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Availity Authorizations and Referrals

Availity Authorizations and Referrals

Availity Authorizations and Referrals

By Availity

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Overview


Select which hospital or health system you work at and see a personalized match score.
About

DESCRIPTION
Auths cause more headaches in your office than almost any other step in working with your payers. Is an authorization needed? Are there separate forms for inpatient or outpatient procedures?
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PRODUCT ATTRIBUTES
badge_covid-19

COVID-19


badge_pediatric

Pediatric


CLIENTS OVERVIEW
Key Clients
Clients Your Size
USED BY
0 People
0 Organizations
EHR integration

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Other

Hardware Compatibility:

Desktop, Other

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.
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Use cases

Description
  • Connect free to payers
  • Submit EDI Transactions
  • Revenue Cycle Management
  • Patient Access Management
Users:

Patients, Providers, Payers, Partners

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
Company information

Founded in 2001

200.0M total equity funding

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