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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

The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.

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

Hospitals providers seeking a solution to improve their health systems, and ambulatory services

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

$100 per month
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 1.0 / 5
ease 1.0 / 5
features 1.0 / 5
design 1.0 / 5
support 1.0 / 5

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.

Pros & Cons from Real Users

Pros

  • N/A.

Cons

  • They will ask you to sign the contract and only after that they want to show their rates. If you do not accept their rates, they start to bill you thousands of dollars monthly, even if you did not get anything from them.

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Availity
United States
www.availity.com

Company Information

Waystar
Founded: 2010
United States
waystar.com

Alternatives

BillingBench

BillingBench

BillingBench LLC

Alternatives

Service Center

Service Center

Office Ally
Benchmark PM

Benchmark PM

Benchmark Solutions
InvisaClaim

InvisaClaim

InvisaClaim, LLC
Azalea EHR

Azalea EHR

Azalea Health

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

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

Medical Practice Management Features

Claims Management
E-Prescribing
EMR / EHR
HIPAA Compliant
Insurance Eligibility Verification
Inventory Management
Multi-Office
Multi-Physician
Patient Billing
Patient Portal
Patient Records
Patient Registration
Patient Scheduling
Physician Scheduling

Integrations

InvisaClaim
Motivity
Vetriq
Accurint Crime Analysis
AgileEMR
Careficient
ChiroSpring
EZBIS
Flip
InMyTeam
Juno EHR
Juris
Lexis Omni
Lightning Step
Motileo
NewOrg
Nexis Diligence
Nexis Dossier
Raintree
VerifyRX

Integrations

InvisaClaim
Motivity
Vetriq
Accurint Crime Analysis
AgileEMR
Careficient
ChiroSpring
EZBIS
Flip
InMyTeam
Juno EHR
Juris
Lexis Omni
Lightning Step
Motileo
NewOrg
Nexis Diligence
Nexis Dossier
Raintree
VerifyRX
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Claim Availity and update features and information
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Claim Waystar and update features and information