Simplified claim submission and up-to-date claim status

When it comes to submitting claims to payers and getting the latest status updates, providers need a healthcare network they can trust. Availity has claim submission and claim status solutions for providers of all sizes—from small practices to large hospitals and health systems.

Submit claims electronically, check the status, and get paid faster

Small medical practices and independent practitioners want the convenience of submitting claims electronically without the overhead of purchasing a practice management system. Availity Essentials™ and Essentials Plus™ allow providers to:

• Submit claims through a streamlined web-based interface
• Attach supporting documentation electronically
• Get accurate, up-to-date claim status information directly from the payer

Easily manage the claim appeal process

Many participating payers allow providers to submit and monitor claim appeals through Essentials. Providers who need to appeal a claim can submit the request and upload supporting documentation. They can also monitor the status and message the payer, reducing the need to call for an update.   

Process and manage claims directly within the EHR

Large revenue cycle organizations want a powerful claim management system integrated within their primary workflow. Essentials Pro is a full-scale revenue cycle management system that allows staff to submit professional and institutional claims individually or via batch and to keep track at the file or the claim level throughout processing. Essentials Pro also supports:

• Dental claims
• Worker’s Comp and automobile liability claims
• All-payer medical attachments
• Drop-to-paper for primary and secondary claims
• Availity-generated secondary claims
• Fiscal Intermediary Standard System (FISS) Access