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Eligibility and Benefits Inquiry

End time-consuming insurance inquiries

Instantly confirm patient eligibility and benefits, including covered services, co-pays, deductibles, and more at no charge. No more phone calls or paperwork. Eliminate data entry by using our CareRead® service—simply swipe your patients’ health plan member ID cards through a card reader device and retrieve the eligibility and benefits information in seconds. Availity also integrates with several practice management and hospital information systems to help automate the retrieval of eligibility and benefits information.

Eligibility and Benefits Inquiry benefits

  • Save money by using Availity’s eligibility and benefits inquiry at no charge.
  • Save time retrieving eligibility and benefits information from all of your health plans in one place—no more sitting on the phone or navigating different web sites.
  • Improve patient relationships and accounts receivable by advising your patient in advance about out-of-pocket expenses.
  • Save time by working online, in real-time, using whatever search criteria is most convenient: Patient ID and date of birth, name and member ID, or name and date of birth.
  • Leverage existing software investments with Availity’s seamless integration.
  • Fully secure and compliant with HIPAA regulatory requirements.

Check availability in your state:

Product and service availability may vary by health plan.

What people are saying

Jennifer Martinez, MBR & Associates, Tampa, Florida

“In over 16 years of working in the medical billing field, I have not found a single piece of software as accurate or user friendly as Availity. As a billing company, we have paid for other services to verify patient demographics, insurance information, authorizations, and more; however, these services can only verify individual insurance companies. Availity can verify multiple insurances and much more. I don't know how we went so long without this service. We hope it continues to grow as the market grows.”

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