A health plan’s EDI infrastructure is mission-critical, serving as the foundation for communication between health plans and providers. As a result,...

Availity’s foundation—and reputation—is built on decades of innovation in revenue cycle management and administrative and financial workflow...

Although payer and provider incentives are not completely aligned, the prior authorization use case offers a true “win-win” opportunity regardless of...

The group will bring together health plan and provider stakeholders for a series of meetings to understand how their organizations are preparing for...

We know Zoom can’t take the place of getting together on Amelia Island. Still, it does allow us to stay in touch as we continue the work of improving...

Availity’s RESTful API delivers richer claim status information across all provider channels

After a two-year pause due to the pandemic, Availity Connects returned. More than 227 friends, customers, and colleagues from health plans, vendor...

Get answers to the most frequently asked questions about Availity’s new provider offering.

As the product line manager for Availity Editing Services, I talk with a lot of health plans about how they can improve their clean claim rate by...

Fast Healthcare Interoperability Resources (FHIR) is helping to transform healthcare by enabling payers and providers to share information more...

The market for mobile health applications is exploding, but many applications fail because they don’t take into consideration how the user’s...

The No Surprises Act legislation, which is scheduled to go into effect on January 1, 2022, is a complex piece of legislation that will significantly...

As we celebrate our 20th anniversary, we’re looking back and looking ahead. While it’s fun to reminisce, we look back not for nostalgia but to...

Seemingly overnight, we had to figure out how to onboard new hires in a completely remote environment due to the COVID-19 pandemic. Sixteen months...

Welcome to Availity’s EDI 101 series. Where we answer your most frequently asked questions about healthcare connectivity.

Does it ever feel like the language around healthcare transactions is purposely confusing? Do you find yourself googling terms…and still not...

Availity’s strength lies in the diversity of our people, with each associate bringing something unique to the organization. By celebrating our...

We are proud to announce that Availity has been certified as a Great Place to Work! Great Place to Work® - the global authority on workplace culture -...

Coverage identification tools help providers find active member coverage by sending multiple eligibility inquiries (270) to payer networks until they...

COVID-19 has left many communities shattered; businesses on the brink of closure, some already completely shut down, and unemployment rates reaching...

What have we learned from the early response to the pandemic, and what changes could we see in healthcare as a result? Find out in the new Availity...

October is National Cyber Security Awareness Month and as healthcare professionals, we play an important role in protecting the safety and security of...

It’s always nice to find little shortcuts that saves you time. Like taking a little-known side street that bypasses a heavy traffic area. Or picking...

In January of 2018, the American Medical Association, along with stakeholders from many other payer and provider organizations, released a consensus...

Telemedicine is finally having its moment. It’s long been viewed as a potential way to reduce healthcare costs and drive better coverage among...

COVID-19 has forced most healthcare organizations to restructure the ways they operate. Practices and hospitals not on the frontlines of fighting the...

Because many of us are using the lull in our normal routines to brush up on skills or learn new ones, we thought this would be a good time to remind...

The economic downturn caused by the COVID-19 crisis has forced many companies to pause hiring or implement temporary furloughs. At Availity, we are...

Even in the most technology-savvy provider offices, there may be lingering paper-based manual processes eating away at your bottom line. Perhaps you...

As you practice your social distancing in the coming weeks, check out some of these valuable online presentations...

Nineteen million. That’s the number of pages of documentation one health system receives each year from health plans, according to a revenue cycle...

If you are an Epic shop and considering a new Revenue Cycle Management (RCM) system, there are many questions to consider before moving forward.

As Product Line Manager, it’s my job to try different approaches for gathering better feedback from our users. That’s why, when I was first tasked...

Availity helps healthcare providers and health plans connect, making it easier to share clinical, financial, and administrative information. We value...

We may never completely eliminate denials, but there are ways to proactively prevent them, particularly recurring denials caused by your claim...

Countless businesses and healthcare organizations miss out on their portion of available settlement proceeds each year. On average, only about 20% of...

In a recent webinar, we discussed the importance of patient satisfaction and how it can impact the revenue of your practice. Understanding patient...

In a recent webinar TSYS coordinated with Availity, we discussed the importance of understanding today’s patients and their unique expectations. This...

A key to patient engagement is keeping your clients as informed as possible about their options for treatment, medications, recovery, and all other...

There’s a fun phrase about dental practices: “When the front office hums, the back-office dances.” How does the front office hum? Let me paint you the...

“Inform before you perform.” Does your office have a written financial policy? If not, you should. This policy should be presented to and signed by...

The General Data Protection Regulation (GDPR) governs the privacy and security of personal data collected from the European market, effective May,...

Consumers with health insurance, both independent and employer sponsored, rely on insurers’ provider directories to make choices about their plans and...

The healthcare industry still has a big paper problem. According to one report, faxes account for almost 75 percent of all medical communication.

Health plans are committed to reducing waste and inefficiency, but the healthcare industry as a whole still spends too much time and money manually...

Claim submissions are the most common electronic transactions in healthcare, edging out even eligibility and benefits checks, which are often still...

Countless businesses and healthcare organizations miss out on their portion of available settlement proceeds each year. On average, only about 20% of...

CMS’s recent report on the state of provider directories identified three challenges facing health plans. Recent blogs covered the first two...

The second problem CMS identified in its report on provider directories was a lack of internal audits by health plans to verify provider information....

The RISE conference in Nashville was a great opportunity to learn about new approaches to analytics and member engagement, as well as to hear about...

What’s the current state of payer-provider collaboration, and what does the future hold? Big questions to be sure, but we tried to find answers during...

CMS has identified three drivers of directory deficiencies: group vs. provider-level data, lack of internal audits, and reliance on provider-led...

In its second annual report on the state of provider directories, the Centers for Medicare and Medicaid Services (CMS) found that 46 percent of all...

Recently, three trends have aligned to signal highly favorable conditions in the independent radiology space for the coming year. These trends are:...

Availity understands that if you want to drive provider engagement, you need to find new ways to automate healthcare transactions. That’s why we are...

Join us Friday, 11/10 at 1pm ET for our tweetchat, Confidence Through Compliance, featuring our favorite HIPAA lawyer, Matt Fisher (@Matt_R_Fisher),...

In this edition of Availity Access, Mark Martin, product line director for provider data, discusses why addressing credentialing is the next logical...

Working in healthcare guarantees you’ll be interrupted multiple times a day, whether it’s by staff, patients, physicians, or health plans....

Availity recently commissioned an independent research company to survey providers—physicians and non-medical staff, in practices and facilities—about...

“If you see this text, then your files are no longer accessible because they have been encrypted.” This is the on-screen message many organizations...

Join us Friday, 10/13 at 1pm ET for our tweetchat, Healthcare Credentialing: The Good, the Bad, and the Scary, featuring Michelle Barry, our expert of...

The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) was passed to make healthcare delivery more efficient and to protect the...

Recognizing the need for greater automation, the CAQH Committee on Operating Rules for Information Exchange® (CAQH CORE®) brought entities from across...

Supporting our communities has always been a part of Availity’s corporate culture. By providing a variety of opportunities to give—and by making it...

In our latest vlog series, Mohammed Ahmed, Availity’s Vice President of Authorizations Sales Enablement, provides insight into the key features and...

Join us Friday, 9/8 at 1pm ET for our tweetchat, Big Data - Present, Future, and Best Practices, featuring Availity Director of Data Management and...

In our latest vlog series, Mohammed Ahmed, Availity’s Vice President of Authorizations Sales Enablement, provides insight into the key features and...

In our latest vlog series, Mohammed Ahmed, Availity’s Vice President of Authorizations Sales Enablement, provides insight into the key features and...

Join us Friday, 8/11 at 1pm ET for our tweetchat, Patient as the New Payer – Patient Payments, featuring TSYS’s Director of Relationship Management,...

In our latest vlog series, Mohammed Ahmed, Availity’s Vice President of Authorizations Sales Enablement, provides insight into the key features and...

On this journey to value-based care, providers and health plans agree that collaboration is critical to their success. But significant investments in...

Two things health plans and providers can agree on are the importance of improving patient satisfaction and lowering administrative costs. They also...

Join us Friday, 7/14 at 1pm ET for our tweetchat, The (Continued) Case for Interoperability, featuring our own Platform Solutions Architect, David...

Understanding the needs of customers is paramount to any business’s success. And for Availity, a long-time, trusted intermediary between health plans...

Elizabeth Woodcock, a leading expert on medical practice operations, is on a mission to help the healthcare industry improve the patient experience....

If you’re a healthcare provider still processing most claims manually, you know first-hand the challenges this presents. First, you deal with a lot of...

Is your revenue at risk? If your hospital or practice isn’t fully adhering to the risk adjustment and Hierarchical Condition Category (HCC) coding...

A recent report by CAQH demonstrated that outdated, time-consuming manual processes are still being utilized to exchange information between insurers...

Join us Friday, 4/14 at 1pm ET for our Assessing Quality Measures tweetchat featuring our own Risk Queen, Susan Bellile (@SKB_RnQ), and The Healthcare...

“How well does this vendor integrate with Epic?” It’s an increasingly important question among hospitals and health systems that run Epic and are...

Any successful company recognizes the importance of customer touchpoints—those critical moments when a customer engages with someone in the...

Last year, Availity, the nation’s largest real-time health information network, participated in a pilot initiative with America's Health Insurance...

Join us Friday, 3/10 at 1pm ET for our Ransomware Predictions and Prevention tweetchat featuring Matt Fisher (@Matt_R_Fisher) and Erik Azar (@eazar),...

Because patients are paying more out of pocket for their healthcare, you might be focusing on improving patient collection processes. While that’s...

Learn what 3,000 undeliverable postcards says about provider directories and why keeping this basic information up-to-date is so challenging.

With all the uncertainty, there’s one question that keeps surfacing—will risk adjustment go away if Congress repeals the Affordable Care Act (ACA)?...

As part of a partnership with the Illinois Critical Access Hospital (ICAHN), Availity is working with several hospitals across the state to streamline...

In this episode of Availity Access, Jeff Chester, Availity’s Chief Revenue Officer and Senior Vice President, discusses what he sees as the big...

Nationwide, just over six percent of healthcare claims are submitted using paper forms. That number has remained steady over the past few years, even...