What types of services does Availity perform for providers?


Quick Answer

Availity offers health care providers a variety of Internet-based health information exchange services, according to Bloomberg Business. Business-to-business products by Availity include network-based solutions and electronic systems that automate processes related to patient insurance coverage, billing, the submission of electronic claims to insurance companies and other revenue cycle management products.

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Full Answer

Availity's health information network covers administrative, financial and clinical business areas. Its insurance claims clearinghouse solution integrates with hundreds of practice management systems used by physician practices, hospitals, third-party claims processors and other stakeholders in the health care industry, notes the company website. Providers can submit individual or batches of medical claims to commercial and government payers via the Availity clearinghouse. They also can check the status of claims and any payment remittance information.

The Availity Web Portal, provided free to providers, accesses real-time information about a patient's insurance coverage and eligibility for benefits under the health plan, explains the company website. Additionally, providers can obtain authorizations from the patient's insurance company through the portal and view patient care summaries and care reminders.

The company also offers software solutions that focus on patient payments, states Bloomberg Business. Patient-centered services include a cost estimator and automatic collection of payments due for medical services.

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