# Page 4 | Availity Reviews 2026. Verified Reviews, Pros & Cons | Capterra

> Page 4 - Is Availity the right Hospital Management solution for you? Explore 151 verified user reviews from people in industries like yours to make a confident choice.

Source: https://www.capterra.com/p/68854/Availity/reviews

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Availity

3.7 (151)

[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/)

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Last updated February 15th, 2026

# Page 4 - Reviews of Availity

## Showing most helpful reviews

Showing 76-100 of 151 Reviews

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Most Helpful

Rating

Company Size

Reviewer's Role

Length of Use

Frequency of Use

JM

Jessica M.  
Billing Coordinator  
Medical Practice  
Used the software for: 2+ years

### "Quick and Efficient "

April 9, 2019

5.0

Pros

This website is accurate and up to date with pt information. Pulling benefits and elig for pts, this site tells you if the pt has other primary ins, and what it is, to verify we have the correct information in our system. Being able to view multiple insurance company information for elig for pts.

Cons

Not being able to submit claims, viewing fee schedules for all insurance company's.

Review Source

KM

Kimberly M.  
office manager  
Medical Practice  
Used the software for: 1-2 years

### "Poorly Executed Product, Horrible Customer Service"

July 20, 2021

1.0

I despise this software and am making it my agenda to discredit it to other providers. I am exhausted, mentally and physically from dealing with the daily outages and problems.

Pros

I am so disappointed in the product. I was forced into its use by insurance carriers through my office and it is so ineffective.

Cons

There are DAILY glitches in the software that make it so that I cannot do my job . . . customer service does not exist, you are given a scripted response that "we are working on the issue" and nothing ever gets accomplished and tomorrow there will be a new problem.

Review Source

JR

Jessica R.  
Office Manager  
Hospital & Health Care  
Used the software for: 2+ years

### "Great portal for Eligibility and Authorizations"

February 6, 2020

5.0

I Like receiving reminder emails to update our directory when we are due.

Pros

It is very easy to pull eligibilities, obtain authorizations, and even add users using this portal.

Cons

The Provider Directory Management can be confusing especially if you have multiple doctors. The layout could be simplified to show all locations and all providers at once instead of individually.

Review Source

KC

Kevin C.  
Office Manager  
Medical Practice  
Used the software for: 2+ years

### "Nice Product"

November 15, 2023

5.0

Pros

Availity brings in a ton of insurance companies that you're able to look at eligibility and pay remits.

Cons

It is a little confusing when you first start working with the program, but it gets easier.

Review Source

JZ

JUSTIN Z.  
MEDICAL BILLER  
Health, Wellness and Fitness  
Used the software for: 2+ years

### "Frustrating"

October 31, 2019

2.0

Poor.

Pros

Claim status - when it works. Availity is a great concept, but doesn't work more often than it does.

Cons

No one responds to trouble tickets. The remittance viewer times out regardless of how active the window stays. Claim status, eligibility, etc. doesn't often work, especially if you are dealing with an out of state blue cross blue shield plan.

Review Source

DM

Danielle M.  
Revenue cycle manager  
Hospital & Health Care  
Used the software for: 2+ years

### "Great product "

November 11, 2025

5.0

Pros

Very user friendly. Lots of payers use this site. I love being able to access multiple payers eligibility all in one place

Cons

I wish we could do chat with payer for other payers besides blue cross but it might be bc other payers don’t allow this

Review Source

VR

Verified Reviewer  
Athletic Trainer Physician Specialist  
Health, Wellness and Fitness  
Used the software for: 1-2 years

### "Great Idea but flawed"

January 23, 2019

2.0

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

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.

Review Source

mR

melissa R.  
secretary  
Hospital & Health Care  
Used the software for: 2+ years

### "great software"

June 11, 2020

5.0

i love it! it is part of my everyday use while at work

Pros

i love how i can verify insurance and obtains authorizations on so many different insurances all in on place. it's nice how they have both out of net work and in net work benefits.

Cons

i don't like that not all different lines of medicaid and medicare are included, and missing local insurances.

Review Source

JC

Jessica C.  
Insurance Biller  
Health, Wellness and Fitness  
Used the software for: 1-2 years

### "Not the best, not the worst"

December 3, 2019

5.0

It's great for using on a daily basic for checking patients insurance coverage but I would love them to stop changing the website so often.

Pros

I like that you can check multiple insurances on this website at a time and that it saves your last search in case you need to go back to it.

Cons

When it comes to the explanation of benefits / billing side of things, they keep trying to improve things and in my option its making it worse. The old way, was the best way. I am all up for change but they are changing it too much.

Review Source

NG

Nate G.  
Owner Dentist  
Medical Practice  
Used the software for: 2+ years

### "Absolute Worst!"

May 11, 2020

1.0

Horrible. Don't use Availity if you can avoid it. Don't pay any fees to them to use their additional services. not worth it. Waste of time and money. I really wish Availity would change their platform to actually work.

Pros

Availity is the worst platform I have ever seen or used. I really really dislike how the platform is laid out and how non-userfriendly it is. You really can't accomplish anything on this platform. I have certain insurance companies that I work with that request that we use Availity. This is the only reason that I am using it...forced to do it! You will get error code after error code with Availity.

Cons

Everything! I am not sure that there is one thing that I like about Availity. Horrible.

Review Source

lR

lauren R.  
Office Manager  
Health, Wellness and Fitness  
Used the software for: 2+ years

### "Great product, great versatility"

November 6, 2019

5.0

Multiple insurance companies in one software. Makes it easy.

Pros

I like the layout of patient benefits and remittance advances. The design is very user friendly and efficient.

Cons

I do not like how much information you have to enter in order to pull up a patients info. It would be nice to be able to just enter name and DOB or ID Number.

Review Source

MB

MARISSELA B.  
BILLER  
Internet  
Used the software for: 2+ years

### "NEVER WORKS"

March 15, 2021

1.0

HORRIBLE EXPERIENCE, NEVER WORKS TAKES FOREVER

Pros

ALWAYS HAVING INTERMITTENT ISSUES, NEVER GET RESOLVED ALWAYS END UP HAVING TO CALL INSURANCES DIRECTLY

Cons

FIX THE DOWN TIMES BECAUSE ITS ALWAYS DOWN ONE OR OTHER INSURANCE ALWAYS FACE INTERMITTENT ISSUES VERY USELESS IF YOU HAVE TO END UP CALLING

Review Source

TJ

TRISHA J.  
Medical biller  
Medical Practice  
Used the software for: 2+ years

### "Availity is good for getting basic coverage information but does not provide detailed information."

January 16, 2020

4.0

Unfortunately with most insurance carriers either refusing to give benefit quotes or being automated response systems most physician's offices have no choice but to use Availity to look up basic patient coverage. Availity has a claims benefit and remittance viewing area but at least 80% of the time these system tools are unable to retrieve any claim information. At least the software is free to use.

Pros

Availity allows for physician's offices to look up patient benefits from multiple insurance carriers in using one online system.

Cons

The information Availity provides for each patient is mostly generic, for example you can retrieve basic copay amounts to collect but not specific coverage information.

Review Source

VR

Verified Reviewer  
ophthalmic technician  
Medical Practice  
Used the software for: 6-12 months

### "Missing Gaps "

May 1, 2019

3.0

Pros

It is easier than calling, makes things easier when it does work properly.

Cons

It does not always give you all the information you need, including things like copay's or coverage at all

Review Source

MC

Martha C.  
Office Manager  
Hospital & Health Care  
Used the software for: 2+ years

### "Easy to Use! Fast Results!"

July 12, 2018

5.0

Up to date Insurance eligibility answers.

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.

Review Source

SW

Stacy W.  
Office Manager  
Hospital & Health Care  
Used the software for: 1-2 years

### "Availity Is Our Go To."

November 16, 2019

5.0

All my staff is happy with ease and use of availity. We are happy to be able to have so many tools from one product.

Pros

We use availity daily. For everything from verification, to details. We are able to have a one stop shop for multiple look ups.

Cons

I love it all. If I had to choose one detail for improvement it would be ease of reporting. However we have notice that reports are a issue with several products.

Review Source

KE

Kim E.  
office manager  
Hospital & Health Care  
Used the software for: 1-2 years

### "Not users friendly "

October 27, 2023

1.0

Pros

We do not like anything on this program

Cons

Not User Friendly when you try to call for support they refer you back to the website

Review Source

VR

Verified Reviewer  
Managing Member  
Health, Wellness and Fitness  
Used the software for: 2+ years

### "Useful platform for managing most insurance authorizations and payments."

May 30, 2019

4.0

Pros

It allows us to check many benefits in one system and is usually very fast without any lag or downtime.

Cons

LOTS of clicking to get anywhere. Sometimes the benefit information displayed is inaccurate or missing.

Review Source

VR

Verified Reviewer  
Office Manager  
Mental Health Care  
Used the software for: 2+ years

### "Availity and Me"

December 18, 2018

4.0

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

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.

Review Source

KH

Kirk H.  
office manager  
Medical Practice  
Used the software for: 2+ years

### "Good service"

June 10, 2019

5.0

Pros

We use availity every day in our practice from verifying insurance to referrals to patient cost estimator. love the service and the ease of use

Cons

Do not like how pt cost estimator doesw not work with BCBS

Review Source

KP

Kristina P.  
Owner  
  
Used the software for: 1-2 years

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

March 8, 2018

5.0

Patient benefits information and insurance billing.

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.

Review Source

JH

James H.  
owner  
Health, Wellness and Fitness  
Used the software for: 2+ years

### "Availity"

April 3, 2019

5.0

Pros

Great service. Our office seldom has to contact insurance companies for varification of data and benefits.

Cons

There are times when the site is down. This problem never lasts long.

Review Source

NO

Nathan O.  
Dentist  
Medical Practice  
Used the software for: 1-2 years

### "They need to re-evaluate their end user policies"

June 17, 2021

1.0

It's fine when you can get in, but the only reason we log in is when BC/BS already messed up an EOB or claim so it always starts off with annoyance even when perfectly functional.

Pros

Nothing works as intended for long so im not sure

Cons

Requirements to set up a new account have waaay too much personal information needed. Overly intrusive questions about personal information that have no relevance to a sub account to a business account.

Review Source

VR

Verified Reviewer  
Owner  
Insurance  
Used the software for: 2+ years

### "Availity is confusing, time consuming and frustrating to use. "

March 13, 2018

3.0

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

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.

Review Source

ND

Nancy D.  
Compliance Officer  
Medical Practice  
Used the software for: 1-2 years

### "Hate that you have to subscribe for some features."

February 6, 2020

4.0

Would like to just have to use name and DOB for all patients.

Pros

Easy to use to look up eligibility information on a patient for certain payers. The process is pretty streamlined.

Cons

You have to pay for a premium subscription and with some payers you have to have the member ID or you can't get eligibility information.

Review Source

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