Availity

- Great customer service! (barely ever a wait!)
- Great job with providing claims details

- Benefits details are either too vague or inaccurate altogether!
- Not very easy to navigate for very specific items
- Makes it difficult to look up details RE claims and info related to dates of service

Availity was used in my previous office to check medical insurance benefits for our patients. When I first started there my job was to call the insurance companies directly and check to see what fertility benefits the patients had. This was a complete nightmare and sometimes I would be on the phone for a couple of hours checking benefits for one patients...and sometimes I never got the info I needed. It was SO time consuming and frustrating. When Availity came along - it allowed me to check their benefits in a matter of seconds. A few insurance companies are not on Availity - so occasionally you still have to call.

Availity customer service do not seem to be very helpful when you need to call directly. I also somehow ended up calling a different department at Availity and could never get transferred top the area that I needed. I just stopped calling Availity. If I needed info and had to call - I just called the Insurance company directly instead.

Mostly it can be easy to check eligibly and claims

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.

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.

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.

I use availity on a weekly basis. It's extremely helpful and convenient to check insurance benefits, submit and check authorizations, claims etc.

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.