Availity Essentials allows physicians, dentists, other health care professionals and facilities secure access to:
- Verify member eligibility and benefits
- Submit claims and check claims status (required)
- Enroll for electronic funds transfer (EFT) (required)
- Submit appeals and check appeals status
- View requests for claim attachments and submit documentation
- View medical pre-authorization requirements and submit requests
- View electronic remittance advice (ERA)
- Obtain an estimate of patient costs for professional medical and dental services
- Access reimbursement schedules and other pricing documents
- Access helpful applications and forms
Use the Appeals tool in Availity Essentials to submit claims appeals. The new tool will streamline the appeals process, making it faster and easier to submit appeals directly from the Claim Status screen.
Register for free access to Availity Essentials.
Please select one of the following options to register:
- The provider who uses the billing services registers and assigns access (this is the easiest and fastest way to register):
- A provider registers with Availity Essentials
- Provider assigns Primary Access Administrator (PAA) or PAA Assistant access to the billing service manager
- The billing service adds their staff as users
- Billing service registers and provider signs agreement:
- The billing service registers with Availity Essentials for the provider(s) they submit claims for
- Availity sends an agreement to the provider to sign and return. Note: This method takes longer because signed paperwork must be returned to Availity
Once you have access to Availity Essentials, navigate to Payer Spaces from the top menu, then select BridgeSpan Health.
Use Payer Spaces to access BridgeSpan-specific resources, including:
- Pharmacy – CoverMyMeds and TransactRx
- Provider Search
- Research Procedure Code Edits (Clear Claim Connection)