Save Time: Benefit Checks With Procedure Codes

Look up member benefits by entering a procedure code in Availity Essentials. It’s a fast and easy way to see the right coverage details.

Why it Matters

This update helps you do your work more efficiently:

• Get more accurate benefits information.
• Reduce follow-up questions and rework.
• Save time during eligibility checks.

How it Works

Add the procedure code when checking benefits. Availity Essentials will do the rest:

• Match the code to the correct benefit.
• Show key coverage details, including deductibles, copays, coinsurance, and authorization requirements.
• Help you confirm the right benefit for the billed service.

Access this feature directly within the eligibility and benefits tool in Availity Essentials today.