Availity Contact Sales Associate

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Fill out the form below so we can find the best executive for you:

Please tell us about yourself

*First Name:

*Last Name:

*Email:

*Phone:

*Company:

*Job Title:

*State:

*I am a...:

Payer

Provider

What are you interested in?

Request help with my current Availity account or services

Add more payers to my existing Essentials account

Subscribe to clearinghouse services

Consolidate all revenue cyle processes into one single workflow

Prevent denials while managing and tracking claims through an intuitive user interface

Submit RFP-RFI

Other

Please tell us about your practice

*How many clinicians does your organization have?

*What Practice Mgmt/
Billing Software do
you utilize?

*On average, how many claims
do you submit each month?

What are you interested in?

Provider Portal

Gateway Services

Managing Provider Data

Clinical Data Exchange

Improve Authorizations Process

Submit RFP-RFI

Other

*What is your current membership?
(How many covered lives do you serve?)

*On average, how many claims do you receive each month?

*Do you currently have a provider portal?

Yes

*Do you currently have gateway connections in place?

Yes

*What is the estimated number of providers in your network?

*What is your preferred contact method?

Phone

Please include any other details that you think would be helpful for our conversation: