Digitize Medical Billing for Atypical Providers with Quick Claims

Three Things Your Health Plan Can Do to Prepare for the Payer-to-Payer Mandate

Industry Insights: Mandi Wasik, Availity's Data Connectivity Program Manager, on Clinical Data Aggregation, Quality Improvement, and DAV Certification

10 Questions to Ask When Evaluating Clinical Data Assets

Fuel your FHIR with Better-Quality Data

Leveraging High-Quality Clinical Data to Safeguard HEDIS Quality Bonus

Medicaid Redetermination Has Restarted. How Providers and Payers Should Respond.

Five Risks of Not Improving Clinical Data Quality

We sat down with Availity expert Krisi Hutson, senior director of product development, to gain insight into the complexities surrounding prior...

Delivering the Right Information at the Right Time for Optimized Health Outcomes

Simplifying the Prior Authorization Process through Automation

How Health Plans are Using High-Quality Clinical Data to Achieve Member-Centricity

If not, ask your health plans about Enhanced Claim Status

Here we highlight five common mistakes your pre-service and follow-up teams could be making and how just a few changes could save hours in the long...

High-Quality Clinical Data Increases Risk Score Accuracy for Health Plans

How AI, Automation, and Data Interoperability will Revolutionize the Future of Prior Authorizations

Authorizations… in Seconds

Is your clearinghouse vendor providing the reliable automation and service your revenue cycle needs?

High-quality, real-world clinical data can power better decision-making in population health and preventative care.

Why Health Plans Need Automation to Get ROI from Clinical Data

High-Quality Clinical Data Has the Potential to Transform HEDIS® Quality Reporting and Close Care Gaps

These simple, repeatable processes are designed to help revenue cycle teams of all sizes generate results for their organizations. Find out how by...

Developing a Scalable Infrastructure for Clinical Data at HIMSS23

Download Availity’s Latest eBook on EDI Clearinghouses

Migrating to a modernized EDI platform is a significant change to mission-critical infrastructure but doesn’t have to be a risky proposition. This...

Exploring Clinical Data Acquisition and Integration in the Healthcare Ecosystem

Availity’s new digital offering delivers authorization letters within Availity Essentials

During the Connectathon, the C-CDA to FHIR mapping cross-project team convened to review and triage the ballot comments, and gather consensus on some...

We’ve put together four repeatable steps to evaluate your revenue cycle vendor stack and make regular review a part of your operations.

AI Takes Center Stage Amid Focus on High-Quality Data for Healthcare Advancements

It’s time to cut the waste from paper-based claims processing..

Migrating to a modernized EDI platform is a significant change to mission-critical infrastructure but doesn’t have to be a risky proposition. This...

Why Clinical Data is Hard to Use

Working with multiple EDI vendors? Here are three reasons to consider consolidation.

Clinical data is a valuable resource for healthcare's digital revolution, but effectively accessing and deploying it at scale is a challenge. Availity...

Igniting FHIR to Power Innovation: How HCSC Partnered with Availity to Accelerate the Use of High-Quality Upcycled Clinical Data to Drive Outcomes

FHIR has made meaningful strides in healthcare data interoperability. But is it enough?

The healthcare industry produces a massive amount of data each year. In fact, data researchers estimate approximately 30% of the world's data volume,...

Critical decisions made by people in moments of incredible pressure can be the decisive factor in avoiding the worst-case scenario….

If you’re still submitting paper claims, mailing patient statements, and sending attachments to payers, remember — it’s not just the cost of paper...

Provider directory management (PDM) can be a significant and expensive administrative burden for health plans and providers. Although the healthcare...

Nearly 80% of medical attachments are still sent manually via fax or mail. It’s one of the least adopted electronic transactions by both providers and...

A health plan’s EDI infrastructure is mission-critical, serving as the foundation for communication between health plans and providers. As a result,...

Availity’s foundation—and reputation—is built on decades of innovation in revenue cycle management and administrative and financial workflow...

Although payer and provider incentives are not completely aligned, the prior authorization use case offers a true “win-win” opportunity regardless of...

The group will bring together health plan and provider stakeholders for a series of meetings to understand how their organizations are preparing for...

We know Zoom can’t take the place of getting together on Amelia Island. Still, it does allow us to stay in touch as we continue the work of improving...

Availity’s RESTful API delivers richer claim status information across all provider channels

After a two-year pause due to the pandemic, Availity Connects returned. More than 227 friends, customers, and colleagues from health plans, vendor...

Get answers to the most frequently asked questions about Availity’s new provider offering.

As the product line manager for Availity Editing Services, I talk with a lot of health plans about how they can improve their clean claim rate by...

Fast Healthcare Interoperability Resources (FHIR) is helping to transform healthcare by enabling payers and providers to share information more...

The market for mobile health applications is exploding, but many applications fail because they don’t take into consideration how the user’s...

The No Surprises Act legislation, which is scheduled to go into effect on January 1, 2022, is a complex piece of legislation that will significantly...

As we celebrate our 20th anniversary, we’re looking back and looking ahead. While it’s fun to reminisce, we look back not for nostalgia but to...

Seemingly overnight, we had to figure out how to onboard new hires in a completely remote environment due to the COVID-19 pandemic. Sixteen months...

Welcome to Availity’s EDI 101 series. Where we answer your most frequently asked questions about healthcare connectivity.

Does it ever feel like the language around healthcare transactions is purposely confusing? Do you find yourself googling terms…and still not...

Availity’s strength lies in the diversity of our people, with each associate bringing something unique to the organization. By celebrating our...

We are proud to announce that Availity has been certified as a Great Place to Work! Great Place to Work® - the global authority on workplace culture -...

Coverage identification tools help providers find active member coverage by sending multiple eligibility inquiries (270) to payer networks until they...

COVID-19 has left many communities shattered; businesses on the brink of closure, some already completely shut down, and unemployment rates reaching...

What have we learned from the early response to the pandemic, and what changes could we see in healthcare as a result? Find out in the new Availity...

October is National Cyber Security Awareness Month and as healthcare professionals, we play an important role in protecting the safety and security of...

It’s always nice to find little shortcuts that saves you time. Like taking a little-known side street that bypasses a heavy traffic area. Or picking...

In January of 2018, the American Medical Association, along with stakeholders from many other payer and provider organizations, released a consensus...

Telemedicine is finally having its moment. It’s long been viewed as a potential way to reduce healthcare costs and drive better coverage among...

COVID-19 has forced most healthcare organizations to restructure the ways they operate. Practices and hospitals not on the frontlines of fighting the...

Because many of us are using the lull in our normal routines to brush up on skills or learn new ones, we thought this would be a good time to remind...

The economic downturn caused by the COVID-19 crisis has forced many companies to pause hiring or implement temporary furloughs. At Availity, we are...

Even in the most technology-savvy provider offices, there may be lingering paper-based manual processes eating away at your bottom line. Perhaps you...

As you practice your social distancing in the coming weeks, check out some of these valuable online presentations...

Nineteen million. That’s the number of pages of documentation one health system receives each year from health plans, according to a revenue cycle...

If you are an Epic shop and considering a new Revenue Cycle Management (RCM) system, there are many questions to consider before moving forward.

As Product Line Manager, it’s my job to try different approaches for gathering better feedback from our users. That’s why, when I was first tasked...

Availity helps healthcare providers and health plans connect, making it easier to share clinical, financial, and administrative information. We value...

We may never completely eliminate denials, but there are ways to proactively prevent them, particularly recurring denials caused by your claim...

Countless businesses and healthcare organizations miss out on their portion of available settlement proceeds each year. On average, only about 20% of...

In a recent webinar, we discussed the importance of patient satisfaction and how it can impact the revenue of your practice. Understanding patient...

In a recent webinar TSYS coordinated with Availity, we discussed the importance of understanding today’s patients and their unique expectations. This...

A key to patient engagement is keeping your clients as informed as possible about their options for treatment, medications, recovery, and all other...

There’s a fun phrase about dental practices: “When the front office hums, the back-office dances.” How does the front office hum? Let me paint you the...

“Inform before you perform.” Does your office have a written financial policy? If not, you should. This policy should be presented to and signed by...

The General Data Protection Regulation (GDPR) governs the privacy and security of personal data collected from the European market, effective May,...

Consumers with health insurance, both independent and employer sponsored, rely on insurers’ provider directories to make choices about their plans and...

The healthcare industry still has a big paper problem. According to one report, faxes account for almost 75 percent of all medical communication.

Health plans are committed to reducing waste and inefficiency, but the healthcare industry as a whole still spends too much time and money manually...

Claim submissions are the most common electronic transactions in healthcare, edging out even eligibility and benefits checks, which are often still...

Countless businesses and healthcare organizations miss out on their portion of available settlement proceeds each year. On average, only about 20% of...

CMS’s recent report on the state of provider directories identified three challenges facing health plans. Recent blogs covered the first two...

The second problem CMS identified in its report on provider directories was a lack of internal audits by health plans to verify provider information....

The RISE conference in Nashville was a great opportunity to learn about new approaches to analytics and member engagement, as well as to hear about...

What’s the current state of payer-provider collaboration, and what does the future hold? Big questions to be sure, but we tried to find answers during...

CMS has identified three drivers of directory deficiencies: group vs. provider-level data, lack of internal audits, and reliance on provider-led...

In its second annual report on the state of provider directories, the Centers for Medicare and Medicaid Services (CMS) found that 46 percent of all...