Learn about Availity Essentials

Availity Essentials tools and features

Providers for Anthem have access to Availity Essentials, a secure, multi-health plan website offering quick access to clinical tools, member data, and health plan information. Availity Essentials simplifies provider transactions, such as electronic data exchange, precertification requests, claim status, and member inquiries.

Log in to Availity Essentials 

Patient registration

• Get real-time patient eligibility and benefits, including current and historical coverage information, plus detailed co-insurance, copay and deductible information
• Submit secure, online authorizations or check the status of existing ones with our Interactive Care Reviewer (ICR)
  

Precertification

ICR is the Anthem innovative utilization management (UM) feature accessed through Availity Essentials that allows you to:

• Submit precertification requests and clinical information and receive status updates without having to pick up a phone or fax any information
  
• Have instant access to all submission records from any location at any time of day
  
• Create and submit UM precertification cases quickly by attaching clinical documents for review
  
• Automatically authorize more than 40 common procedures

Claims and payment

• Find everything you need to take care of your patient’s needs, including claim submissions, detailed payment information, claim payment disputes and appeals
• Submit your medical records electronically when requested to support a pending or denied claim, including an itemized bill and requested medical records

Payer spaces application

• Research procedure code edits and receive edit rationale with Clear Claim Connection
• Access job aids and educational videos through Custom Learning Center
• Locate important policies and forms in the Education and Reference Center
• Access images of Anthem paper remits from the past 24 months through Remittance Inquiry
• Get a thorough snapshot of your patient’s health and treatment history that now includes gaps in care and care reminders with Total Member View
• Access your proprietary reports, such as member rosters, in Provider Online Reporting

Availity Essentials access

The Availity Essentials portal offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.

With Availity Essentials, you can:

• Request authorizations
• Submit claims
• Confirm eligibility

Log in to Availity Essentials 

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials’ multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Launch Provider Learning Hub 

Availity Essentials account maintenance

To update organizational information, log in to Availity Essentials as an administrator and select the Maintain Organization option. Once logged in, you will be able to change your organization's address, phone number, tax ID, and NPI. Any changes made will automatically apply to all Availity Essentials users.

To change administrators, please call Availity Client Services.

Availity Client Services

Call:  800-282-4548