Availity Essentials

Access eligibility, benefits and claims-related information for most members. Submit pre-authorization requests, access agreement documents, reimbursement schedules and more.

What's new

4/8 - WA mandate: No cost share for breast exams on HSA plans

4/8 - Join the movement toward better Black maternal health

4/1 - The April issues of The Connection and The Bulletin are now available

4/1 - Radiology facilities: Register with OptiNet

3/13 - Code lookup unavailable for reimbursement schedules

3/12 - Workaround for ED claims appeals

Publications

Newsletters

Bulletins

Quality in Action

Administrative Manual

Can members find you?

We require that you verify the information about your practice and the networks you participate in at least every 90 days. View the instructions for verifying your information and notifying us of changes.

Credentialing status

We are now processing credentialing applications submitted on or before February 26, 2025. Completion of the credentialing process takes 30-60 days. We will notify you once your application has been approved or if additional information is needed. View your credentialing status in Payer Spaces on Availity Essentials.