Products + Services
Availity’s integrated suite of products and services makes it easier to handle everyday health care administrative, financial, and clinical tasks. Whether you work with one health plan—or hundreds—you can quickly and easily file claims, check eligibility and clinical history, process payments, and more in one fully HIPAA-compliant site. Availity’s services also integrate seamlessly with Practice Management Systems, Electronic Medical Record Systems, and Hospital Information Systems.
- Find Products + Services that support:
- Administrative
- Financial
- Clinical
- CareRead®
-
Swipe patients’ health plan member ID cards through a card reader device, which automatically fills Availity’s online transaction pages with the necessary information to retrieve patient records.
- Eligibility & Benefits Inquiry
-
Instantly confirm patient eligibility and benefits, including covered services, co-pays, deductibles, and more. Advise patients in advance about out-of-pocket costs.
- Health Care Services Review and Inquiry
-
Avoid delays in patient care by submitting referrals and authorizations in real-time, or check on the status of existing requests.
- Claim Submission
-
Submit real-time or batch government and commercial electronic claims quickly and easily to more than 1,300 health plans.
- Claim Status Inquiry
-
Quickly check the status of claims from multiple health plans, including delay and denial reasons.
- Claim Reconciliation
-
Reconcile your accounts receivable and reduce outstanding bills by reviewing the claim results from multiple health plans within parameters you determine, such as by date range or by status.
- CareCost EstimatorSM
-
Determine patient financial responsibility in real-time based on current patient benefits and provider allowances.
- CareCollect®
-
Easily collect payment online by credit card, debit card, or check. Payment information can be integrated with your billing system.
- Electronic Remittance Advice (ERA)
-
Improve revenue-cycle management by receiving electronic payment explanations from multiple health plans.
- CareProfile®
-
Access an up-to-the-minute, consolidated view of a patient’s care across providers, including office visits, hospitalizations, diagnoses and procedures, medications, lab results, radiology history, and immunizations.
- CarePrescribe®
-
Quickly and easily submit new prescriptions and renewals electronically to any pharmacy. Receive instant notifications for drug interactions, and lower cost alternatives.