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Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
Most of the payers you’ll find on Essentials offer real-time authorizations. Just start with the basic information, and we’ll pre-populate as many of the fields as we can, and in just a few minutes you’ll have an answer that’s straight from the payer. We’re also working with several leading payers to simplify the process even more, with a question-and-answer format rather than the on-screen forms. Our new dashboards let you quickly check the status of all the auths requested by your office. For selected payers, you can even provide unsolicited attachments that you know the payer will need for approval. Once the visit is over, it's time to start the paperwork that gets you paid: claims.
About Availity:

Availity, L.L.C. provides Internet-based health information exchange services. It optimizes the flow of information between health care providers, health plans, and other health care stakeholders through an Internet-based exchange. The company offers commercial and government health plan transactions; and CareRead, which swipes patients' magnetic stripe-enabled member ID cards through a three track card reader connected to the computer to automatically populate the fields on Web transaction pages. It also provides CareProfile, which allows to access electronic health records; patient communication, which connects physicians and patients online, and supports patient-initiated appointment and referral requests; and CarePrescribe, an electronic prescribing solution that provides access to up-to-date patient specific medication history and coverage, therapeutic equivalent and lower cost alternative options, and real-time drug interaction checks. In addition, the company offers CareCost Estimator, which determines a patient's financial responsibility in real-time at the point of care; and CareCollect, which collects patient's responsibility through a card swipe, including combination member ID cards for high deductible plans, debit cards, and credit cards. It serves various health care providers, including physician offices, hospitals, integrated delivery networks, pharmacies, laboratories, imaging centers, and other ancillary providers. Availity, L.L.C. was founded in 2001 and is based in Jacksonville, Florida.

Product Description:

AKASA delivers Authorization Management, powered by our Unified Automation® platform, to holistically automate prior authorizations for providers. Through our unique RPA + ML + experts-in-the-loop approach, AKASA determines if prior authorization is required, gathers the necessary information and clinical documentation from your EHR, submits the authorization request to payers, checks on the status of those requests, and documents the results in your EHR. Additionally, we notify payers of inpatient admissions, attaching medical records as required. The result: more timely reimbursement and patient care, with fewer staff frustrations.

About AKASA:

AKASA is the leading developer of AI for healthcare operations and the revenue cycle. We scale human intelligence with leading-edge AI and ML trained on customer data to learn unique systems, continuously adapt to changing environments, and deliver comprehensive automation for complex workflows. Our platform is used by more than 475 hospitals and 8,000 outpatient facilities. Step into the future of healthcare with AKASA. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:
  • Connect free to payers
  • Submit EDI Transactions
  • Revenue Cycle Management
  • Patient Access Management
Pediatric use cases:

None provided

Users:

Patients, Providers, Payers, Partners

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Other

Hardware Compatibility:

Desktop, Other

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided
None provided

Differentiators

Differentiators vs EHR Functionality:

N/A

Differentiators vs Competitors:
  • 2 Million providers on platform
  • 200+ B2B Partners
  • 45% of all covered lives carried exclusively through Availity
  • 1.2 Million Daily Logins
  • 100% of US Health Plans on the platform
  • 112 Million covered lives carried exclusively through Availity
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

What makes our prior authorization solution unique?

  • It’s a holistic prior authorization solution: Our automation identifies payer requirements, submits requests, checks statuses, and notifies payers of inpatient admissions — freeing your staff from tedious prior authorization tasks. 
  • Our AI intelligently navigates complex auth processes: Our AI intelligently navigates complex auth processes, payer rules and portals, ensuring tasks get done.
  • Our machine ensures auth requests are thorough and accurate: Reduce back and forth with payers by ensuring all required information, such as clinical documentation and supplemental CPT codes, are submitted the first time. 
  • No disruption to your current workflow: Our AI works alongside your existing systems and third-party tools, optimizing prior authorization processes.

Keywords

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Company Details

Founded in 2001

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