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

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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:

Improve patient access by accelerating time to care while reducing FTE resource spend on manual, repetitive tasks involved with obtaining prior authorizations.

About Adonis:

Adonis fosters unparalleled revenue outcomes that improve efficiency, reduce costs, and increase revenue. Our partnerships are forged in the commitment to long-term financial success. Whether you're a provider with an internal billing team or you outsource your RCM operation, we're prepared to meet you where you are to improve your billing and collections outcomes.

Compatibility level

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

Clients

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Product Capabilities

Adonis’ Automated Prior Authorizations integrates with providers’ appointment systems to automatically review all upcoming appointments and identify those that will require prior authorization. Adonis uses a combination of machine learning and expert input to keep payer rules up to date, ensuring that all relevant appointments receive a prior authorization.

Adonis leverages machine learning and expert input to continually update its knowledge base. Adonis leverages AI to automatically identify and store payer rule updates.

Adonis’ prior authorization specialists use Adonis’ proprietary work list and form completion tools to more accurately and efficiently submit requests to the relevant payers. The speed and precision enabled by these automations lead to faster and higher rates of approvals.

Adonis’ prior authorization specialists use Adonis’ proprietary work list and form completion tools to more accurately and efficiently submit requests to the relevant payers. The speed and precision enabled by these automations lead to faster and higher rates of approvals.

Adonis’ prior authorization work list and form completion tooling allow for flexible document attachments, ensuring that all necessary information for receiving approval can be easily found and submitted.

Once Adonis identifies that prior authorization is required, the upcoming visit will enter our team’s work list. From there, our team members will prioritize prior authorizations based on service date.

The Prior Authorization Status Dashboard enables status tracking for all prior authorization requests.

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:

Adonis’ Automated Prior Authorizations identifies scheduled patient visits that require authorizations by utilizing existing stored payer rules. Your staff is notified when authorizations are complete, denied, or require additional information not readily available within your system. All authorization data is pushed back to your system of record.

Pediatric use cases:

Adonis' Automated Prior Authorization is applicable across many specialty areas, including pediatrics;

Users:

Front-desk staff, Revenue Cycle Management Team

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Other

Hardware Compatibility:

Desktop, Other

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

NextGen, athena, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

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:
  • Fully Outsourced - Adonis handles all of the Prior Authorization workflows for your team and pushes the data back to the necessary systems
  • Highly automated - Prior Authorizations are performed behind the scenes with minimal intervention from staff
  • Machine Learning Backed Automations - Our machine learning models are trained on your Prior Authorization data, leading to efficiency gains and greater automations over time
Differentiators vs Competitors:
  • Adonis automates the bulk of authorization tasks, allowing your staff to prioritize high-value work and complex follow-ups.
  • Adonis maintains up-to-date payer rules, eliminating the need for staff members to regularly visit payer sites or commit guidelines to memory.
  • Adonis leverages machine learning to deliver exponentially increasing efficiency gains over time.

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 2001

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