Essentials + Clinical Gateway capabilities
Medical Record Exchange
Both health plans and providers want to stop sending faxes and mailing letters. The cost is enormous, the administration is cumbersome and frustrating, and there’s no quality standard or consistent format. That’s why providers use Essentials to send clinical information and medical records, track and respond to requests over time, filter and sort their records, and manage to due dates.
Primary Care Physician Notification
Health plans need to communicate with providers when they receive notifications of admission. Our Primary Care Physician Notification alerts providers of a hospital admission via Essentials, and sends clinical messages through Essentials’ Clinical Viewer. This means the provider can be more accountable for the member’s care, can follow up after discharge, reconcile medications, reduce costs, and improve outcomes.
Clinical Quality Validation
Meeting quality measures requires clear and efficient communication between the health plan and the provider. With Clinical Quality Validation, a health plan can use Essentials to notify the provider about a member’s open quality gaps. The provider can then view the clinical information needed, submit the required documentation, and close the gap.
Looking to do more with Availity Essentials? View our Intelligent Gateway capabilities.
Clinical Gateway + Intelligent Gateway + Essentials capabilities