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The Availity ® Health Information Network Streamline your workflow Denise Pulcifur 04/12/2013.

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Presentation on theme: "The Availity ® Health Information Network Streamline your workflow Denise Pulcifur 04/12/2013."— Presentation transcript:

1 The Availity ® Health Information Network Streamline your workflow Denise Pulcifur 04/12/2013

2 Agenda Availity Availity and your practice Getting started

3 About Availity What is Availity?

4 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

5 Why Availity? The Availity Multi-Payer Portal About Availity: Multi-Payer Portal Multiple payers One website One log-in

6 About Availity: Multi-Payer Portal Availity Multi-Payer Portal Anthem Other Blue Plans Aetna Cigna Humana Medicare USFHP Universal Healthcare WellCare Secure access to the health plans you need most.

7 Availity and your practice Front Office Collect payments up front: better cash flow begins at the front door Access patient information in real-time Exam Room Include more patient information when making treatment decisions Receive care messages and alerts Back Office Speed up claims processing Make fewer calls to health plans The Availity Portal Improving Your Workflow

8 Front Office Solutions Real-time access to: Eligibility and Benefits Availity ® CareCollect ® Availity and your practice Front OfficeExam RoomBack Office

9 Availity and your practice Front OfficeExam RoomBack Office 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

10 Availity and your practice Front OfficeExam RoomBack Office 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

11 Availity and your practice Front OfficeExam RoomBack Office Back Office Solutions Real-time claim submission Real-time claim status review Availity ® Remit Reader SM

12 Availity and your practice Front OfficeExam RoomBack Office Back Office Solutions Remit Reader SM Access accurate ERA information quickly and easily View detailed summaries of checks, claims Streamline the accounts receivable process

13 Connecticut Offerings by Health Plan AnthemAetnaCignaHumanaMedicareWellcare CT Medicaid Eligibility & Benefits Claim Status Inquiry Web-entered Claims Submission Authorizations and Referrals CareRead ® (card swipe) CareProfile ® (health record) CareCollect ® (payment collection) CareCost Estimator SM (patient responsibility estimator) Clinical Alerts/Messages Online Remittance Advice Remit Reader SM Real-time Claim Adjudication Secure Messaging Specialty Pharmacy & Imaging Precertification Availity and your practice Offerings by Health Plan

14 Getting Started Accessing Anthem plans requires one more step check your Anthem registration guide for details. What next? Visit availity.com to register

15 Getting Started Whats a PAA? PAAs, or Primary Access Administrators, function as the link between your organization and Availity. Whats a PCA? PCAs, or Primary Controlling Authorities, have the legal authority to sign agreements for your organization. What next? PCA completes registration After registration, PAAs can – Add and maintain users – Maintain organization – Run reports

16 Availity and RealMed a powerful, combined network Thank you Denise Pulcifur Market Specialist, CT, NH, ME (800)


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