EDI Clearinghouse for Network Resellers

Provider Management Made Easy

Setting up and maintaining integrated connectivity for batch and real-time transactions can be challenging, and your customers rely on you to take the confusion out of the process. Availity’s Managed Contracted Providers tool gives you hands-on access to your customers’ network settings, allowing you to troubleshoot any problems. You can:

• Add Providers: Availity takes security seriously, so every provider organization that submits transactions to Availity must first register for access on the Availity Portal. These security requirements do not allow vendors to register on behalf of providers. Once they’re registered, you can add them to your organization, and Availity sends an automated email to the provider administrator inviting them to connect with you for clearinghouse services. Real-time status lets you see whether they’ve accepted, so you don’t have to manually track responses.
• Select EDI Preferences: You can set up a provider organization’s preferred response files from health plans for claims, remits, and other transactions. Whether you support just one software application or you manage several, you have the flexibility to manage preferences at the vendor level or the individual provider organization level
• Manage Enrollments: It’s difficult to keep track of the many different payer enrollment processes, but Availity simplifies it by showing you each payer’s requirements. Providers can submit individual or bulk enrollments. Once submitted, it’s easy to track the enrollment process and see when it’s completed.
• Manage Subscriptions: Because you’re financially responsible for transactions submitted by providers under your organization, Availity allows you to suspend or cancel provider access to Contract Required payer IDs, if necessary.