A multi-payer approach

to automating key workflows

Reduce the administrative costs of managing and processing provider appeals

Appealing claim payments and denials is a complex process. Payers and providers looking to streamline appeals and lower administrative costs can add a solution that reduces resource strain and eliminates the confusion that often delays reviews and approvals. As an additional feature of Availity Essentials, Claim Appeals brings added functionality that is beneficial to both health plans and provider groups.

Health Plan Benefits

Lessen provider phone calls related to appeals
Drive electronic appeals submissions and manage inquires electronically
Reduce paper and its associated costs
Minimize provider abraision

Provider Benefits

Submit appeals to different payers using the same channel and a common process
Eliminate the need to fax and mail supporting documentation
Electronically communicate with payers about appeals

How Availity Can Help

Reduce manual processes

Improve cost savings

Expedite payment

Interested in learning more?

Share your information to get the conversation started.

Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 4 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment