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Enhancing the Claims Experience in Availity Essentials
Effective date
Not stated in the notice
Identified
Nov 7, 2026
Summary
Beginning in December 2026, providers using Availity Essentials will be able to submit claim disputes/reconsiderations and appeals in the portal, download determination letters and notices, and access previously submitted attachments. Attachment capacity per request expands to 600 MB total, with up to 10 files per request at 60 MB per file. Access to these tools requires the Claim Status role, and Availity is offering free live training sessions on December 8 and December 10, 2026.
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What to do
Action · 3 steps
01Beginning December 2026: Confirm with your organization's Availity administrator that billing staff have the Claim Status role so they can use the new dispute/reconsideration and appeal tools.
02Billing team: Register for the free live training on Tuesday, December 8, 2026 (noon to 1 p.m. ET) or Thursday, December 10, 2026 (1 to 2 p.m. ET), or watch the recording afterward, and update your internal claim dispute and appeal workflow to use Availity Essentials for submissions and for downloading determination letters and attachments.
03Billing team: Update your supporting-documentation process so large packets can be sent in a single request, using up to 10 files per request at up to 60 MB per file and 600 MB total.
Original notice
Enhancing the Claims Experience in Availity Essentials
ambetterhealth.com · Always check the source before changing claims.