Availity
The nation's largest health information network, facilitating over 13 billion clinical, administrative, and financial transactions annually for payers, providers, and technology partners.
About Availity
The nation's largest health information network, facilitating over 13 billion clinical, administrative, and financial transactions annually for payers, providers, and technology partners.
Products
Simplify complex processes and improve payer-provider collaboration.
Streamline workflows, reduce denials, and ensure accurate payments.
Connect to the most providers and HIT partners nationwide.
Improve revenue cycle performance with fast and secure connections to payers nationwide.
Improve collaboration with your provider network by automating core workflows.
Help ensure the right care at the right time by transforming the prior authorization process.
Reduce administrative waste by shifting edits early in the claim lifecycle.
Make clinical data work for you by streamlining acquisition, improving quality, and optimizing workflows.
Improve the quality of provider data for use across the enterprise.
Drive cost out of provider communications by digitizing paper correspondence.
Operationalize 0057 with compliant FHIR APIs and scalable interoperability on a trusted national network.
Reduce denials by improving workflow automation from pre-service to post-adjudication.
National-scale transaction processing and trusted connectivity across eligibility, claims, and payments.
Modern developer experience and agent-ready orchestration layer for building and automating real healthcare workflows on the Availity network.
What customers say
“With Availity Fusion, 100% of clinical data sources are optimized and 17,800x faster with its automated processes and consistent sub-second processing per Continuity of Care Document (CCD).”
“Research conducted by Gartner® indicates that for clinical data to be effectively used in processes such as care coordination and utilization management, it needs to be both syntactically and semantically interoperable,conforming to both structure and content.”
“Additional efficiencies can be achieved when considering the work involved with integrating clinical data into architectural components, such as data lakes, and producing data fit for specific business purposes, such as for ingestion by a HEDIS® engine.”
- Revenue Cycle Management
RadNet used Availity RCM’s eligibility automation and Advanced Claims Editing to restore payer connections and reduce claim errors after a cybersecurity disruption. Availity reports its error rate fell from 8.29% to…
Case study - Case study
Humana worked with Availity to replace paper care-gap reporting with Clinical Quality Validation and Risk Condition Validation workflows. Availity reports provider engagement increased from 25% to 70%, with 34,000…
Case study - Case study
Connective Health integrated Availity Fusion to standardize and deduplicate clinical records for patient summaries. Availity reports processing over one million documents monthly; a provider-group study found the…
Case study
Security and compliance
As reported by Availity. Ask for audit reports before you buy.
- Seven Elements of an Effective Compliance Program under U.S. Federal Sentencing GuidelinesCompliant
- NIST IAL2 identity verification standardsCompliant
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