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Availity Authorizations and Referrals

Availity Authorizations and Referrals

Availity Authorizations and Referrals

Availity Authorizations and Referrals
Availity Authorizations and Referrals

Overview


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Avia Summary

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Availity Authorizations and Referrals is a solution provided by Availity which was founded in 2001. It belongs to multiple categories of digital health solutions including Revenue Cycle Management and Prior Authorization.
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Availity Authorizations and Referrals integrates with major EMRs such as Epic, Other.
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Some other resource(s) that may be helpful in learning about Availity Authorizations and Referrals include: Unlocking the true potential of healthcare RCM: How a digital front door makes all the difference and A Buyer’s Guide to Prior Authorization
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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EHR integration

None provided
Recommended, but not required
Epic, Other
Desktop, Other
Use cases and differentiators

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

Patients, Providers, Payers, Partners

N/A

  • 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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  • End user
  • Project manager
  • IT / Technical support
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Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
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  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

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Clients


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  • Partner

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