Availity Essentials Secure Portal
Submit preauthorization requests and view member benefits, eligibility information, claims status, and more with the multipayer Availity Essentials™.
←Back to Educational Resources
Healthcare professional at desk working on a computer.
Healthcare professional typing on a laptop.

If you don’t have an Availity user ID and password, visit Availity.com to register at no cost.

If you have an Availity user ID and password but have never submitted a preauthorization request to CarePlus via Availity, your organization’s Availity administrator can set up your access to do so. 

Today with Availity you can:

  • Open laptop. Illustration.

    Access:

    • B2B (system-to-system) submission process (with the help of an Availity analyst)
    • Electronic data interchange (EDI) reports
    • Inpatient census and discharge census reports (primary care providers only)
    • Our Provider Finder and provider directories
    • Remittance information (after setting up EFT/ERA)
  • Checklist with pencil. Illustration.

    Review:

    • Documentation and coding review results
    • Preauthorization list (PAL) from the preauthorization submission screen
    • Pharmacy claims history, including date of service, drug name and description, and amount paid (coming ~June 2024)
    • Request a provider and facility with one preauthorization request submission
    • Preauthorizations by entering patient and requesting provider information (with or without entering the preauthorization number)
  • Documents. Illustration.

    Send or View

    • CarePlus members’ benefit and eligibility information
    • Claims status(es) and payment(s)
    • EDI files and set up EDI reporting preferences
    • Pended inpatient or outpatient preauthorization requests (and the additional information we request before we make a determination) 
    • Up to 10 procedure codes on each preauthorization request

Help and Additional Support

To access the Availity Learning Center, please sign in to your account, select “Help & Training” in the upper right corner, and then select “Get Trained.”

Availity also makes a training video library available after you log in. Training videos include:

For Availity technical support:

  • Call 1-800-282-4548
  • Open a supprt ticket by selecting “Help & Training” in the upper right corner, and then selecting “Availity Support.”
  • Submit a tech support ticket once you sign in to Availity Essentials.
Healthcare professional using a cellphone.

Provider Web Services

Along with Availity Essentials, CarePlus currently offers another method of working with us online: Provider Web Services (PWS).

To modernize and streamline our provider portal experience, CarePlus will sunset PWS. As of July 1, 2024, providers will no longer be able to access PWS. 

H1019_CPHPProvider_C

Last Updated:

04/25/2024