July 6, 2023
Services and pharmacy benefits may change for some employer groups who customize their plans. Please check your patient’s benefits before providing care.
Through the Availity eligibility and benefits feature, you can check for general benefit information by selecting Health Benefit Plan Coverage from the Benefit/Service Type field. The hover-over feature shows you benefit details. This feature can help
you determine if you need to select a more specific benefit/service type (see sample screenshot showing physical therapy, acupuncture, or vision).
For member-specific plan information, check green box at the top of the Eligibility and Benefits page. Keep in mind this information can change and is specific to the member’s benefit plan and service type. Here’s an example:
