When it comes to submitting claims to payers and getting the latest status updates, providers need a healthcare network they can trust. Availity has claim submission and claim status solutions for providers of all sizes—from small practices to large hospitals and health systems.
Small medical practices and independent practitioners want the convenience of submitting claims electronically without the overhead of purchasing a practice management system. Availity Essentials™ and Essentials Plus™ allow providers to:
Learn how Availity can help your health plan streamline provider workflows and improve collaboration.
Availity Essentials PlusLearn how Availity can help you reach more health plans while streamlining pre-service and billing.
Many participating payers allow providers to submit and monitor claim appeals through Essentials. Providers who need to appeal a claim can submit the request and upload supporting documentation. They can also monitor the status and message the payer, reducing the need to call for an update.
Learn how Availity can help your health plan streamline provider workflows and improve collaboration.
Availity Essentials PlusLearn how Availity can help you reach more health plans while streamlining pre-service and billing.
Large revenue cycle organizations want a powerful claim management system integrated within their primary workflow. Essentials Pro is a full-scale revenue cycle management system that allows staff to submit professional and institutional claims individually or via batch and to keep track at the file or the claim level throughout processing. Essentials Pro also supports:
Find out how one health system reduced denials and accelerated reimbursement with Essentials Pro Attachments.
Boost efficiency, prevent denials, expedite payments with Availity Essentials Pro End-to-End RCM.
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Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 13 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment.