Everything you need to work with your payers
You work with payers every day—and those interactions can be complicated. Availity Essentials makes it easier to connect with your payers, from the first check of a patient's eligibility through final resolution of your reimbursement.
Availity Essentials features an intuitive interface and supports multiple workflows, simplifying the exchange of administrative, clinical, and financial data with your payers.
Availity Essentials connects you with payers in a variety of ways
Online, direct data entry with intuitive workflows
Availity Essentials gives you free, real-time access to many payers through your browser. It’s ideal for direct data entry, from eligibility to authorizations to filing claims, and getting remittances. Many sponsoring payers support special services on the platform like checking claim status, resolving overpayments, and managing attachments.
Free access to hundreds of payers
From the first phone call with a new patient through final claim reconciliation and payment, you need a simpler way to collect, submit, and track the administrative, clinical, and financial data that make healthcare possible.
Availity Essentials is the place to connect with your payers—at no cost to providers. We work with hundreds of payers nationwide to give providers a one-stop-portal where they can check eligibility, submit claims, collect patient payments and track ERAs, and even sign up for EFT. Your Essentials account gets you access to all this and more, with one password.
You can also update your provider profiles, manage quality-of-care paperwork, and get detailed reporting about your office’s standard HIPAA and other payer transactions.
Standardized workflows make it easy for you to handle:
- Patient registration
- Prior authorizations and referrals
- Patient payments
- Claims—professional and facility, even dental!
- Solicited and unsolicited attachments
- Claims status tracking
- Electronic remittance advice (ERAs)
- Claim reconciliation and overpayment management
- Provider information management
- Reporting and dashboards
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