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The Availity Health Information Network ® Streamline your workflow Denise Pulcifur 04/12/2013 Availity Agenda Availity and your practice Getting started About Availity What is Availity? Availity and RealMed a powerful, combined network Nationwide presence • 350,000+ Physicians Clinical Exchange Multi-Payer Portal • Access to 1,200+ Payers/ 4,100 connections Revenue Cycle Management • 575+ PMS Vendor Partners • 2,700+ Hospitals About Availity: Multi-Payer Portal Why Availity? The Availity Multi-Payer Portal Clinical Exchange Multi-Payer Portal Revenue Cycle Management • Multiple payers • One website • One log-in About Availity: Multi-Payer Portal Availity Multi-Payer Portal Secure access to the health plans you need most. Anthem Other Blue Plans Aetna Cigna Humana Medicare USFHP Universal Healthcare WellCare Availity and your practice Exam Room The Availity Portal Improving Your Workflow Back Office • • Speed up claims processing Make fewer calls to health plans Front Office • • Collect payments up front: better cash flow begins at the front door Access patient information in real-time • • Include more patient information when making treatment decisions Receive care messages and alerts Availity and your practice Front Office Solutions Real-time access to: • Eligibility and Benefits • Availity® CareCollect® Front Office Exam Room Back Office Availity and your practice 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 Front Office Exam Room Back Office Availity and your practice 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 Front Office Exam Room Back Office Availity and your practice Back Office Solutions • Real-time claim submission • Real-time claim status review • Availity® Remit Reader SM Front Office Exam Room Back Office Availity and your practice Back Office Solutions Remit Reader SM • Access accurate ERA information quickly and easily • View detailed summaries of checks, claims • Streamline the accounts receivable process Front Office Exam Room Back Office Availity and your practice Offerings by Health Plan Connecticut Offerings by Health Plan Anthem Aetna Cigna Humana Medicare Wellcare Eligibility & Benefits Claim Status Inquiry Web-entered Claims Submission Authorizations and Referrals CT Medicaid 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 Getting Started What next? Visit availity.com to register Accessing Anthem plans requires one more step— check your Anthem registration guide for details. Getting Started What next? • PCA completes registration • After registration, PAAs can – Add and maintain users – Maintain organization – Run reports What’s a PCA? What’s a PAA? PCAs, or Primary Controlling PAAs, or Primary Access Authorities, have the legal Administrators, function as authority to sign agreements the link between your for your organization. organization and Availity. Availity and RealMed a powerful, combined network Thank you Clinical Exchange Multi-Payer Portal Revenue Cycle Management Denise Pulcifur Market Specialist, CT, NH, ME 207.310.0631 [dpulcifur]@availity.com www.availity.com (800) 282-4548