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The Availity® Health Information Network
Streamline your workflow Denise Pulcifur 04/12/2013
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Availity Availity and your practice Getting started
Agenda
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About Availity What is Availity?
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Availity and RealMed a powerful, combined network
Nationwide presence 350,000+ Physicians Access to 1,200+ Payers/ 4,100 connections 575+ PMS Vendor Partners 2,700+ Hospitals
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Why Availity? The Availity Multi-Payer Portal
About Availity: Multi-Payer Portal Why Availity? The Availity Multi-Payer Portal Multiple payers One website One log-in
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Availity Multi-Payer Portal
About Availity: Multi-Payer Portal Availity Multi-Payer Portal Secure access to the health plans you need most. Anthem Other Blue Plans Aetna Cigna Humana Medicare USFHP Universal Healthcare WellCare
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The Availity Portal Improving Your Workflow
Availity and your practice Exam Room Include more patient information when making treatment decisions Receive care messages and alerts The Availity Portal Improving Your Workflow Back Office Speed up claims processing Make fewer calls to health plans Front Office Collect payments up front: better cash flow begins at the front door Access patient information in real-time
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Front Office Solutions
Availity and your practice Front Office Solutions Real-time access to: Eligibility and Benefits Availity® CareCollect® Front Office Exam Room Back Office
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Front Office Solutions Availity® CareCollect®
Availity and your practice Front Office Solutions Availity® CareCollect® Collect patient payment at the time of the visit Streamline post-visit billing processes: set up recurring payments and automate posting Run customized reports Front Office Exam Room Back Office
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Exam Room Solutions Availity® CareProfile®
Availity and your practice Exam Room Solutions Availity® CareProfile® Review patient history across multiple providers, including diagnoses, prescriptions and lab results Save as much as 5 minutes per encounter on patient intake Front Office Exam Room Back Office
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Back Office Solutions Real-time claim submission
Availity and your practice Back Office Solutions Real-time claim submission Real-time claim status review Availity® Remit ReaderSM Front Office Exam Room Back Office
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Back Office Solutions Remit ReaderSM
Availity and your practice Back Office Solutions Remit ReaderSM Access accurate ERA information quickly and easily View detailed summaries of checks, claims Streamline the accounts receivable process Front Office Exam Room Back Office
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Offerings by Health Plan
Availity and your practice Offerings by Health Plan Connecticut Offerings by Health Plan Anthem Aetna Cigna Humana Medicare Wellcare CT Medicaid Eligibility & Benefits Claim Status Inquiry Web-entered Claims Submission Authorizations and Referrals CareRead® (card swipe) CareProfile® (health record) CareCollect® (payment collection) CareCost EstimatorSM (patient responsibility estimator) Clinical Alerts/Messages Online Remittance Advice Remit ReaderSM Real-time Claim Adjudication Secure Messaging Specialty Pharmacy & Imaging Precertification
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What next? Visit availity.com to register
Getting Started What next? Visit availity.com to register Accessing Anthem plans requires one more step— check your Anthem registration guide for details.
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What next? PCA completes registration After registration, PAAs can
Getting Started What next? PCA completes registration After registration, PAAs can Add and maintain users Maintain organization Run reports What’s a PCA? PCAs, or Primary Controlling Authorities, have the legal authority to sign agreements for your organization. What’s a PAA? PAAs, or Primary Access Administrators, function as the link between your organization and Availity.
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Availity and RealMed a powerful, combined network
Thank you Denise Pulcifur Market Specialist, CT, NH, ME (800)
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