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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.

About

Provide authorizations, claims processing and payment in real-time at the point of care. Enhance care coordination and improved outcomes to lower medical cost while streamlining administrative processes. Engage providers at the point of care to capture and share data in real-time resulting in an unparalleled exchange of health information. We partner with our clients to implement risk management strategies that result in better outcomes with lower costs. We strive to improve the user experience for everyone involved in the ecosystem. We deliver a minimum 3:1 ROI for our clients to allow them to optimize their resources. Conexia has developed a core technology platform (ONE) that is customizable to meet the diverse regulatory requirements and operational processes for each client in each geography. In most cases, our initial implementation is an overlay on the payer’s existing technology ecosystem to create real-time processes.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Companies seeking a solution for streamlining their eligibility and benefits, claims management, and authorizations processes

Audience

Anyone looking for a real-time point of care solution

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 1.4 / 5
ease 1.4 / 5
features 1.5 / 5
design 1.4 / 5
support 1.6 / 5

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Pros & Cons from Real Users

Pros

  • No pros. None. This company is middle management at it's most absurd. No one should use Availity. Ever.
  • It is good for insurance companies as it makes submissions and thus payouts a very slow and tedious process for providers
  • Free- difficult to look up eligibility and i have to say that being free is all that is good regarding this product.
  • Nothing there is not one thing I can think of that makes this platform worth taking the time to use. If it worked and was intuitive or they had customer service maybe it would be worth trying.
  • I liked how difficult it was to log on and how long I had to wait to talk to a real person. I like how the site boasts how much it does for providers and organizations and how long it take, navigating webpages that don't give a clue to how to solve even a simple problem.

Cons

  • Impossible to log in. Impossible to get timely support. Impossible to navigate their site.
  • Availity is clearly designed and supported by most insurance companies as it makes it very difficult to submit, get claim status or appeal claims.
  • Clair does not keep my patients that I looked up in eligibility and I have to reenter everything- very time consuming and frustrating. To get assistance you need to submit a case- and that can only be on a specific patient claim- not regarding an issue with filing all claims.
  • Everything. Their training is poor, the site is not intuitive, More payers are requiring us to use it to get benefits, prior authorizations and look at claims, but most of the time I cant either find the payer on the site or get the claim information. when I put in a support ticket they don't answer what you asked and then close the ticket before you have time to answer.
  • Web pages are bulky, and are quirky. Buttons don't work unless I do something else unrelated. Instructions are neither intuitive, nor even clear when provided. Availity does not play well with other children; in this case, coordinate with MHN (a big insurance company). MHN referred me to set up ACH.

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Availity
United States
www.availity.com

Company Information

Conexia
Founded: 1996
United States
conexia.com/en

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ZeOmega
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NextGen Population Health

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InvisaClaim

InvisaClaim

InvisaClaim, LLC
Foothold

Foothold

Foothold Technology

Categories

Categories

Hospital Management Features

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

Hospital Management Features

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

Medical Billing Features

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Benefits Administration Features

Claims Management
COBRA Administration
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
Flexible Spending Accounts
FMLA Administration
For Brokers
For Employers
FSA Administration
Health Insurance Administration
HIPAA Compliant
Life Insurance Administration
Online Benefits Enrollment
Premium Billing
Provider Management
Retiree Administration
Retirement Plan Management

Claims Processing Features

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Healthcare CRM Features

Audience Targeting
Campaign Management
Marketing Automation
Medical History Records
Patient Communications
Patient Management
Physician Management
Predictive Analytics

Population Health Management (PHM) Features

Analytics
Cost-of-Care Analysis
Data Storage
EMR/EHR Integration
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

Integrations

AZZLY
AbbaDox
Accurint Crime Analysis
Bridger Insight XG
Cohere Unify
EZBIS
InMyTeam
Juris
Lexis Advance Quicklaw
Lexis Omni
Lexis PSL
Motivity
Nexis Data+
Nexis Diligence
Nexis Dossier
Nexis Social Analytics
VerifyRX
Vetriq
Visualfiles
eCitation

Integrations

AZZLY
AbbaDox
Accurint Crime Analysis
Bridger Insight XG
Cohere Unify
EZBIS
InMyTeam
Juris
Lexis Advance Quicklaw
Lexis Omni
Lexis PSL
Motivity
Nexis Data+
Nexis Diligence
Nexis Dossier
Nexis Social Analytics
VerifyRX
Vetriq
Visualfiles
eCitation
Claim Availity and update features and information
Claim Availity and update features and information
Claim Conexia and update features and information
Claim Conexia and update features and information