the availity ® health information network streamline your workflow denise pulcifur 04/12/2013
TRANSCRIPT
The Availity® HealthInformation Network
Streamline your workflow
Denise Pulcifur04/12/2013
AgendaAvaility
Availity and your practice
Getting started
About Availity
What is Availity?
Availity and RealMeda powerful, combined network
Nationwide presence
• 350,000+ Physicians
• Access to 1,200+ Payers/
4,100 connections
• 575+ PMS Vendor
Partners
• 2,700+ Hospitals
ClinicalExchange
RevenueCycle Management
Multi-PayerPortal
Why Availity?The Availity Multi-Payer Portal
About Availity: Multi-Payer Portal
ClinicalExchange
RevenueCycle Management
Multi-PayerPortal
• Multiple payers
• One website
• One log-in
About Availity: Multi-Payer Portal
Availity Multi-Payer Portal
Anthem
Other Blue Plans
Aetna
Cigna
Humana
Medicare
USFHP
Universal Healthcare
WellCare
Secure access to the health plans you need most.
Availity and your practice
Front Office• Collect payments up
front: better cash flow begins at the front door
• Access patient information in real-time
Exam Room• Include more patient
information when making treatment decisions
• Receive care messages and alerts
Back Office• Speed up claims
processing• Make fewer calls
to health plans
The Availity PortalImproving Your Workflow
Front Office SolutionsReal-time access to:
• Eligibility and Benefits
• Availity® CareCollect®
Availity and your practice
Fr o n t O ffi c e E x a m R o o m B a c k O ffi c e
Availity and your practice
Fr o n t O ffi c e E x a m R o o m B a c k O ffi c e
Front Office Solutions
Availity® CareCollect®
• Collect patient payment at the time of the visit
• Streamline post-visit billing processes: set up recurring payments and automate posting
• Run customized reports
Availity and your practice
Fr o n t O ffi c e E x a m R o o m B a c k O ffi c e
Exam Room Solutions
Availity® CareProfile®
• Review patient history across multiple providers, including diagnoses, prescriptions and lab results
• Save as much as 5 minutes per encounter on patient intake
Availity and your practice
Fr o n t O ffi c e E x a m R o o m B a c k O ffi c e
Back Office Solutions
• Real-time claim submission
• Real-time claim status review
• Availity® Remit ReaderSM
Availity and your practice
Fr o n t O ffi c e E x a m R o o m B a c k O ffi c e
Back Office Solutions
Remit Reader SM
• Access accurate ERA information quickly and easily
• View detailed summaries of checks, claims
• Streamline the accounts receivable process
Connecticut Offerings by Health Plan Anthem Aetna Cigna Humana Medicare WellcareCT
Medicaid
Eligibility & Benefits
Claim Status Inquiry
Web-entered Claims Submission
Authorizations and Referrals
CareRead® (card swipe)
CareProfile® (health record)
CareCollect® (payment collection)
CareCost EstimatorSM (patient responsibility estimator)
Clinical Alerts/Messages
Online Remittance Advice
Remit ReaderSM
Real-time Claim Adjudication
Secure Messaging
Specialty Pharmacy & Imaging Precertification
Availity and your practiceOfferings by Health Plan
Getting Started
Accessing Anthem plans requires one more step—check your Anthem registration guide for details.
What next?Visit availity.com
to register
Getting Started
What’s a PAA?PAAs, or Primary Access
Administrators, function
as
the link between your
organization and Availity.
What’s a PCA?PCAs, or Primary
Controlling Authorities,
have the legal
authority to sign
agreements
for your organization.
What next?
• PCA completes registration• After registration, PAAs can
– Add and maintain users– Maintain organization– Run reports
Availity and RealMeda powerful, combined network
ClinicalExchange
RevenueCycle Management
Multi-PayerPortal
Thank you
Denise PulcifurMarket Specialist, CT, NH, ME207.310.0631[dpulcifur]@availity.com
www.availity.com(800) 282-4548