Healthcare providers, meet Gravie.
Gravie is a licensed third-party administrator (TPA) that administers employer health plans. Through partnerships with Cigna and Aetna Signature Administrators® (ASA), our members access broad provider networks while we manage claims and benefits in-house. Providers can find Gravie in Availity Essentials to verify eligibility and benefits, submit and track claims, and access real-time administrative tools.
Not on the Availity network?
You can still manage your patients and claims using our dedicated Gravie tools located below.
Eligibility & Benefits Search
Quickly verify patient coverage and view their benefit summaries.
Claims Information & Process
Check the status of your claims and payment history by logging in to the provider portal.
Provider FAQs
At Gravie, we know that providing excellent care to your patients is your top priority. To make working with us easier, we’ve compiled answers to common provider questions in one convenient place—so you can quickly find the information you need and focus on what matters most: caring for your patients, our Gravie members. For additional details on working with Gravie, please view this flier,
Eligibility and benefits verification
A: You have two digital options:
- Availity Essentials: For the most streamlined experience, use the Eligibility & Benefit Search tool on Availity. You can search by member ID or name/DOB and submit 270 transaction files.
- Gravie Provider Portal: You can also use our legacy Eligibility and Benefit Search by entering details from the patient’s ID card.
A: First, verify the member’s information matches their ID card exactly. If you are using Availity and cannot find the member, ensure you are searching under the correct Payer ID (GRV01 for Aetna-network cards). For further assistance, contact Gravie Care at (877) 684-3984. please contact Gravie Care at (877) 684-3984.
Gravie is partnering with Availity to provide a more streamlined experience for providers. Gravie is expected to be live in Availity in March 2026.
Once Gravie is available in the Availity portal, providers will be able to:
- Search for and locate Gravie members by name or member ID
- Verify eligibility and benefits for the 2026 plan year and beyond
- View coverage details, effective dates, and cost-sharing information
- Submit claims electronically through Availity
- Check claim status, receive updates, and manage follow-up
- Access administrative tools to support billing, documentation, and workflows
This integration is designed to make it easier for providers to work with Gravie and to support timely, accurate access to member information. We appreciate your patience as we complete this implementation and look forward to offering these capabilities soon.
Claims & reimbursement
A: Providers are encouraged to use Availity to request claim status by uploading a 276 transaction file or using the Claims Status DDE screen.
- Note: If you have previously used the Gravie Provider Portal, claim history remains available there under the CLAIMS tab for accounts with previous paid claims.
A: We offer three submission methods:
- Electronic (Recommended): Submit through Availity by uploading an 837 file or using their Direct Data Entry (DDE) screen.
- Payer ID: Use GRV01 for cards with the Aetna Signature Administrators logo or 62308 for Cigna-network cards.
- Paper Claims: If you must submit via paper, we highly encourage transitioning to Availity’s DDE functionality for faster processing and improved tracking.
A: Remittance details are available through the Availity Remittance Viewer. This provides a central location for viewing 835 transaction details. This feature will be available in Availity in Q2.
Medical management
A: Certain procedures, diagnostic tests, and specialty services require review to ensure they meet clinical guidelines and plan benefits. You can view our Medical Necessity & Prior Authorization flier for a comprehensive list of services requiring review, as well as the documentation needed for a timely determination.
A: For non-pharmacy medical authorizations:
- Aetna Network Members: For cards with the Aetna Signature Administrators logo, please contact American Health Holdings (AHH) at (833) 462-0102 or fax your request to (866) 881-9643.
- Cigna Network Members: For cards with the Cigna logo, please follow the standard Cigna authorization process or call the Provider Services number on the back of the member’s ID card.
A: Gravie uses industry-standard clinical criteria to evaluate requests. Detailed information on our review process and clinical requirements can be found in our Medical Necessity & Prior Authorization flier.
Pharmacy benefits:On or after January 1, 2026
Starting January 1, 2026, Gravie is transitioning our pharmacy benefit manager (PBM) to Express Scripts®, Evernorth’s pharmacy benefit services business — replacing CVS Caremark®.
For prescription needs through December 31, 2025, members and providers should continue to use CVS Caremark for all fills and pharmacy services.
For a full list of covered medications, please reference the following:
Providers and members can review the formulary to determine if a medication requires prior authorization.
Express Scripts’ prior authorization department is available 24/7.
Submit requests electronically, by phone, or fax (starting January 1, 2026):
- Electronically: Submit a Prior Authorization via Cover My Meds
- Phone: 800.417.1764
- Fax: 877.251.5896
Providers can submit prescriptions to Express Scripts Pharmacy for patients to receive three-month supply deliveries of maintenance medications for the cost of two copays.
Submission options:
- Electronically (fastest): Send the prescription directly to Express Scripts Pharmacy.
- Fax: Fax the prescription to 800.837.0959.
Specialty medications are filled through Accredo Specialty Pharmacy. For specialty medications, providers can send prescriptions directly to Accredo or call them at 844.516.3319.
View the list of medications eligible for the SaveOnSP-administered copay assistance benefit here.
Express Scripts
ATTN: Commercial Claims
P.O. Box 14711
Lexington, KY 40512-4711
- Express Scripts: 800.922.1557
- Accredo Specialty Pharmacy: 844.516.3319
Administrative & technical support
A: The Gravie Payer Space is your hub for specific updates. Here, you can view posted messages, administrative tools, and links to relevant resources without leaving the Availity platform.
- For Patient Care (Eligibility/Claims): Use Availity Essentials.
- For Provider Data (TIN/License/Address): Continue to use the Gravie Provider Portal. Log in, click PREFERENCES, and ensure your credentials and tax information are up to date.
Didn’t find what you’re looking for?
Call the number for Gravie Provider Support on the back of your patient’s Gravie ID card, or visit our Gravie Care for the most up-to-date contact information.