Availity Essentials Pro Commentary
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Dustin Cragun
VP of Revenue Cycle Research
KLAS VP of Revenue Cycle Research - Dustin Cragun
 
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User Commentary

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Manager

Operations

I don't recall doing much training with Availity, but our representative has been really good at...

Jun 2025
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Manager

Relationship

Availity’s responsiveness is the thing I have liked the most. Usually, the issues we have are when a...

Jun 2025
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Manager

Product

We don't really have discussions with Availity about outcomes with Availity Essentials Pro. We used...

Jun 2025
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Manager

Relationship, Product

Availity is one of the few vendors we can get on the phone. The cool thing is that on the remittance...

Jun 2025
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Manager

Product

We don't ask Availity about additional technologies and functionality. Availity Essentials Pro does...

Jun 2025
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Manager

Loyalty, Product

Many payers want to pay one place, so we would have to use one clearinghouse solution for hospital...

Jun 2025
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Manager

Relationship, Product

I don't think anybody is perfect, but we make sure that our source of truth is our EMR. We try to...

Jun 2025
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Manager

Product

Availity Essentials Pro sends return files back into our EMR live after claims are sent. The HL7...

Jun 2025
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Manager

Product

Availity Essentials Pro provides access to a huge payer list, so the one-stop shop is nice. Availity...

Jun 2025
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Manager

Value

Availity avoids charging for every little thing. We just added another group that we inherited. They...

Jun 2025
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Manager

Product

Availity’s denials management piece is a generic application within the system, and we haven't done...

Jun 2025
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Manager

Product

Availity Essentials Pro is our clearinghouse, but then we also use Availity's free essential things...

Jun 2025
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Manager

Culture

I can't recall Availity promising and harping on some functionality during sales speeches that they...

Jun 2025
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Analyst/Coordinator

Value

Availity Essentials Pro gets the job done. We submit claims, and we get paid for claims. We are not...

May 2025
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Analyst/Coordinator

Loyalty

Availity Essentials Pro isn't part of our long-term plans because it isn't as integrated with our...

May 2025
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Analyst/Coordinator

Culture, Product, Value

Availity has said that they have a denial management tool, but that tool is completely useless. The...

May 2025
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Analyst/Coordinator

Relationship, Product

We generally have to reach out to Availity to figure out what is going on. Additionally, we never...

May 2025
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Analyst/Coordinator

Relationship, Product

Some of the information we need from Availity Essentials Pro just isn't there or isn't provided.

Apr 2025
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Analyst/Coordinator

Product

Availity Essentials Pro gives us a lot of the information we need to have and is easy to use. Most...

Apr 2025
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Analyst/Coordinator

Culture, Relationship

During the Change Healthcare issue a few years ago, Availity responded very quickly and kept us...

Apr 2025
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Analyst/Coordinator

Operations

I would give Availity's upgrades a high rating. The vendor provides us with advance notice that...

Apr 2025
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Analyst/Coordinator

Relationship

Availity's support varies. Sometimes it is better, and sometimes it is worse. The vendor recently...

Apr 2025
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Analyst/Coordinator

Operations, Product

Availity Essentials Pro is a robust and user-friendly system, even though its ease of use can vary...

Apr 2025
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Analyst/Coordinator

Loyalty, Product

We see outcomes from Availity Essentials Pro in the reports that we receive. For example, we can...

Apr 2025
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Analyst/Coordinator

Value

There are charges for certain things with Availity. For example, when it comes to looking for...

Apr 2025
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Analyst/Coordinator

Loyalty, Relationship

My leaders compare other offices and managerial professions with other clearinghouses and things, so...

Apr 2025
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Analyst/Coordinator

Relationship

I like Availity's individual provider support. Our provider representative from Availity provides...

Apr 2025
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Analyst/Coordinator

Relationship, Product

Our management people really like the reports in Availity Essentials Pro. Availity has actually...

Apr 2025
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Analyst/Coordinator

Relationship

When it comes to support, I think Availity is like all other companies where they are trying to...

Apr 2025
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Analyst/Coordinator

Product

Something happened that I haven’t seen before when I was doing some clean cleanups. One of the...

Apr 2025
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Analyst/Coordinator

Operations, Product

I am very satisfied with the things I have been using in this solution. I have not utilized a lot of...

Apr 2025
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VP/Other Executive

Operations

Availity is pretty hands-on with our training. We do have to schedule it, so they don't have...

Apr 2025
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VP/Other Executive

Relationship, Product

Our needs are ever-changing with healthcare, so my needs have changed in the past three months than...

Apr 2025
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Manager

Relationship

I feel more like Availity is our business partner than a vendor. They have been with us for so long...

Apr 2025
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Director

Relationship, Product

One thing I would suggest for the reporting around the status of claims is probably to have a...

Apr 2025
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Director

Product

We got checks and payments on patients that were not ours, and the vendor had confused our clinic...

Apr 2025
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Director

Product

Availity Essentials Pro is good. Availity's RCM system is better, but the product quality of...

Apr 2025
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Director

Relationship

If our rating were just based on the quality of the phone support from Availity, I would rate their...

Apr 2025
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Director

Operations

Availity does offer training, and even if I don't make it to the live feature, they do have the...

Apr 2025
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Director

Relationship, Operations

Some time ago, Availity had the Change Healthcare incident where pretty much everything was hacked....

Apr 2025
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Director

Relationship

Availity Essentials Pro absolutely integrates well with some other solutions we use. Our software...

Apr 2025
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Analyst/Coordinator

Operations

We haven't really done anything new with Availity Essentials Pro. If there is anything new, we...

Apr 2025
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Analyst/Coordinator

Relationship

Availity's support isn't as quick as it used to be. It can take a long time for us to get support...

Apr 2025
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Analyst/Coordinator

Product

I like Availity Essentials Pro's ease of use. I can use it for eligibility and claims statuses, and...

Apr 2025
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Analyst/Coordinator

Product

The reports in Availity Essentials Pro are not very intuitive. We have to build reports, and the...

Apr 2025
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Analyst/Coordinator

Product

Overall, Availity Essentials Pro is user-friendly and fairly intuitive to navigate. I have used a...

Apr 2025
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Analyst/Coordinator

Product

Availity Essentials Pro is user-friendly, and it is easy. It goes step by step. I can put a claim...

Apr 2025
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Analyst/Coordinator

Relationship

If we have a problem, Availity will get right back to us. It doesn’t take days and days.

Apr 2025
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Analyst/Coordinator

Relationship, Operations

There are better programs out there than Availity Essentials Pro. I don't understand why Availity...

Apr 2025
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Analyst/Coordinator

Operations

Availity never notifies us of any training. We haven't received training since our initial...

Mar 2025
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Analyst/Coordinator

Product

There are a few of us who use Availity Essentials Pro. I can navigate the system fine. However, I...

Mar 2025
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Analyst/Coordinator

Relationship

We get some good support personnel from Availity, but sometimes, we get a bad apple. Also, if we...

Mar 2025
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Analyst/Coordinator

Relationship

Sometimes, the denial reasons don't make a lot of sense to us. Then, we will reach out to Availity...

Mar 2025
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Director

Loyalty, Relationship, Operations

We are moving to a new EHR with a different claim generation system, and Availity has been very...

Mar 2025
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Director

Value

Compared to our previous product and other competitors, Availity Essentials Pro is much more...

Mar 2025
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Director

Relationship, Product

Availity isn't different from other organizations in this way, but they pass back the message from...

Mar 2025
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Manager

Operations, Product, Value

Availity saved our lives. We had claims out the door in a little over a week after a cyberattack, so...

Mar 2025
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Manager

Operations

Availity has given us good training. They had people working with us and videos to get us to use...

Mar 2025
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Manager

Relationship

I know that we are escalating things with Availity’s support.

Mar 2025
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Manager

Value

Availity does avoid charging us for every little thing. They do mail some of our claims. They update...

Mar 2025
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Manager

Product

I am extremely satisfied with the upgrades of Availity Essentials Pro. There are a lot of changes....

Mar 2025
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Manager

Product

Availity Essentials Pro is a really good clearinghouse. The only issue that we have with Availity is...

Mar 2025
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Manager

Relationship, Operations

I am extremely satisfied with Availity. The contact person we have gives us updates on everything...

Mar 2025
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Manager

Product

Availity could build out their real-time eligibility tools a little more. For some of the mappings...

Mar 2025
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Manager

Operations

The implementation of Availity Essentials Pro was bumpier than we would have liked. Part of that was...

Mar 2025
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Manager

Operations

Availity's training was pretty good. We didn't do a lot of stuff in Availity Essentials Pro....

Mar 2025
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Manager

Culture, Loyalty, Relationship

We have a dedicated account representative, and that was one of the reasons we went to Availity. A...

Mar 2025
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Manager

Product, Value

Availity Essentials Pro is very easy to use. We are pretty darn satisfied with Availity's edits and...

Mar 2025
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Manager

Relationship, Operations

I'm satisfied with Availity all the way around. I'm happy with them. They are always good about...

Feb 2025
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VP/Other Executive

Loyalty

I have been happy with Availity Essentials Pro. Availity has the right approach to integrating...

Feb 2025
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VP/Other Executive

Relationship

Availity's customer service and problem-solving to get to resolutions are very strong. And the...

Feb 2025
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VP/Other Executive

Relationship

When we needed to change vendors, Availity stepped up. The fact that their executives got on the...

Feb 2025
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VP/Other Executive

Relationship

Availity's leadership is strong. And the way they support clients is better than most other vendors,...

Feb 2025
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Analyst/Coordinator

Product

Our end users don't use the Availity Essentials Pro website for eligibility; we all use the Availity...

Feb 2025
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Analyst/Coordinator

Relationship

I like the functionality that Availity has for the support ticket system. We create a support...

Feb 2025
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Analyst/Coordinator

Relationship, Operations

We have our own Availity representative assigned to us, and we meet with them regularly. They walked...

Feb 2025
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Analyst/Coordinator

Product

We didn’t have quite as many issues with our previous clearinghouse as we do with Availity...

Feb 2025
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VP/Other Executive

Operations

Availity is really solid with implementations. They are very good. Onboarding a clearinghouse is a...

Feb 2025
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VP/Other Executive

Relationship

When the Change Healthcare cyberattack happened, I was freaking out because it involved a...

Feb 2025
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VP/Other Executive

Culture

We know exactly what we are going to be charged by Availity. We were with another clearinghouse for...

Feb 2025
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VP/Other Executive

Relationship

Availity gets input from us providers to ask what our pain points are and to make sure that they are...

Feb 2025
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VP/Other Executive

Relationship

Availity has a call center that needs a little work in the volume of calls that come through. I have...

Feb 2025
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VP/Other Executive

Loyalty, Relationship

We have had a very positive relationship with Availity. What they do well is responsiveness and...

Feb 2025
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VP/Other Executive

Loyalty, Relationship

Availity was valuable for us at the right time. We have known about Availity for many years, but our...

Feb 2025
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VP/Other Executive

Relationship, Value

I haven't experienced all the clearinghouses to be objective, but I would highly recommend Availity...

Feb 2025
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VP/Other Executive

Loyalty, Relationship, Product

I know there is a lot more that Availity is doing. That is a positive. Availity has a lot on the...

Feb 2025
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VP/Other Executive

Product

With Availity's direct connection with almost every payer of significance, they should be able to be...

Feb 2025
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CEO/President

Loyalty, Operations

I wish I had switched to Availity Essentials Pro when I first knew about it. I thought changing...

Feb 2025
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VP/Other Executive

Relationship

We work with a lot of claims submission systems and clearinghouses, and in my overall experience,...

Feb 2025
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VP/Other Executive

Product

Availity has a lot of new technology out there; I just haven't taken advantage of everything.

Feb 2025
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VP/Other Executive

Operations

We have been doing a lot of training as we have been onboarding a lot of new groups, and the vendor...

Feb 2025
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VP/Other Executive

Relationship, Product

The vendor is continuously adding new payers that we can electronically submit to. Availity is...

Feb 2025
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VP/Other Executive

Product

Just from a leadership perspective and what we have to complete within the system, everyone comes...

Feb 2025
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VP/Other Executive

Culture

The vendor is working according to their contract. Anything that we ask of them via email or in our...

Feb 2025
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VP/Other Executive

Relationship

The vendor's reporting is very intuitive. It gives us details that sometimes we are unable to get...

Feb 2025
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VP/Other Executive

Relationship, Operations, Value

Availity Essentials Pro is a proven solution on the clearinghouse front in both the professional...

Feb 2025
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VP/Other Executive

Loyalty, Relationship, Product

Availity does flag claim attachments, and they hold claims that require an attachment to make that...

Feb 2025
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VP/Other Executive

Loyalty, Relationship

I feel like Availity is trying to figure out where they need to go next. They are finding that...

Feb 2025
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VP/Other Executive

Relationship, Product

I love the integration that we have between Availity Essentials Pro and our Epic solutions. I love...

Feb 2025
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VP/Other Executive

Product

The unfortunate thing with the solution is that I don’t have full satisfaction with the strength of...

Feb 2025
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VP/Other Executive

Relationship, Product

Because of the strength of the vendor's reports and their insights to help me manage my process, I’m...

Feb 2025
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Analyst/Coordinator

Operations

Every once in a while, Availity puts up a thing where we can sign up for a training and a new...

Feb 2025
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Analyst/Coordinator

Relationship

Availity eventually keeps their promises. It sometimes takes them a while. They try. We have an...

Feb 2025
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Analyst/Coordinator

Relationship, Product

Availity is excessively proactive. I get seven or eight Availity emails a day about potential issues...

Feb 2025
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Analyst/Coordinator

Loyalty, Relationship, Product

In the past, there were some issues off and on. But since the Change Healthcare issue in February,...

Feb 2025
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Manager

Relationship

I do like Availity, and I would score Availity Essentials Pro high for edits. The only issue is when...

Feb 2025
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Manager

Relationship

I do like that when we put in a ticket, Availity assists us in getting it resolved. Sometimes it...

Feb 2025
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Manager

Operations

I would buy Availity Essentials Pro again. Some people don't like Availity, but I do because we work...

Feb 2025
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Manager

Loyalty, Product

Availity does try to stay up-to-date with the technology and everything. We were looking into...

Feb 2025
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Manager

Product

I know sometimes Availity will say something about maintenance or whatever. We have never...

Feb 2025
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Manager

Product

We only use Availity Essential Pro for submitting our billing. The only thing it interchanges with...

Feb 2025
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Manager

Culture, Value

Depending on the service, there may be an additional charge if something like a project has to be...

Feb 2025
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Manager

Relationship

Availity has announcements that let us know if anything is having issues, and they will update the...

Feb 2025
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Manager

Relationship, Operations

Availity does a good job of putting out information to us, whether it be on the portals or through...

Feb 2025
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Manager

Relationship

Availity does a fairly good job at support, whether it be submitting a support ticket or getting on...

Feb 2025
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Manager

Relationship, Product

Some payers don’t give as much information about a claim’s status as others do, so Availity isn’t...

Feb 2025
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Manager

Product

Availity Essentials Pro is a one-stop shop for everything, and it makes everything easier. Instead...

Feb 2025
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Manager

Product

Availity’s report system seems very user-friendly, and we can virtually run it and customize it...

Feb 2025
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Manager

Relationship, Product

Some of the denials in Availity Essentials Pro could have a bit more explanation. Some of them just...

Feb 2025
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Director

Relationship

Availity is extremely easy to work with. They understand the needs of the customer, and they are...

Jan 2025
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Director

Product, Value

I like the real-time eligibility with Availity Essentials Pro, and I like the edits that we can...

Jan 2025
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Manager

Operations

Availity is pretty good about offering training and classes. I think I could work with someone at a...

Jan 2025
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Manager

Product

We have struggled a little bit with getting certain forms for Medicaid and secondary claims in...

Jan 2025
||
(0)
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Manager

Relationship

When we open tickets with Availity, we want things done quickly, but sometimes we have to report to...

Jan 2025
||
(0)
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Manager

Operations, Product

I think that Availity Essentials Pro is easy because I have been a user for a while, but I have to...

Jan 2025
||
(0)
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Manager

Relationship, Product

Within Availity, I do payer mapping with generic claims that come in, but Availity doesn’t have...

Jan 2025
||
(0)
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Manager

Product

Sometimes when we get a file pump back on our side in Availity Essentials Pro, we may have multiple...

Jan 2025
||
(0)
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VP/Other Executive

Relationship

I gave Availity very strong marks in the past, but the Change Healthcare incident has just...

Nov 2024
||
(0)
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VP/Other Executive

Relationship, Operations

Availity Essentials Pro works as intended. We get very positive remarks from our staff members about...

Nov 2024
||
(0)
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VP/Other Executive

Operations

Availity has been really strong in the implementation space. We were very impressed even with the...

Nov 2024
||
(0)
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VP/Other Executive

Loyalty, Relationship

We are partnering with Availity right now to try out a new enhancement in addition to what we are...

Nov 2024
||
(0)
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VP/Other Executive

Product

Some of the day-to-day reports in Availity Essentials Pro are good, but even through the Change...

Nov 2024
||
(0)
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VP/Other Executive

Culture

Availity delivered on everything they said they were going to during the sales process, and that...

Nov 2024
||
(0)
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Director

Product, Value

Overall, we are satisfied with Availity, but there are things here and there that we have to deal...

Jul 2024
||
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