Availity Essentials Pro Commentary
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Dustin Cragun
Research Director
KLAS Research Director - Dustin Cragun
 
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User Commentary

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Analyst/Coordinator

Product

I haven't had any problems or any troubles with the product. The product is easy to use, and I think...

Feb 2024
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Analyst/Coordinator

Product

When some of the insurance numbers are not correct, I have to go out of the program and find the...

Feb 2024
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Analyst/Coordinator

Product

Claim status is what I find beneficial about the claims reporting features in Availity Essentials...

Feb 2024
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CEO/President

Operations, Product

Ease of use is a challenge for me. Sometimes the product can be complicated. There are lots of...

Feb 2024
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CEO/President

Culture, Relationship

The product really wasn't promoted, or at least the promotion was very poor. My previous billing...

Feb 2024
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CEO/President

Relationship, Product

Once we figure out what is going on, the product seems to work pretty seamlessly. Remittances and...

Feb 2024
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CEO/President

Product

I wish there would be some uniformity at times with various insurance plans on what is happening...

Feb 2024
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CEO/President

Relationship, Product

If there is a problem with a claim, we have to make all the changes on our end. Availity rarely does...

Feb 2024
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Analyst/Coordinator

Product

I'm very satisfied with Availity. I get a quick response, and the product is very easy to use. I...

Jan 2024
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Manager

Product

I love the verbiage of the payer rejections in Availity Revenue Cycle Management. In our prior...

Jan 2024
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Manager

Product

When we do payer mapping, I would love the ability to see and know what claims have been mapped to...

Jan 2024
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Manager

Relationship

When we open tickets with Availity’s support staff, they could do a bit better job with escalations....

Jan 2024
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Manager

Relationship, Product

Availity does send us various reports quite often about top denials and rejections and paper claims...

Jan 2024
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Manager

Product

I definitely want a report for payer rejections broken down by top payer, by rejection by payer, by...

Jan 2024
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Manager

Relationship

The account representative we used to have really knew their stuff, and we really miss them. The new...

Jan 2024
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Manager

Relationship

The call center team is the first line of support at Availity, and I get that things are hard for...

Jan 2024
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Manager

Product

This is not necessarily what we use the system for, but we like the fact that we can manage all of...

Jan 2024
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Manager

Relationship

I love our Availity representatives; they are great and super friendly, and they always follow up....

Jan 2024
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Analyst/Coordinator

Relationship, Product

We get a lot of claims that we resend to Availity, and those claims disappear. The claims are in the...

Jan 2024
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Analyst/Coordinator

Relationship, Operations, Product

Availity changed the typeface and font size of the claims in the system and the way we view claims....

Jan 2024
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Analyst/Coordinator

Culture, Loyalty, Relationship

When we tried to convert a specific type of file to bill through the system, that turned out to be a...

Jan 2024
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Analyst/Coordinator

Product

I haven't had any issues with remittances in the system. I think Availity is doing a good job of...

Jan 2024
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Analyst/Coordinator

Product

I don't know what Availity could do better in terms of functionality. There are a few hiccups with...

Jan 2024
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Analyst/Coordinator

Loyalty, Value

I don't feel like that Availity’s charges are exorbitant. The solution gives us a lot of...

Jan 2024
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Analyst/Coordinator

Operations

There is a lot of training available in the product. I don't use the training much, but it is...

Jan 2024
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Analyst/Coordinator

Relationship

Availity’s support team responds to all my tickets quickly, regardless of whether the tickets were...

Jan 2024
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Analyst/Coordinator

Relationship, Product

The system has been a big help with getting our claims on file and in the system. The service isn't...

Jan 2024
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Manager

Relationship, Operations

The vendor has excellent customer service. They are excellent at training, and they had a lot of...

Jan 2024
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Analyst/Coordinator

Loyalty, Product

We used to have a certain EMR where we would normally fix our claims or do edits or error management...

Jan 2024
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Analyst/Coordinator

Product

The only issue I have is the eligibility. Some payers have a hard time connecting for eligibility...

Jan 2024
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Analyst/Coordinator

Relationship, Value

From time to time, the cash department has been creating tickets for missing remittances. We have...

Jan 2024
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Analyst/Coordinator

Relationship

My satisfaction with the clean claims rate is pretty good. We meet with Availity recurringly, and...

Jan 2024
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Analyst/Coordinator

Loyalty, Relationship

The vendor keeps all promises. We have been asking them to have the Medicare attachment for many...

Jan 2024
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Manager

Loyalty, Relationship, Product

With reporting in the Availity system, Availity has the details of trends. We meet with Availity...

Jan 2024
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Manager

Loyalty, Value

In terms of our claims statuses, we are pretty satisfied with the Availity system. We are getting...

Jan 2024
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Manager

Relationship

We really don't have any issues with Availity. They are very responsive, and they actually give us...

Jan 2024
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Director

Product

We would like the vendor to work on making eligibility checks easier on the automated side and the...

Jan 2024
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Director

Product, Value

We use the product to transmit all of our Medicare, managed care, and Medicaid claims. We don't have...

Jan 2024
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Director

Product

The only issue we have with Availity's system is that every now and then, things get stuck in the...

Jan 2024
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Director

Operations

The vendor could be more interactive with helping with essentials. When we are doing third-party...

Jan 2024
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Director

Product

Portal management with Availity's system has been the biggest headache of any portal we have ever...

Jan 2024
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Director

Operations, Product

For the most part, Availity's system has been very easy to set up and train new staff on.

Jan 2024
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Manager

Product

The only thing Availity could improve is the denials part, but they are working on that. The denials...

Jan 2024
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Manager

Relationship, Product

We use the Availity system for different types of billing and the clearinghouse. All the claims go...

Jan 2024
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Analyst/Coordinator

Loyalty, Value

The vendor avoids charging us for every little thing. We appreciate that, and we plan to keep the...

Jan 2024
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Analyst/Coordinator

Product

The system can sometimes be a little unclear when it comes to its two clean claims rates.

Jan 2024
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Analyst/Coordinator

Product

The system's upgrades are always really clear and easy. We love the product and its claim status abilities....

Jan 2024
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Analyst/Coordinator

Relationship, Operations

I like the vendor's online resources. The vendor also reminds us about webinars and things like...

Jan 2024
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Analyst/Coordinator

Operations, Product

Learning to use the product takes repetition. The product has a lot of buttons in a lot of different...

Jan 2024
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Manager

Operations, Product

I have not had any issues with Availity’s implementation services. Because Availity's product is a...

Oct 2023
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Manager

Relationship, Product

For the longest time, Availity could not get certain things to come through. To this day, their...

Oct 2023
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Manager

Value

I have never been charged for anything on top of Availity’s regular charges. And I have never had an...

Oct 2023
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Manager

Product

The system performs the way it should, and it is easy to use. The forms we need are in the system,...

Sep 2023
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Manager

Product

Availity Revenue Cycle Management is a very poor-quality system, and it is nothing like our previous...

Sep 2023
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Manager

Relationship

Availity gives us access to all the reports we request, and we appreciate that. They also send us...

Sep 2023
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Manager

Operations

I wish we could have had a physician manual for Availity's training. We did our training remotely,...

Sep 2023
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Manager

Relationship

Availity's support is difficult. The vendor sometimes sends us replies to our messages telling us...

Sep 2023
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Manager

Relationship

Availity isn't as helpful as they could be, and I have not been impressed by them. They will hand us...

Sep 2023
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VP/Other Executive

Operations

I don't do a lot of reference calls for our other vendors, but I do for Availity. Our people were...

Sep 2023
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VP/Other Executive

Culture, Relationship

We would like the vendor to come to us more proactively and show us where they can drive more value...

Sep 2023
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Analyst/Coordinator

Product

I have a lot of good success when I use Availity Revenue Cycle Management when I have to dispute claims....

Jul 2023
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Analyst/Coordinator

Operations, Product

Availity Revenue Cycle Management is pretty easy to use, and it is really easy to use Availlity’s...

Jul 2023
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Analyst/Coordinator

Relationship, Product

With Availity, if anything is going on, they have big alerts. I know if someone is having trouble...

Jul 2023
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Manager

Value

Overall, and for the cost, I don't have a problem with the product. We use a particular part of...

Jun 2023
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Manager

Product

Availity could make reporting for claims statusing a little less confusing. There may be nothing...

Jun 2023
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Manager

Relationship, Operations

Availity could alert us when they have something new going on, but it may be something that there is...

Jun 2023
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Manager

Product

Most of the product is pretty straightforward. It tells us about claims, payments, reporting, and so...

Jun 2023
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Manager

Relationship

The people at Availity have always been very helpful. If they don't know the answer, they put me on...

Jun 2023
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Director

Relationship, Operations

It would be nice to have some information about specific services and why they might be rejected....

May 2023
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Director

Operations

The implementation was atrocious. We sent in our thing, and I was waiting for a welcome call. I had...

May 2023
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Director

Culture

We didn't know what we were looking for when we started with Availity's solution. Not enough works...

May 2023
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Director

Operations, Product

The process for getting our electronic connections to payers was pretty simple and fast. The...

May 2023
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Director

Product

The denial management section has a defect in it, and it doesn't seem like Availity is attempting to...

May 2023
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Manager

Product

We like that the process of submitting a claim in the product is simple and that all of the...

May 2023
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VP/Other Executive

Relationship, Operations

I was very impressed with Availity's onboarding process and the ongoing customer service that...

May 2023
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VP/Other Executive

Relationship

The ongoing customer support is great, and Availity is really trying to work collaboratively with us....

May 2023
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VP/Other Executive

Value

I like the claim scrubber from Availity. That has helped to drive revenue and decrease our days for...

May 2023
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Director

Product

I would like to see Availity add a deferral feature so that we are able to defer claims into a...

May 2023
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Director

Product, Value

One of the outcomes we have gotten from using the product is that we have been able to reduce our...

May 2023
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Director

Relationship

Availity stays pretty up-to-date, so I am always getting emails about new things coming out and new...

May 2023
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Analyst/Coordinator

Product

I remember having some issues with the error reports, but those happened a while ago. With the old...

Apr 2023
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Analyst/Coordinator

Product

Availity's system is probably the best clearinghouse I have used, and I have used a lot over the years....

Apr 2023
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VP/Other Executive

Culture, Culture

I don’t like the vendor’s sales pitch. Their vision doesn't always align with reality.

Apr 2023
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Analyst/Coordinator

Relationship

The vendor's support team takes a while to get back to me. They don't want to explain things. They...

Apr 2023
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Analyst/Coordinator

Relationship, Product

I wish I could pick and choose the things I need to have access to instead of having to go through...

Apr 2023
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Analyst/Coordinator

Relationship

When we have an issue, Availity is pretty good about resolving that issue and keeping us up-to-date...

Mar 2023
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Manager

Relationship

It takes a while for us to get resolutions or specific answers to help with the mountain of issues...

Mar 2023
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Manager

Relationship, Product

I would like the vendor to use an alerting system so that they could track and mark response times...

Mar 2023
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CEO/President

Relationship, Product

I have had other clearinghouses over the years, and Availity's is better than most. Availity hadn't...

Feb 2023
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CEO/President

Product

The original dashboard in Availity's system is very nice. It shows us how many total claims are out...

Feb 2023
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CEO/President

Product

Availity needs to work on the error editing portion of claims statusing because that is the...

Feb 2023
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CEO/President

Product

I haven’t seen any recent upgrades at my level. I can't think of anything that Availity has upgraded...

Feb 2023
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CEO/President

Culture, Relationship

Availity does not make it clear what they can do for what price. They have different levels of help...

Feb 2023
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CEO/President

Relationship

I don't think I have ever talked to one of Availity's executives. I have never had anybody reach out...

Feb 2023
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CEO/President

Relationship

We have to go through Availity's site for customer support. We don't talk to anybody; we usually...

Feb 2023
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CEO/President

Loyalty, Product

There is only so much a vendor can do with claims statuses. We can see that they got the claim,...

Feb 2023
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CEO/President

Relationship

Availity handles clean claims just fine, but they don't always give us information or handle support...

Feb 2023
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CEO/President

Loyalty

I am satisfied enough with Availity that I didn't try to switch to a different vendor when I could...

Feb 2023
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