Average Ratings 8 Ratings

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Average Ratings 0 Ratings

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Description

Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.

Description

Optum360 provides expert physician advisory services, incorporates evidence-based medical research, and utilizes advanced artificial intelligence (AI) technology to enhance proper reimbursement and ensure precise documentation. We collaborate with your medical professionals to identify areas for improvement. You can select from our array of services or technology, or even combine both, to best meet your specific requirements. Our offerings include both on-site and remote services that leverage AI for timely assessments of patient statuses. We strive to enhance the efficiency, accuracy, and integrity of your utilization review process and its results. Through our Physician Advisor Services and the Case Advisor™ technology, we assist in lowering denial rates, enhancing suitable reimbursement, and reducing the risk of audits. Furthermore, our technology empowers your in-house physician advisors, making them more productive and effective in their roles. By integrating these resources, we aim to create a seamless experience that ultimately benefits patient care and administrative workflows.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

AZZLY Yes 
AbbaDox Yes 
Accurint Crime Analysis Yes 
Avalon Laboratory System No 
Bridger Insight XG Yes 
Cohere Unify Yes 
EZBIS Yes 
ElderSuite Yes 
InMyTeam Yes 
InvisaClaim Yes 
Lexis Advance Quicklaw Yes 
Lexis Omni Yes 
Lexis PSL Yes 
Motileo Yes 
Motivity Yes 
Nexis Data+ Yes 
Nexis Diligence Yes 
VerifyRX Yes 
Visualfiles Yes 
eCitation Yes 

Integrations

AZZLY No 
AbbaDox No 
Accurint Crime Analysis No 
Avalon Laboratory System Yes 
Bridger Insight XG No 
Cohere Unify No 
EZBIS No 
ElderSuite No 
InMyTeam No 
InvisaClaim No 
Lexis Advance Quicklaw No 
Lexis Omni No 
Lexis PSL No 
Motileo No 
Motivity No 
Nexis Data+ No 
Nexis Diligence No 
VerifyRX No 
Visualfiles No 
eCitation No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based No 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support No 

Types of Training

Training Docs No 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Availity

Country

United States

Website

www.availity.com

Vendor Details

Company Name

Optum

Country

United States

Website

www.optum360.com/solutions/coding-and-documentation/physician-advisor-solutions.html

Product Features

Hospital Management

Accounting Integration Yes 
Appointment Management No 
Appointment Scheduling Yes 
Bed Management No 
Billing & Invoicing Yes 
Claims Management Yes 
In-Patient Management Yes 
Inventory Management No 
Medical Billing Yes 
Out-Patient Management Yes 
Patient Records Management No 
Physician Management No 
Policy Management No 
Revenue Management No 

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

Revenue Cycle Management

Accounts Receivable No 
Claims Management No 
Collections Management No 
EHR/EMR Integration No 
For Healthcare No 
ICD-10 Compliance No 
Insurance Verification No 
Medical Billing No 
Patient Portal No 
Patient Registration No 
Patient Scheduling No 
Payment Processing No 

Product Features

Electronic Medical Records (EMR)

Appointment Management No 
Charting No 
Compliance Tracking Yes 
E-Prescribing No 
E/M Coding No 
HIPAA Compliant No 
Handwriting Recognition No 
Integrated Telehealth No 
MIPS Certified No 
Meaningful Use Certified No 
ONC-ATCB Certified No 
Patient Portal No 
Self Service Portal Yes 
Voice Recognition No 

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