Health plan solutions

Work smarter, with
greater collaboration

As the industry shifts from fee-for-service compensation models to value-based payments, the primary business challenge for health plans remains the same: reduce administrative costs while improving performance, and do it all while maintaining a strong and collaborative provider network. Availity helps you do it all by combining our strengths in administrative cost reduction with innovative workflow solutions.

Watch this video to learn more about the power of the Availity network.

Payer solutions for driving provider engagement encompass everything from managing data and improving risk assessment to getting the right information to the right person at the right time.

Payer SPaces

Gain insight into Providers’ content utilization

Payer Spaces provides each health plan a branded page within the Availity Web Portal. With over 500,000 logins each day, plans can leverage this custom branded space to deploy specific functionality and messaging directly to its provider network.

Learn more

Revenue Program Management

Availity offers an innovative risk adjustment workflow solution for digital payer and provider collaboration.

Learn more

Provider data management

Provider Data Management improves accuracy and makes engagement with providers deeper and more effective.

Learn more

Clinical Connect

Availity Clinical Connect automates the costly, manual exchange of clinical data when and where it’s needed.

Learn more

Expand the success of value-based payments

Share the information you need to support both fee-for-service and value-based payment programs.

Learn more

Simplify provider connectivity

Connect and communicate quickly, easily and securely to your provider network.

Learn more

Improve payment accuracy and efficiency

Improve auto-adjudication, denial and pend rates with more complete, reliable data.

Learn more

Increase provider self-service

Reduce time spent answering information-related calls.

Learn more