Availity Essentials

Access eligibility, benefits and claims-related information for most members. Submit pre-authorization requests, view reimbursement schedules and more. All contracted providers are required to register with Availity Essentials, submit claims electronically and receive claims payments via electronic funds transfer (EFT).

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Don’t have an account? Register
Dental providers: Visit regencedental.com for online services

Technical support
Phone: 1 (800) 282-4548
eTicket or online chat: Availity Essentials: Help & Training>Availity Support>Contact Support

Secure access

  • View onboarding tasks or credentialing and contracting status
  • 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
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Payer Spaces

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Applications

Payer Spaces features the following Regence-specific applications:

  • Care Gap Management Application
  • Medicare Quality Incentive Program information
  • Onboarding Tracker
  • Provider Reports - for your Organization

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Resources

Payer Spaces includes Regence-specific resources:

  • Out-of-network Referral Request
  • Peer-to-Peer Request Form
  • Pharmacy – CoverMyMeds and TransactRx
  • Provider Search
  • Research Procedure Code Edits (Clear Claim Connection)

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Billing service registration

If you use a billing service to submit medical or dental claims or collect payments on your behalf, you can choose from two registration options:

Register as a Provider and assign access (this is the easiest and fastest way to register):

  1. A provider registers with Availity
  2. Provider assigns Primary Access Administrator (PAA) or PAA Assistant access to the billing service manager
  3. The billing service adds their staff as users

Billing service registers and the provider signs agreement:

  1. The billing service registers with Availity Essentials for the provider(s) they submit claims for
  2. Availity Essentials sends an agreement to the provider to sign and return. Note: This method takes longer because signed paperwork must be returned to Availity

Register with Availity Essentials

Availity tips

View our tips for using Availity Essentials applications and resources, including eligibility and benefits inquiry, claims status inquiry, remittance viewer, authorizations application, estimating patient costs or viewing reimbursement schedules.

View Availity tips on our Self-Service Tool.

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Need help?

Find help, training or outage information by:

  • Clicking the Help & Training link in the Availity portal menu
  • Calling Availity Client Services: 1 (800) AVAILITY or 1 (800) 282-4548
  • Creating an eTicket or starting an online chat: Availity Essentials: Help & Training>Availity Support>Contact Support

Availity is a separate and independent company that provides secure access to eligibility, benefits and claims-related information for Regence members.