Availity Value Added Services Page

Value Added Service Companies

Availity has formed cooperative relationships with the following companies to provide our customers with a robust suite of products and services.

CAQH, a not-for-profit alliance of health plans, networks and trade associations, is a catalyst for industry collaboration on initiatives that streamline healthcare administration. The organization's Universal Credentialing DataSource® (UCD) has simplified the credentialing process, reduced administrative burden and eliminated hundreds of thousands of legacy applications for providers and plans. UCD allows healthcare providers, free of charge, to complete a single, standardized online application that fulfills virtually any organization’s provider credentialing data requirements. The service’s newest feature, the Ongoing Sanctions Module, quickly identifies providers with sanctions and/or disciplinary actions through daily updates drawn from more than 400 sources. For more information, please visit www.caqh.org.

GTESS Corporation provides customers with a total pre-adjudication medical claims processing solution called the Claims Gateway Solution - a hybrid ASP software and service solution with five client-customized applications: mailroom and EDI claim receipt, clean-claim technologies, network management solutions, workflow systems for claim edit resolution, and document management technology. The Claims Gateway Solution uses business process management (BPM) technologies to create new efficiencies and offer process transparency throughout the claim process. Our ‘clean-claim’ HIPAA-compliant electronic data interchange (EDI) delivery systems go beyond what can be achieved by automating parts of the process, or outsourcing operations off-shore. For more information, please visit www.GTESS.com.

HealthLogic is your comprehensive business solutions partner providing dynamic and customizable products and services focused on faster cash retrieval, improved office efficiency and guaranteeing total customer satisfaction. All of our products and services are offered through a web-based platform allowing ease of access and use. This platform also provides for the most cost and time effective upgrades possible. After 15 years of successful growth and development HealthLogic continues to be a pioneer in customer-driven products and is the first to introduce electronic automated secondary billing with a reject/denial management workflow process. This capability completes the circle of the Revenue Cycle Management flow. We continue to lead the industry in systems development that focuses on early cash retrieval with maximum and efficient automation. Products such as our Eligibility, either batch or real time, help ensure patient health care coverage; our web-based Automated Secondary Processing expedites secondary claims dropping, complete Medicare claims archiving and includes a worklist that filters tasks to the appropriate staff within your business office allowing you to better manage the workflow while ensuring timely processing. For more information, please visit www.hlsc.com.

Founded in 1982, PlastiCard Systems, Inc. (PSI) has been involved in the payments industry from the time of voice authorization centers for credit cards and checks. The introduction of Electronic Draft Capture (EDC) in the early and mid 1980s changed the acceptance of plastic for payment from an administrative function to an automated tool for businesses. These same technologies are used to automate identification, benefit eligibility, access control, and many other applications. Rather than shrinking, the ubiquitous magnetic stripe is expanding in its applicability and security. PSI has watched these technologies evolve and stayed in the forefront, guiding developers and end users through the ever-changing applications and challenges. For more information, please visit www.psipos.com.

Prematics is an innovative provider of clinical IT services for physicians that improve the safety, quality, and efficiency of health care. In partnership with health plans, the company deploys ScriptTone - its distinct, fully-managed, and all-inclusive medication management service that delivers an easy, no-cost way for physicians to start e-prescribing. ScriptTone operates on Prematics’ proprietary, end-to-end network to equip providers with the critical patient information they need at the point-of-care to prescribe the most clinically appropriate and cost-effective medications. ScriptTone benefits all of the key industry stakeholders by driving patient safety, lowering costs, and streamlining fulfillment. More information about Prematics can be found at www.prematics.com.

RelayHealth's web-based, doctor-patient messaging platform connects doctors and their patients efficiently, affordably, and securely. Tuned for both small and large practice environments, the RelayHealth® service improves and streamlines health care delivery and access through modular features like the webVisit® clinical consultation which tackle complex issues unique to the health care market, including clinical structure, practice workflow, and reimbursement. For information, visit www.relayhealth.com.

IT Solutions and Services for Healthcare Revenue Cycle Management: Technology Medical Partners (TMP) delivers value added IT solutions and services to the Healthcare Industry. As an independent consulting firm, TMP provides healthcare focused IT consulting, solution installation and integration services for any Provider’s financial organization, registration process and related technical infrastructure. TMP provides all the technical consulting, project management and installation services to make any proposed solution successfully implemented. TMP will ensure a rapid, successful and supportable solution that takes account all of the unique People, Process and Technology specific to your hospital. We provide business process improvement between healthcare PROVIDERS and PAYERS. Improvements to PROVIDER’S Net Patient Revenues, Employee and Patient Satisfaction are our value proposition. We provide the CFO/Revenue Cycle Management of any PROVIDER with products, solutions and services for Revenue Cycle Improvement; Simplification of the Charge System; Revenue Improvement; Cost Reduction; Improved Communication via EDI HIPAA Transactions; and any solution that can improve Patient and Employee Satisfaction in the Registration and Access Management functions. TMP is a channel partner of many healthcare technology solution and service providers and we bring this comprehensive array of healthcare solutions together with experience and leadership in Information Technology delivery. For more information, please visit www.t-m-partners.net.

TRANSFIRST is among the nation’s premier providers of transaction processing services and payment processing technologies. TRANSFIRST offers a comprehensive suite of products and services and customized credit card processing programs uniquely tailored for the special business needs of financial institutions, independent sales organizations and agents, and referral and reseller partners. Through its in-depth industry knowledge, partnership strategy and innovative processing solutions, TRANSFIRST provides a specialized approach to providing merchant bankcard processing, transaction processing services and credit card processing for many industries such as retail, specialty retail, healthcare, e-Commerce, catalog, public sectors, municipalities, utilities, online bill payments, and many more. For more information, please visit www.transfirst.com.