4 Availity and RealMed a powerful, combined network Nationwide presence350,000+ PhysiciansAccess to 1,200+ Payers/ 4,100 connections575+ PMS Vendor Partners2,700+ Hospitals
5 Why Availity? The Availity Multi-Payer Portal About Availity: Multi-Payer PortalWhy Availity? The Availity Multi-Payer PortalMultiple payersOne websiteOne log-in
6 Availity Multi-Payer Portal About Availity: Multi-Payer PortalAvaility Multi-Payer PortalSecure access to the health plans you need most.Anthem Other Blue Plans Aetna Cigna Humana Medicare USFHP Universal Healthcare WellCare
7 The Availity Portal Improving Your Workflow Availity and your practiceExam RoomInclude more patient information when making treatment decisionsReceive care messages and alertsThe Availity Portal Improving Your WorkflowBack OfficeSpeed up claims processingMake fewer calls to health plansFront OfficeCollect payments up front: better cash flow begins at the front doorAccess patient information in real-time
8 Front Office Solutions Availity and your practiceFront Office SolutionsReal-time access to:Eligibility and BenefitsAvaility® CareCollect®Front OfficeExam RoomBack Office
9 Front Office Solutions Availity® CareCollect® Availity and your practiceFront Office Solutions Availity® CareCollect®Collect patient payment at the time of the visitStreamline post-visit billing processes: set up recurring payments and automate postingRun customized reportsFront OfficeExam RoomBack Office
10 Exam Room Solutions Availity® CareProfile® Availity and your practiceExam Room Solutions Availity® CareProfile®Review patient history across multiple providers, including diagnoses, prescriptions and lab resultsSave as much as 5 minutes per encounter on patient intakeFront OfficeExam RoomBack Office
11 Back Office Solutions Real-time claim submission Availity and your practiceBack Office SolutionsReal-time claim submissionReal-time claim status reviewAvaility® Remit ReaderSMFront OfficeExam RoomBack Office
12 Back Office Solutions Remit ReaderSM Availity and your practiceBack Office Solutions Remit ReaderSMAccess accurate ERA information quickly and easilyView detailed summaries of checks, claimsStreamline the accounts receivable processFront OfficeExam RoomBack Office
13 Offerings by Health Plan Availity and your practiceOfferings by Health PlanConnecticut Offerings by Health PlanAnthemAetnaCignaHumanaMedicareWellcareCT MedicaidEligibility & BenefitsClaim Status InquiryWeb-entered Claims SubmissionAuthorizations and ReferralsCareRead® (card swipe)CareProfile® (health record)CareCollect® (payment collection)CareCost EstimatorSM (patient responsibility estimator)Clinical Alerts/MessagesOnline Remittance AdviceRemit ReaderSMReal-time Claim AdjudicationSecure MessagingSpecialty Pharmacy & Imaging Precertification
14 What next? Visit availity.com to register Getting StartedWhat next? Visit availity.com to registerAccessing Anthem plans requires one more step— check your Anthem registration guide for details.
15 What next? PCA completes registration After registration, PAAs can Getting StartedWhat next?PCA completes registrationAfter registration, PAAs canAdd and maintain usersMaintain organizationRun reportsWhat’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.
16 Availity and RealMed a powerful, combined network Thank youDenise Pulcifur Market Specialist, CT, NH, ME (800)