Registered for Availity? Start Using the New Provider Portal Today

Does your office or organization currently use Availity® for other payers? If so, you can start using Availity for Highmark transactions — in the regions where you are contracted — right now.

That’s right, you don’t have to wait until February 5, 2024, which is the date when all Highmark providers will have access to Availity. Take advantage of this opportunity to shift all your Highmark transactions over to Availity before the year’s end.

Please note providers with new Highmark contracts, effective after October 20, 2023, can register to use Availity now and don’t have to wait until next year.

Phased Approach

Highmark is taking a phased approach as we move from NaviNet® and HEALTHeNET to Availity to ensure a seamless transition for providers. We started with pilot programs in August and September that helped us address provider questions and concerns before Controlled Deployment, our largest transition phase. As of last Sunday (October 22), we entered Controlled Deployment which allows providers — who already use Availity for other payers — to begin using Availity for Highmark.

The last phase will occur February 5 where we open registration for providers who do not already use Availity with other payers and are not new to the network. This will allow Highmark to provide focused support to those offices/facilities unfamiliar with the Availity platform.

Early Adoption – Top Reasons

If you are currently registered with Availity, here are some top reasons you should shift all Highmark-related transactions to our new provider portal as soon as possible:

  1. Fewer Portals, More Efficiency
    New York providers that currently toggle between NaviNet and HEALTHeNET will be able to complete all their transactions within Availity, including accessing Risk Manager and Best Practice reporting and submitting batch 270 Eligibility Benefit Inquiries. The sooner you make the switch to Availity, the sooner all your Highmark transactions will occur in one portal, which makes it easier administratively for you and your team.
  2. More Time to Train Your Team
    Even though your office or organization uses Availity, you may have some team members who lack experience using the new provider portal. By making the transition now, you give those team members who are less familiar with Availity more time to get up to speed.
  3. More Time to Update Your Systems and Vendors
    Ensure your practice/facility updates any internal systems and automation connected to the NaviNet and/or HEALTHeNET portals. If you work with a third party, such as a billing service, clearinghouse, or service bureau, ensure they are submitting transactions to Availity as well. The vendor should register its own account by following the instructions listed here.
  4. Start the New Year Ready to Go

    Completing your transition to Availity in 2023 means you don’t have to do it next year. When January rolls around, your office won’t have to worry about completing a leftover task from the previous year — you and your team will be ready to go.

Training Sessions

Availity began live training to providers on October 23, 2023, and will continue through November 3, 2023. Hosted by Availity and Highmark representatives, these sessions are designed to show you how to navigate Highmark’s new portal and get the most out of your experience. They will cover the following topics:

  • Availity Essentials: Introduction to Highmark Providers (including Highmark’s Authorization Tool)
  • Claim Submission Applications for Highmark Providers
  • Claim Follow-up and Payment Applications for Highmark Providers

Training will be recorded and available after the live sessions. You can access these recorded trainings by logging into Availity Essentials and then navigating to Help & Training > Get Trained.

Additional training dates and information will be posted on the PRC when available. You also can receive training updates when you sign up for our eSubscribe list.

Availity FAQs

Our Frequently Asked Questions (FAQs) page on the Provider Resource Center (PRC) has numerous questions and answers about the move to Availity. Throughout the transition, we will continue to update this page.

Transition Timeline

The transition to Availity will occur in stages. Here’s what you can expect going forward:

  1. October 22, 2023

    1) Providers who currently use Availity for other payers will see Highmark as an option in the states where they are contracted; and 2) providers with new Highmark contracts effective after October 20, 2023, can register to use Availity.

  2. February 5, 2024

    Availity will be available for all Highmark providers.

  3. March 2024

    Providers will no longer have access to NaviNet or HEALTHeNET (NY).*

*More information on the retiring of existing portal(s) will be distributed as it becomes available. If you don’t already receive emails for our provider newsletters, join our eSubscribe list today.

(Note: Highmark Wholecare and Highmark Health Options will not transition to Availity; providers should continue to use their current portals for transactions related to these plans.)

Availity is an independent company that contracts with Highmark to offer provider portal services.

NaviNet is a registered trademark of NaviNet Inc., which is an independent company that provides secure, web-based portal between providers and health insurance companies.