> ## Documentation Index
> Fetch the complete documentation index at: https://docs.stratapt.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Verify Benefits Through Availity

> How to check a patient's insurance benefits in Availity for commercial payers, without picking up the phone.

Most of your patients' commercial payers can be checked directly in Availity, no phone call required. StrataPT recommends that every customer has an Availity account (generally set up during onboarding), so this option is available to your team. This guide walks front desk and billing staff through pulling up a patient's benefit details for a commercial payer. Medicare benefits still verify automatically in StrataEMR and don't need this process.

***

## Before You Begin

* You need an active Availity login. Check with your practice admin if you don't have credentials.
* Have your practice's **NPI** and **Tax ID** on hand.
* Have the patient's insurance card: **Member ID** and **Date of Birth**. If you don't have the Member ID yet, you can search by the patient's first and last name instead.

<Note>
  **Note:** Availity coverage varies by payer. Most major commercial payers (Aetna, Blue Cross, and others) support eligibility and benefits lookups. Not every payer a patient carries will be available.
</Note>

***

## Verify a Patient's Benefits

1. Log in to Availity.
2. Select **Patient Registration** from your home page.
   <Frame>
     <img src="https://mintcdn.com/stratapt/QSkfERDhS-C6kD4m/images/benefits-inquiry.png?fit=max&auto=format&n=QSkfERDhS-C6kD4m&q=85&s=390c8a5a81a812d9e83e090f871ec2dc" alt="Benefits Inquiry" width="1470" height="740" data-path="images/benefits-inquiry.png" />
   </Frame>
3. Choose the patient's payer from the payer list.
4. Enter your practice's **NPI** and **Tax ID**.
5. Enter the patient's information: **Member ID** and **Date of Birth** (or **First Name** and **Last Name** if you don't have the Member ID yet).
   <Frame>
     <img src="https://mintcdn.com/stratapt/QSkfERDhS-C6kD4m/images/patient-search-options.png?fit=max&auto=format&n=QSkfERDhS-C6kD4m&q=85&s=2f87d16812531e1b45289446ce7d5a2f" alt="Patient Search Options" width="1471" height="741" data-path="images/patient-search-options.png" />
   </Frame>
6. Select **Submit**.

Once the request loads, the patient's benefit summary appears, including their remaining deductible and other cost-sharing details. Use the **In Network** / **Out of Network** toggle at the top to see benefits under each, and the dropdown menu to confirm physical therapy is covered.

<Frame>
  <img src="https://mintcdn.com/stratapt/QSkfERDhS-C6kD4m/images/benefit-information.png?fit=max&auto=format&n=QSkfERDhS-C6kD4m&q=85&s=843afa6d744b85a97e19c6b25c87b4f3" alt="Benefit Information" width="1471" height="740" data-path="images/benefit-information.png" />
</Frame>

<Tip>
  **Tip:** You can print this results page and upload it to the patient's Documents in StrataEMR, the same way many practices already keep a record of phone verifications.
</Tip>

<Note>
  **Note:** Availity doesn't send this information into StrataEMR automatically. Enter what you find into the patient's benefit record in StrataEMR (**Patient Menu Bar > Patient Info > Policies > Benefits**) so your billing team has it on file.
</Note>

To look up another patient, select **New Request** from the same screen.

***

## Save Time on Repeat Lookups

If you check benefits often, star **Patient Registration** as a favorite so it appears on your Availity home page for quick access.

\[SCREENSHOT: Favoriting Patient Registration on the Availity home page]

Availity also keeps a recent patient history, so switching between patients you've already looked up doesn't require re-entering their information each time.

***

## Checking Authorizations and Referrals

<Tip>
  **Tip:** Availity isn't just for benefits. The same portal lets you check whether a payer requires **prior authorization** or a **referral**, and submit an authorization or referral request using the same patient and policy information. Look for **Authorizations & Referrals** in the Availity menu. If a policy requires either, see [Patient Benefit Verification](/guides/billing/patient-benefit-verification) for what to do with that information once you have it.
</Tip>
