Availity Reviews

Nothing. Nothing. Nothing. Because there is always an issue with something.

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.

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

Ability to locate claims that you entered. Ability to verify patient's benefits

Nothing, there is no positive to Availity since we had to use them. Nothing at all.

Constantly having intermittent issues (system always down) and constantly changing platform. Most recently they made looking up benefits more difficult than before.

I abhor Availity. it is the worst provider portal I have ever used.

I have no idea how this Availity has gotten as many positive reviews as it has. Out of all of the insurance portals I have ever used it is the one that requires the most extra steps and gives you the least amount of information.Instead of just being able to search for a members information with their ID you have to put in their date of birth as well.Their denials hardly show what the denial was for and so you have to spend a ton of extra time calling and trying to get information from them.

being able to research eligibility and SOME claims

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.

Until this Monday I really enjoyed using Availity for the eligibility and benefit look up I spend my day doing.

The changes that were made to search eligibility and benefits have created, what used to be a very convenient process, a totally inconvenient task. I'm not understanding why I have to continually re-enter information with each search I do (ie: type of Benefit/Service type - provider NPI - place of service). That info went in once and stayed in with the previous version. It also doesn't list the history of all searches in one place. Anthem seems to have stayed as it was but all other companies are suffering the update. Which is also much harder to navigate.

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

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.

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!

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.

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.

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.

Access to a large number of insurance companies eligibility and benefit information. Integrated claims review/status system. Preauthorization system works well. They listen to their users requests and feedback. They revamped one module to make it "responsive" and made it harder, not easier to use. They listened and rather than rolling back the changes, incorporated them in a new version.

The different modules could fit/work together better. (although I will admit they are making improvements). Their system doesn't handle many different tax IDs/providers well and has the platform has grown, the red tape and "authorization" bloat makes it difficult/time consuming for 3rd party billers. As a daily user, I'm frustrated with the amount of "white space" between entry fields which requires alot of scrolling. I also am not fond of their new EOB format. It is consistent between carrier and is not print friendly.

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.

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

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

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.

I can submit claims electronically, which is a good thing.

This software is used for too many types of companies. When you submit a claim, you are asked to provide repeated information about the client throughout. It does not remember anything about the client from week to week, so each time a claim is entered an enormous amount of information is gathered again and again. The transition from one field to another is not smooth. They could do SO much better. Why don't they?

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.

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.

I like the ease of verifying benefits for our patients. It's quick and easy. Easily accessible. Never really have to worry about the site being down like other websites.

I do not like how they generalize the authorization benefits. Many patients it lists that authorization is required, however, when we call the company specified, they will tell us no authorization is required. I wish it were more true to each specific plan and not just generalized. We waste a lot of time on the phone to find out that an authorization it truly not required. Also, their tracking of benefits, most of the time does not work. We have had patient use up all their allotted benefits, and the website will still show they have all their visits remaining, when they truly do not.

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.

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.

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

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.

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...

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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.

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.

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.

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

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

This website allows a variety of necessary functions for any medical practice. It is easy to use, and very convenient.

Their customer service leaves much to be desired. And the CareCalc/Cost Estimator functions often go down.

pros for Avalility are being able to pull insurance verifications for certain insurance like Florida Blue, and print remits for checks we receive with the EOB attached. its pretty easy to use but the page does seem a little busy so sometimes it can take you a minute to find the link you need to click on if its not one you use all the time. it very easy to setup new employees with access and to do a password reset. the informartion given on the verifications is very helpful and gives more than some of the

i recevie emails telling me i hav med dos request when i do not use the clearinghouse portion of the software, then a few days later i will get an email saying i dont need to send anything.

Check claim status Pull Eobs Check eligibility

Doesn't have all of the insurances I work with

This software has a lot of benefits! I use it to get estimates for our patients, check for CCI edits, checking patient eligibility, and much more! The doctors I work for our contracted with lots of insurances so it is nice to be able to access so many of them on one website!

The only thing negative that I can say about this software is that it takes a little while to learn how to navigate...not the most user friendly site I use! Once you get that part figured out though it is very helpful!

Easy transfer between medical software and their system. Great reporting system & customer service that you can speak to that day.

System wide payor problems should be corrected & recognized by them. Instead you have to make them aware before its addressed