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.

Solutions for health plans

Revenue Program Management

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

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Provider data management

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

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Clinical Connect

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

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Expand the success of value-based payments

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

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Simplify provider connectivity

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

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Improve payment accuracy and efficiency

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

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Increase provider self-service

Reduce time spent answering information-related calls.

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