The Availity Eligibility and Benefits (E&B) tool has been redesigned based on your provider feedback to make it easier to locate the needed patient information in one consolidated view. The refreshed Eligibility and Benefits entry and response screens both offer you a clearer and more concise workflow, as well as flexible options for adding providers, expandable sections, and other toggle/filtering options.
Education & Training Opportunities
- We host instructor-led weekly webinars called ‘Orientation: Save Time and Go Online’ for providers to learn how to accurately use the Availity Eligibility and Benefits transaction, as well as an overview of other electronic options, provider tools and helpful online resources. Providers can register for upcoming sessions by going to the Training page on our provider websites.
- Availity also offers an on-demand demo at the top of the E&B request page for you to view how to complete the request and understand the detailed response.
- Watch for the updated Eligibility & Benefits User Guide coming soon to the Provider Tools page on our provider websites.
If you have additional questions or need customized training, contact our Provider Education Consultants.
Checking eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.