Do you need assistance?

Please enter your Availity email here since that is how you will access our systems. If you use the incorrect email, there will be login issues that can be solved later.

Please enter your NPI (National Provider Identifier)

Example: Jane Smith, 123456789, Neurosurgery

I will allow 24-48 hours for my access request to be processed

Use this space to add more context for your request

Add file or drop files here