How Availity Works With Technology Companies

Availity offers real-time and batch-integration options for a variety of products and services. We also offer support, training, and marketing assistance to help you get the most value from your relationship with Availity.

Rest assured that our goal isn’t to get between you and your customers. We want to collaborate with technology companies like yours to extend information where it’s needed most, at the point of care. Ultimately, our mission is to improve efficiency, reduce costs, and improve relationships throughout the health care industry.

Set your company apart with Availity’s Products + Services

Availity’s integrated suite of products and services can add more value to your system for both existing customers and new potential markets.

  • CareRead®: Member ID card swipe to automate data entry and eliminate data entry errors
  • Eligibility and Benefits Inquiry: Confirmation of coverage and out-of-pocket expenses
  • Health Care Services Review and Inquiry: Submission and verification on the status of authorizations and referrals
  • Claim Submission: Submission of clean claims one at a time or in batch; real-time adjudication (RTA) responses are supported for health plans that support RTA
  • Claim Attachments: Electronic submission of supporting claim documentation requested by health plans
  • Claim Status Inquiry: Verification on the status of a claim
  • Claim Reconciliation: Reconciliation of multiple claims
  • Electronic Remittance Advice: Electronic payment explanation
  • CareCost EstimatorSM: Patient financial responsibility estimation
  • CareCollectSM: Automated payment collection
  • CareProfile®: Consolidated electronic health record across health plans and providers
  • CarePrescribeSM: Electronic submission of new prescriptions and renewals

Other benefits for technology partners

  • Add value and extend your market reach with real-time information exchange.
  • Connect with more than 1,300 health plans through Availity’s claim clearinghouse service.
  • Boost provider satisfaction through improved clean claims rates and better reporting, as well as improved workflow and cost reductions.
  • Stay ahead of the competition by integrating Availity’s complimentary suite of products and services.