Availity Essentials update: streamline eligibility, claims, ERA, and training through Availity Essentials.
Availity Essentials
Curative leverages the Availity Essentials platform to streamline provider interactions and enhance administrative efficiency.
The following services are currently supported through the Availity portal:
1. Eligibility and benefits verification
- Real-time eligibility lookup for Curative members (Same name as employer provided)
- View covered services, co-payments, coinsurance, and deductibles
- Check plan-specific coverage and benefit limitations
2. Claims submission
- Submit professional and institutional (UB-04/HCFA) claims electronically
- Upload supporting attachments when required (medical records, invoices)
- Submit corrected claims with proper indicators
3. Claims status inquiry
- Track claim receipt and processing progress
- View payment details, denial reasons, and status codes
- Export remittance advice summaries for reconciliation
- Must be the exact DOS.
4. Remittance advice (ERA) access
- View and download Electronic Remittance Advices (835 files)
- Reconcile payments with claim adjudication outcomes
- Need to be enrolled to be able to obtain this access.
5. Training and education (Essentials on Availity)
- Access Curative-specific payer spaces for downloadable training guides and reference materials
- Register for live and on-demand webinars
Provider access requirements
- Providers must be registered on availity.com
- Tax ID (TIN) and NPI are required for access to Curative’s payer space
- Office managers can delegate access to appropriate staff members within their group