CareCost EstimateCareCost
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Related Products
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About
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS.
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About
CareCost Estimate helps infusion centers and specialty medical practices answer the question every patient asks: what will this cost me?
Staff pick the drug, dose, and insurance. CareCost returns the patient's out-of-pocket cost in about 90 seconds — including Medicare Part B coinsurance, secondary insurance and Medigap, weight-based dosing, and vial waste (JW/JZ). It then applies the manufacturer copay programs and foundation grants the patient may qualify for, so the number the patient hears is the real one.
The same lookup shows what the payer requires first: prior authorization, step therapy, and site-of-care rules, quoted from the payer's own policy with a link.
Drug prices come from CMS Average Sales Price files, updated every quarter. Estimates run in the browser, so patient data never reaches our servers.
CareCost also publishes free billing and coding references for infusion CPT codes, J-codes, and modifiers, and the quarterly Infusion Reimbursement Index.
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Audience
Companies seeking a solution for streamlining their eligibility and benefits, claims management, and authorizations processes
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Audience
Infusion centers, specialty medical practices, and patient access and billing teams
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Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Not Supported
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Screenshots and Videos |
Screenshots and VideosNo images available
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Pricing
$189/month (first seat), $89/m
Free Version
Not Supported
Free Trial
Supported
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Reviews/
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Reviews/
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Pros & Cons from Real UsersPros
Cons
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Training
Documentation
Not Supported
Webinars
Supported
Live Online
Supported
In Person
Not Supported
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Company InformationAvaility
United States
www.availity.com
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Company InformationCareCost
Founded: 2026
United States
carecostestimate.com
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Alternatives |
Alternatives |
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Categories |
Categories |
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Hospital Management Features
Accounting Integration
Supported
Appointment Management
Not Supported
Appointment Scheduling
Supported
Bed Management
Not Supported
Billing & Invoicing
Supported
Claims Management
Supported
In-Patient Management
Supported
Inventory Management
Not Supported
Medical Billing
Supported
Out-Patient Management
Supported
Patient Records Management
Not Supported
Physician Management
Not Supported
Policy Management
Not Supported
Revenue Management
Not Supported
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Integrations
AZZLY
Supported
AbbaDox
Supported
Accurint Crime Analysis
Supported
Bridger Insight XG
Supported
Cohere Unify
Supported
EZBIS
Supported
ElderSuite
Supported
InMyTeam
Supported
InvisaClaim
Supported
Juris
Supported
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Integrations
AZZLY
Not Supported
AbbaDox
Not Supported
Accurint Crime Analysis
Not Supported
Bridger Insight XG
Not Supported
Cohere Unify
Not Supported
EZBIS
Not Supported
ElderSuite
Not Supported
InMyTeam
Not Supported
InvisaClaim
Not Supported
Juris
Not Supported
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