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