Reporting on Demand"). Cons Some of the insurance-specific functions can be tricky to find, but our insurance provider reps have directed us to many helpful things in the last few years. Review Source VR Verified Reviewer biller Medical Practice Used the software for: 1-2 years ### "even with a claim number cany locate claims " August 20, 2024 1.0 not good at all extermely dissapointed , wish everyone had their own portal do i dont have to use this . Pros not much its to many drop downs and options for failure Cons customer service non existent , and the site is not accurate cant pull an eob evem with claim number Review Source ME Melody E. Billing Manager Assistant Mental Health Care Used the software for: 1-2 years ### "Great online resource to review health insurance benefits!" May 2, 2019 4.0 Overall, this has been a very useful program and in my opinion, the best place to check Medicare insurance benefits. There are many insurances accessible in this website, which is great also. The very first time I used it, I was able to navigate through the program and do exactly what I needed to without explanation or confusion. Definitely worth using if you need to access health insurance information, and beats a phone call for benefit checks any day! Pros I can check health insurance benefits online, update provider profiles, access many different insurances companies and it's all very user friendly and easy to understand. Cons Some of the health insurance companies only have limited information on the website, so it can feel frustrating when you can't access everything you'd like to. Review Source VR Verified Reviewer Operations Manager Hospital & Health Care Used the software for: 1-2 years ### "Take insurance? A must." July 20, 2019 5.0 Pros Honestly the easiest thing to use in my opinion. If you cannot figure out how to use this and interpret insurance benefits I really don't know what to say!!! SOO EASY AND USEFUL Cons No complaints. It is very useful for majority of the insurances our practice takes Review Source Similar Products Featured