New Availity® Eligibility & Benefits Experience  

Posted 06/07/2023 Updated 07/23/2023 to add link to User Guide

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 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 Provider Training Webinars on our provider website.
  • Availity also offers an on-demand demo at the top of the E&B request page to view how to complete a request and understand the detailed response. 
  • Review the updated Eligibility & Benefits User Guide on the Availity Eligibility and Benefits page under Provider Tools on the provider website.

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 BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.