RxCheckUp

RxCheckUp vs Availity

Availity is a multi-payer eligibility and pa submission portal. Availity gets the form to the payer. RxCheckUp generates the clinical Letter of Medical Necessity that goes inside the form.

Feature-by-Feature Comparison

FeatureRxCheckUpAvaility
Multi-payer eligibility checks
PA form submission to payer
AI-generated Letter of Medical Necessity
Payer-specific criteria matching174 payers built inForm routing only
Clinical evidence citations
ICD-10 & drug catalog lookup
Appeal letter drafting
Learns from approval/denial outcomes
Time to draft clinical justification2 minutesN/A — not a drafting tool
What you getSignable LMN with evidenceSubmission confirmation

Key Differentiators

1Plumbing vs persuasion

Availity is the connective tissue between providers and payers — essential for routing the request. RxCheckUp is the persuasion layer: a payer-specific Letter of Medical Necessity with cited evidence that meets coverage criteria.

2174 payer-specific policies

Availity ensures the form lands at the right place. RxCheckUp ensures the clinical justification inside is tuned to that exact payer’s step therapy, documentation, and labs requirements.

3Use them together

Many practices already use Availity for eligibility. RxCheckUp slots in alongside it: write the LMN with RxCheckUp, attach to the Availity submission, and submit.

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