Medical Attachments
Medical Attachments

Capture medical records electronically with Availity Medical Attachments

Health plans spend a lot of money each year managing paper medical records. There are the administrative costs of manually processing fax and direct mail and converting them into electronic format, as well as the direct outlays associated with hiring chart retrieval vendors to obtain records from providers. Health plans also face potential lost revenue as missing or incomplete medical records can affect HEDIS scores and reimbursement for value-based care programs.   

  

Availity’s Medical Attachments helps reduce the cost and inefficiency of paper records. This enterprise-level solution allows providers to electronically send medical attachments to health plans through various submission modes. Built on Availity’s ARIES platform, Medical Attachments has the flexibility and scalability to support a wide range of health plan-provider transactions.       

 

 

Multi-workflow support

Availity can support any health plan-provider transaction that requires medical attachments, including claims submissions, workers’ compensation claims, and prior authorization requests. It also allows plans to capture medical records required for risk and quality programs. 

 

Submission modes

Providers can upload attachments through Availity’s Provider Engagement Portal or through a B2B channel via x12, FHIR, and other formats. 

 

File formats

Availity supports a wide range of file formats, including .zip, .pdf, .jpeg, .tiff, .png, .gif, .xls, CCDA, and others.

 

Rule-based notification

Working with the health plan, Availity can implement rules-based notifications that prompt users when an attachment is required. This helps reduces the time a claim sits in pended status waiting for an attachment, which improves the provider’s A/R cycle. 

 

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