Availity Review

Availity is designed to help healthcare companies manage medical benefits, insurance claims and payment authorizations on a unified platform. The integrated revenue cycle management system enables healthcare professionals to record and track revenue from initial appointments to final payments. The platform allows administrators to capture and store patient details in a centralized repository, send requests in bulk, and receive real-time notifications for status updates.
Availity‘s features include HIPAA compliance, communication management, analytics, collaboration, authorization management and more. It offers a portal for providers to collect information about insurance premiums, payments, payers and more in real time. It also helps imaging centers access contact details or patient records, configure workflows, and view real-time quotes based on contracted rates or discount programs.

AVAILITY – TUTORIAL

AVAILITY – FEATURES

  • Provider engagement: Ensure your providers can easily access the information they need within their preferred workflow.
  • Provider directory: Maintain compliance by capturing provider demographic updates at the source.
  • Interoperability: Enhance data-sharing capabilities and reduce care costs.
  • End-to-end authorizations: Discover how this solution simplifies the burdens of prior authorization with AI-based solutions to help reduce costs and improve care.
  • Digital correspondence: Cut printing and shipping costs by replacing manual processes with digital solutions. Get letter delivery through digital correspondence.
  • Healthcare connectivity: Learn how the solution helps providers and business partners facilitate seamless data exchange via X12, REST, and FHIR APIs.
  • Payment accuracy: Lower administrative costs and prevent revenue loss with AI-based payment accuracy solutions.
  • Revenue cycle management: See how the program can help prioritize care with automated RCM solutions covering pre- and post-service phases.
  • Eligibility and coverage: Verify your patients’ eligibility and coverage information through a trusted partner.
  • Authorizations: Reduce time spent waiting for authorization approval.
  • Claims and claim status: Decrease denials and receive payments quickly and accurately.
  • Denial prevention and management: Learn how robust revenue cycle tools support denial prevention and management, reducing cancellations and optimizing cash flow.

Conclusion

Availity, hospital management software, offers an API, which allows companies to integrate the solution with various third-party practice management systems, electronic health records (EHR) and hospital information systems (HIS).

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ACCU-RATE:
Usability: 7.5 /10 Speed: 8 /10 Features: 6.5 /10 Support: 6 /10 Pricing: 6 /10

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