Products + Services
Availity offers a range of solutions to meet the varied needs of our customers, who range from billing professionals to clinicians in health care businesses across America. Whether you work with one health plan—or hundreds—you can quickly and easily file claims, check eligibility and clinical history, process payments, and more with one fully HIPAA-compliant information exchange partner.
Availity offers an integrated suite of services that make it easier to handle everyday business and clinical tasks. From a real-time, on-demand Web portal to and a multi-payer batch clearinghouse that is integrated with your vendor software, Availity’s services integrate seamlessly with your workflow, practice management systems, electronic medical record systems, and hospital information systems.
- Availity® CareRead®
A quick swipe of a magnet stripe makes it easy to instantly save time and prevent errors associated with manually entering patients’ member ID cards. CareRead lets you swipe your patients’ cards though a desktop reader, and automatically populates the information into Availity’s Eligibility and Benefit transaction pages.
- Availity® Learning Center
Availity’s Health Care Business Expert Series delivers continuing education via national experts on health information technology. Trust Availity for up-to-the minute education from industry experts on topics that matter to your work life, such as ICD-10, best practices in revenue cycle management, and using technology to manage your workflow.
- Eligibility & Benefits Inquiry
Verifying a patient’s eligibility and benefits before services are rendered is the quickest and easiest way to improve your organization’s cash flow. With real-time access to this information from a wide range of commercial and government health plans, you can instantly identify covered services, co-pays, deductibles and other important information, so you can collect the right amount at the time of service.
- Authorizations and Referrals
Avoid delays in patient care by submitting referrals and authorizations in real-time, or check on the status of existing requests.
- Claim Submission
Instantly submit real-time or batch claims to your choice of more than 1,300 health plans.
- Claim Status Inquiry
Learn where your claim is in the payment cycle by checking the claim status online, and receive service, delay and denial explanations.
- Claim Reconciliation
Reconcile and manage your accounts receivable by reviewing claim results. Set your own search parameters, such as date range or status, for customized results.
- Availity® CareCost EstimatorSM
Calculate your patients’ financial responsibility with confidence. With CareCost Estimator, you simply enter the relevant diagnosis and procedure codes to receive an easy-to-read summary of projected costs that you may then share with your patient.
- Availity® CareCollect®
Don’t spend your precious time and effort chasing down payments. Collect payments up front – before patients leave the office – with CareCollect. With a quick swipe of a credit or PIN-less debit card, you can set up recurring payments, convert checks into electronic payments and run instant reports.
- Remit ReaderSM
View your electronic remittance advice (ERA) instantly with the Availity® Remit ReaderSM. With the power to view, search and print ERAs for all your payers, you can reduce your reliance on paper statements for monthly reconciliation while enhancing your revenue cycle management capabilities.
- Availity® CareProfile®
Relying on self-reported patient history can be problematic – patients may forget to list prescriptions, report lab results, or disclose other treating providers. CareProfile equips you with information to help you and your clinicians make better-informed care decisions. Discover indications of fraud or misuse, eliminate duplicate or unnecessary services, and identify other treating providers.
Availity’s revenue cycle management solution – RealMed – offers access to all health plans and is tightly integrated or works in tandem with more than 200 practice management systems. RealMed automates multiple administrative transactions and tasks and provides enhanced claims editing to save you time and get you paid faster.