# Availity Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is Availity the right Hospital Management solution for you? Explore 149 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/68854/Availity/reviews --- Availity 3.7 (149) [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 February 15th, 2026 # Reviews of Availity Ease of use 3.6 Customer Service 3.4 ## 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 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 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 HJ L ChiropractorHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: More than 2 years. “Availity is great value for money since it is free to providers.“ February 1, 2026 TG Tristan G InsuranceMedical Practice, 11 - 50 employeesUsed the software for: More than 2 years. “Poor due to things being down always“ January 7, 2026 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 RP Ryan P CEO - Speech-Language PathologistHospital & Health Care, 2 - 10 employeesUsed the software for: 6-12 months. “It is a difficult site to navigate.“ October 8, 2025 ## Showing most helpful reviews Showing 1-25 of 149 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 NH NANA H. Administrator Hospital & Health Care Used the software for: Less than 6 months ### "Worse website with no support." March 13, 2026 1.0 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 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 Administrative Assistant Health, Wellness and Fitness Used the software for: 2+ years ### "Easy access and a great portal for all things insurance!" July 14, 2025 4.0 Overall, Availity is great. We use it daily and I like that you can chat with most payers and usually get more information that way. I really like the ease of submitting authorizations and referrals. I like that it's quick and easy to access eligibility and benefits, even if a patient is standing right in front of you. It outlines them fairly easy to read. This is a great portal compared to others and I really enjoy using it. Pros Availity is a great portal, for the most part. I like how easy it is to access eligibility and benefits, claims, referrals and even submit prior auth. Cons I am not a fan of creating a new password, what feels like every two months, but it is good to have extra protection I suppose. I also don't like that with Aetna, we cannot access acupuncture benefits and always have to call. They tell us to refer to the portal on the phone but how are we supposed to when the information is lacking. 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 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 Angela C. Medicaid Biller Specialist Owner Mental Health Care Used the software for: 2+ years ### "Free to use for some" September 4, 2025 5.0 I have been using Availity for over 5 years only need several states for my account. So, my account is $0.00 - free. Pros Availity is very easy to use for several insurance companies; eligibility and patient records for benefits verified. Claims are easy to input and submit. Cons I do not like that you can not get denied EOB for some insurances; you only get a type of reject that you need to search for. Review Source RP Ryan P. CEO - Speech-Language Pathologist Hospital & Health Care Used the software for: 6-12 months ### "Has Great Potential" October 8, 2025 4.0 Pros Availity is my one stop location for 75% of the insurance companies I work with. It has the ability to search for claims, add practitioners to my existing networks, etc. It is great to have all of that in one place. Cons Availity's interface and functionality requires a major learning curve. It is a difficult site to navigate. After using it for almost a year, I am learning more ways to navigate faster, however, I still find myself spending upwards of 5-10 minutes searching for specific things on the site and googling, using ChatGPT, etc. to figure it out. It adds more time to an already time consuming workload. Review Source SH Sonia H. Office Manager Medical Practice Used the software for: 2+ years ### "Great Site" May 21, 2025 5.0 Pros The ease of having most of my insurance providers all in one spot. Its a one stop shop for everything from EOB's to prior authorizations. Cons If the site is down then I can't do job. I'm on Availity everyday, multiple times a day. This doesn't happen very often. Review Source MD Marsha D. Licensed Professional Counselor Mental Health Care Used the software for: 1-2 years ### "Always Available, but Expect a Leaning Curve" August 21, 2024 4.0 Generally, I have been satisfied that they are always up and running. But as an amateur biller, it can be daunting to figure some things out. They have a lot of tutorials, however. Pros Generally, as a non-professional biller, I can bill fairly easily. Cons Hard to get questions answered by real person. After submitting claims, I can only see limited data, so if the claim does not go through at insurance company, I can’t review it readily. Review Source CD Christina D. Business Office Manager Hospital & Health Care Used the software for: 1-2 years ### "The program does make a great all in one clearinghouse for medical claims and payments " June 6, 2021 4.0 Honestly I have mixed feelings about using this the way we currently are because of all the problems we have had, and at times, still continue to have. Our account manager has been great working to correct these but I do not think their setup and implementation teams do a very thorough job or we wouldn't be still having issues we are cleaning up from switching. Pros I like that the program is easy to use, correct claims, and get payments off of. It makes it nice having one program that functions as a full clearinghouse for claims. Their customer service and account managers are great to work with as well! Cons That claims do not stay in there longer than 5 days, EDI setups are not always completed, and payment remits are frequently missing from the listings. Switched from [HARP](https://www.capterra.com/p/129562/HARP/) To be more aligned with our parent company. 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 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 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 AD Amelia D. Patient Benefits Rep Hospital & Health Care Used the software for: 6-12 months ### "Fantastic software" June 10, 2021 4.0 Availity helps our facility with claims, claims management, edit/error for eligibility, and process benefit information instantaneouly. We love the functionality and ease of use. I don't know what we would do without it! Pros This software allows our facility which has over 60 providers and four locations to operate seamlessly! Cons The chat feature can be somewhat clunky but has improved greatly just recently. Review Source VR Verified Reviewer TMS Coordinator Mental Health Care Used the software for: 2+ years ### "Great for Healthcare Providers!" October 22, 2019 5.0 Overall, Availity has been great. Saves us a lot of time that we don't have to spend on the phone. Would definitely recommend it. Pros I use availity on a weekly basis. It's extremely helpful and convenient to check insurance benefits, submit and check authorizations, claims etc. Cons The only con is that I wish more insurance companies would jump on board. Right now it's a handful on Availity and a handful on another software. Would be easier if they were all on one. Availity is the easiest to navigate. Review Source HL Heather L. Office Manager Hospital & Health Care Used the software for: 2+ years ### "Availity makes my job easier!" June 3, 2021 4.0 My overall experience with Availity has been a good one. I do not have any complaints at this time. Pros I like being able to go online and look up information rather than having to make an actual phone call. My job requires me to answer the phone and check patients in and out. Availity helps make my job easier by allowing me to look up information on my time. Cons I have been fortunate in my experiences with Availity. I have not encountered anything that would cause me to dislike this software. Review Source HH Holly H. Billing specialists Mental Health Care Used the software for: 1-2 years ### "Very useful" April 27, 2024 5.0 Pros I like how we can have all our insurance portals in one place. I don’t have to have a bunch of tabs open and it’s easy to use from research to appeal Cons All the insurances are not uniformed. So an appeal on one isn’t the same place as the other Review Source Similar Products Featured