The Availity Health Information Network

Transcription

1 The Availity Health Information Network Streamline your workflow Michele Terry 2013 Availity is an independent company providing a wide variety of online tools that allow providers to access real-time information from multiple payers via one secure sign-on. This presentation contains proprietary information delivered in conjunction with Anthem Blue Cross and Blue Shield s 2013 Jazzy Provider Expo. It is intended for Anthem providers. Any redistribution or other use is strictly forbidden. Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield of Wisconsin ("BCBSWi") which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

2 About Availity Agenda The Availity Web Portal and your practice Getting started

3 About Availity What is Availity?

4 The Availity Web Portal and Availity Revenue Cycle Management a powerful, combined network Nationwide presence Clinical Exchange Multi-Payer Portal 200,000+ Providers Access to 1,200+ Payers Revenue Cycle Management 450+ PMS Vendor Partners 1,000+ Hospitals

5 About Availity: Multi-Payer Portal Why Availity? The Availity Multi-Payer Portal Clinical Exchange Multi-Payer Portal Multiple payers One website Revenue Cycle Management One log-in

6 About Availity Revenue Cycle Management Why Availity? Availity Revenue Cycle Management Clinical Exchange Multi-Payer Portal Revenue Cycle Management Accelerates cash flow Fewer denied claims Proven results

7 About Availity: Multi-Payer Portal Availity Multi-Payer Portal Secure access to the health plans you need most.

8 Availity and your practice The Availity Web Portal Improving Your Workflow 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 Front Office Collect payments up front: better cash flow begins at the front door Access patient information in real-time

9 The Availity Web Portal and your practice Front Office Solutions Real-time access to: Eligibility and Benefits Referrals and Authorizations Availity Card swipe Availity Patient cost estimator Availity Patient payments Front Office Exam Room Back Office

10 The Availity Web Portal and your practice Front Office Solutions Availity Card Swipe Swipe patients member ID cards to pre-populate the Eligibility and Benefits transaction page Less typing Fewer data-entry errors Front Office Exam Room Back Office

11 The Availity Web Portal and your practice Front Office Solutions Availity Patient Cost Estimator Determine a patients financial responsibility instantly, in real-time Collect payment at time of service, increasing your likelihood of receiving full payment Improve speed and accuracy of payment collection Front Office Exam Room Back Office

12 The Availity Web Portal and your practice Front Office Solutions Availity Patient Payments 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

13 The Availity Web Portal and your practice Exam Room Solutions Availity Patient Care Summary 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

14 The Availity Web Portal and your practice Back Office Solutions Real-time claim submission Real-time claim status review Availity Remittance Viewer Front Office Exam Room Back Office

15 The Availity Web Portal and your practice Back Office Solutions Remittance Viewer Access accurate ERA information quickly and easily View detailed summaries of checks, claims Streamline the accounts receivable process Front Office Exam Room Back Office

16 The Availity Web Portal and your practice Anthem Offerings Anthem Offerings Eligibility & Benefits Claim Status Inquiry Web-entered Claims Submission Authorizations and Referrals Anthem Card swipe Patient care summary (health record) Patient payments (payment collection) Patient cost estimator (patient responsibility estimator) Care reminders Remittance Review Remittance Viewer Real-time Claim Adjudication

17 Getting Started What next? Visit availity.com to register Accessing Anthem plans requires one more step check your Anthem registration guide for details.

18 Getting Started What next? PCA completes registration After registration, PAAs can Add and maintain users Maintain organization Run reports What s a PCA? PCAs, or Primary Controlling Authorities, have the legal authority to sign agreements for your organization. What s a PAA? PAAs, or Primary Access Administrators, function as the link between your organization and Availity.

19 The Availity Web Portal and Availity Revenue Cycle Management a powerful, combined network Thank you Clinical Exchange Multi-Payer Portal Michele Terry Market Specialist IN, KY, MO, OH, WI Michele.Terry@availity.com Revenue Cycle Management (800)