Availity

““We needed a solution that would reduce the costs associated with claims rework without increasing provider abrasion.””

““Everyone benefits from cleaner data. For us, it reduces rework. For providers, it improves analytics and revenue cycle times, helping them get paid faster. With the right edits, all parties can win.””

“As a result of our work with Availity, our 1.6 million Government Programs members have increased access to their clinical data. This can help them make better decisions about their health [and] reduce the administrative burden for providers and HCSC.”

“What I appreciate most are the plain language error messages. They’ve made us more confident in our claim submissions and better prepared for regulatory changes. This clarity has also empowered our team to address issues proactively, saving us time and resources.”

“Availity Essentials Pro’s ACE feature has transformed our revenue cycle management. The ability to create and manage custom edits easily has significantly reduced our claim denials and improved our financial outcomes.”

““Availity does a remarkable job customizing our reporting benchmarks, so we can track and trend issues all the way down to our unsolicited rejections.””

““Our Availity representative created custom weekly and monthly reporting for us, and it is spot on,””

““(Advanced Real-time Claim Status) has produced faster insurance collections, reduced accounts receivable aging, and decreased days in accounts receivable. It has incrementally reduced the need for staffing that previously handled this workload manually and the associated expenses ””

““Availity’s dedicated client managers and their client onboarding process made us feel comfortable that they knew what they were doing, especially with the enrollment process,” the director said. “We didn’t feel like we would have to manage anything on our own.””

““We can see on our dashboard right away which cases we have started and if they are in review, pending, or denied. It is nice to see everything in one view.””

““Availity’s connections to both utilization management systems means that providers only have to go to one place, Essentials [the Portal], to find out if an authorization is required, to submit it with the required medical documentation, and to use the dashboard to check the status of the authorization— no matter who reviewed it.””

““We are thrilled with our success in partnering with Availity to reduce claim errors, lower costs, and improve attachment capabilities. As we continue to look for improvements in our revenue cycle, we look forward to working with Availity to adopt additional solutions and recommended processes.””

““After factoring in many of the unique variables of the last year, we determined that the new user interface reduced dental provider calls by 11%,””

““Delivering eligibility results at the procedure code level gave providers much more trust in the information, and the revised design also made a huge difference.””

““In just eight months, we’ve seen $75,000 in call-volume savings, which we expect to increase as data normalizes.””