Quick Answers for Health Plans
- What exactly is Availity?
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Availity is a secure health information network that connects physician practices, hospitals and other providers of care with health plans and other information partners. Through this network connectivity, we facilitate the electronic exchange of business and clinical information (like claims and lab data), simplifying physician access to the information you need to run your practice more efficiently and effectively.
Our approach is to simplify your interactions with providers and other information partners, enabling a more collaborative approach to health care.
- What are the costs and benefits of partnering with Availity?
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Availity offers competitive pricing options to health plans, including individual both transaction-based and subscription-based fee models. An Availity representative will be happy to discuss options with you.
In addition, health plans that partner with Availity have realized significant reductions in customer service calls, paper claims, processing errors, and more — saving millions of dollars and improving immeasurable health care outcomes for members each year.
- How do you work with health plans?
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Availity believes in collaborating with health plans on deployment project and marketing plans that incorporate best practices and proven techniques gleaned from more than a decade of health plan ownership. A team of professionals is dedicated to managing projects each step of the way. Availity trains health plan teams to answer common questions and provides collateral, presentation decks, demos, branded giveaways, and other items to support deployment initiatives.
- What health plan integration does Availity support?
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Availity supports a real-time federated model adhering to X12 standards for administrative transactions and the Continuity of Care Record (CCR) and Continuity of Care Document (CCD) standards for electronic health records. With the exception of HIPAA-mandated transaction archiving, Availity does not store information. Complete details are available in the Availity EDI Guidelines.
- How do we join Availity?
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Visit the Contact Us page of this site. Once we've received your information, an Availity representative will contact you to provide specification documents and answer your questions.
- If free transactions can be performed at Availity, won’t that decrease traffic to my website?
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We've found that providers are reluctant to navigate multiple health plan sites and remember multiple passwords. Availity offers one solution and one connection for providers, and that's how we prove tremendous return on investment to the health plans we serve. However, your website may still serve as a destination for complimentary services or information that you offer to providers. In many cases, Availity can include specific link-outs to unique or proprietary services on your site. Talk to your Availity representative about this option during the implementation process.