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Availity Essentials Pro Commentary
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Subject Expert
Shawn Howell
Engagement Partner
KLAS Engagement Partner - Shawn Howell
 

Commentary Summary

Comment Type Breakout

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User Commentary

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VP/Other Executive

In the claims-passing side of Availity Essentials Pro, the vendor normalizes their messages, so...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

Executive leadership retention is very important and critical to success. It impacts quite a bit,...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

On the scrubbing side, Availity Essentials Pro needs more flexibility around payer-specific or...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

One thing I like about Availity is that their solution is usable even after office hours. Availity...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

I don’t really care for Availity’s offshore stuff, but everybody has offshore workers, and we don't...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

Availity is excellent when it comes to support. They're very successful at answering the phone, and...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Availity does pretty well on denials management. They don’t fool around with that. Nothing is...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

When the claims come back from Availity, I have too many corrections and edits to do. Availity...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Availity does good training. However, they don't advertise it as well as they should. I do know...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

I like that Availity has given us access to look things up by name on most of the insurances....

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Analyst/Coordinator

We’d like more insurance to be added so that we don't have to go to different websites. We have to...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

It was a little trying when we went through the process of code verification. Trying to get all that...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Analyst/Coordinator

Availity has one-on-one training. They don't just hand us a generic manual.

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

One thing I like about Availity Essentials Pro is that it's like we are truly on the insurance...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Recently, Availity Essentials Pro has been acting funny. It's been running really slowly. But we are...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Analyst/Coordinator

There is a helpful training button in Availity Essentials Pro that we can push. Also, the vendor...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

When submitting a claim, we really can't do anything in Availity Essentials Pro as far as edits go....

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

I am the one who usually trains my team. I haven't really used Availity's training tools. We started...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

I doubt we’ll replace Availity Essentials Pro; we have way too much in it now. I doubt that we would...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Analyst/Coordinator

Availity responds quickly when I open a ticket. Some situations may take longer if Availity has to...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

Availity has been very flexible and open to our suggestions and feedback, and that has helped a lot...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

I like the reports in Availity Essentials Pro. The system can be complicated with all the options to...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

The only issue I have is with the claims being sent to other clearinghouse solutions. There are some...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Availity Essentials Pro is user-friendly; it's very easy to manipulate and make corrections to our...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

The issues we have with Availity’s support are the same issues all vendors have. Sometimes it takes...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

Availity gets our claims to the payer really fast. Sometimes we have something happen, and we wish...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

We recommend Availity to people frequently. The system is very easy to use. It's easy to get...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

We don't always use Availity’s new items because we’re always going to use Epic's software first. We...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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Analyst/Coordinator

Availity’s integration with our PM system is really good. That makes it so that our end users...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

We've had some issues with the solution. One of them is that we have some patients with a certain...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

The solution is part of our long-term plans because it's too hard to change to something else. I...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Analyst/Coordinator

What I don't like about Availty's support is that their support people close my tickets too soon....

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

Out of all the clearinghouse vendors I've encountered, Availity's customer support, account...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

I am pretty well-satisfied with the product. The only issue is the speed. Sometimes it takes a while...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

The advanced claims edits and custom edits are really good in Availity Essentials Pro. The main...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

When we were looking at changing our EHR and practice management system, right from the very start...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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CIO

There was a period when we had a very difficult time reconciling our bill. Our billing runs through...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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CIO

We have access to write our own edits in the system. We use what are called the Automated Custom...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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CIO

Availity really stepped up to help providers during the recent Change Healthcare incident. Availity...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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CIO

We are somewhat complicated because we use multiple tax IDs to file claims, and because of that...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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CIO

The value of claims statusing is not as strong as it could be. This is more of an industry issue,...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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CIO

A big part of what we receive through Availity Essentials Pro is eligibility results, and even...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

The training from Availity is basically just a resource thing. We click on training, and we have to...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

If I have a problem, Availity gets back with me quickly.

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

If I need to get signed up for a certain part of Availity Essentials Pro, I have to go through my...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

There are times when I do billing, and there is an edit or an error message in Availity Essentials...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Director

From an IT perspective, our IT folks rank Availity very highly because of the straightforwardness of...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Availity's system has pretty seamless integration with our EHR, and Availity is providing some...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

I don't see the bills, but it is my understanding that Availity's system is very affordable compared...

Comment Tone Positive
Pillars Culture, Value
Evaluation Unrated

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Director

Someone working with Availity should be sure to understand whether the vendor's real-time...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

We use Availity's system for real-time eligibility. I don't feel like we are doing as well as we...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Availity's support does very well. Their support people are very responsive to our questions and...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

When it comes to edits, scrubbing, and claim statusing with Availity, I would love to see the...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

We have known Availity for years, so we went in with eyes wide open. However, we still didn't fully...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

Using Availity's system is kind of like paying through a toll booth. We pay because the system is...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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VP/Other Executive

Availity is reportedly developing an authorization tool that could be useful. The authorization...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

At one point, we had issues with our Availity support person, but we escalated our concerns, and...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Availity Essentials Pro has a great dashboard that shows us the daily time stamp on claims that flow...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

Availity has improved the patient statements a lot. The services being performed were a little...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Availity Essentials Pro does a good job with remittances; it connects to our banking information,...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

Each time there is a new Availity platform, the vendor does a live demo to make sure everything is...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

Availity does a good job in bringing revenue cycle leaders into their annual conference, where they...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Availity is easily accessible and always willing to collaborate. That is key to a software vendor,...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

The advanced analytics in Availity Essentials Pro are very helpful. The landing page has all the...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

We partner with Availity to provide real-time eligibility data, and that has been very helpful,...

Comment Tone Positive
Pillars Relationship, Value
Evaluation Unrated

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Director

Availity is always working with us to see how they can build a portfolio of payers who participate...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

We have reports set up in the system to come to us every day. We are able to go in and run certain...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

I know that Availity is innovative, but I haven't paid a lot of attention to what they have...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

Sometimes, when we get returns or edits from Availity, the reasons aren't clear. We can get a return...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

I don't have any issues with the remittances in Availity's system. As long as I can find them, I am...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Availity Essentials Pro is definetly user friendly, but we don't work on our claims directly in...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

Certain payers aren't active on Availity's eligibility portal, so we can't find certain carriers...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Availity Essentials Pro is generally a user-friendly clearinghouse to use. The comprehensiveness of...

Comment Tone Positive
Pillars Operations, Product
Evaluation Unrated

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Analyst/Coordinator

I don’t always get notified when there is an update or a ticket. I can see it in the support portal,...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

As I have looked to make my team’s job easier, Availity Essentials Pro has absolutely helped in...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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VP/Other Executive

We moved to Availity because we wanted to combine our physician and hospital sides onto one...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

Availity sold us on the idea that they could do a little more with the claims statusing than what...

Comment Tone Negative
Pillars Culture
Evaluation Unrated

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VP/Other Executive

With Availity, we have gone through a couple of representatives now, and we have had to call a...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

I would buy Availity Essentials Pro again, but I hesitate because it isn't as flexible as some of...

Comment Tone Negative
Pillars Product, Value
Evaluation Unrated

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Manager

I have never done training with Availity. We meet with Availity regularly, and they give us...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

Availity Essentials Pro is highly reliable. I like our dashboard because it is pretty interactive...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Availity is always available. We have a very clean claim rate. When I have issues, they are always...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

I would highly recommend Availity Essentials Pro to any medical professional billing group.

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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CEO/President

Some of Availity’s customer service could be improved. When a claim doesn't go through, when I lodge...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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CEO/President

Availity Essentials Pro is an outstanding clearinghouse solution. Availity is comprehensive in terms...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

I would like Availity Essentials Pro to give us more details when it is verifying insurance for...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Physician

Everything in Availity Essentials Pro has worked great since the beginning. There was a learning...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Director

We submit dental claims through the system, but we have faced ongoing challenges with scrubbing...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

While I am extremely satisfied overall with the medical side of the system, claims for that side...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Availity has delivered everything they have promised with some delays. I have regular meetings with...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Availity Essentials Pro is a very easy tool to use. Its reporting tools, website, and claim...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Director

Our representative has always gone above and beyond to ensure we have the needed information for reporting....

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

The product is great and fits our needs, although some of the updates make things more difficult.

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

If someone were looking at Availity, I would tell them to be sure to compare all of the...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

Availity has very good online training and a lot of online training modules, but some other vendors...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

As far as Availity being part of our long-term plans, things are changing all the time. We are...

Comment Tone Negative
Pillars Loyalty
Evaluation Unrated

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Manager

Availity Essentials Pro's integration with Epic seems to be really strong. We have a really good...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

Availity has a very broad payer coverage and network reach. However, one weakness is Availity's...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Manager

When there is an error, the system will tell us exactly what it is, so we don't have to try to...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

I have had issues with Availity's support. Whenever I put in a ticket, the vendor will respond and...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

Users don't have to fill out a lot of information in the system. If a user isn't able to locate a...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Regarding training, the only thing I would request from Availity would be direct training. A lot of...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

For our medical claims, Availity Essentials Pro works wonderfully. Everything that we do through...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

With Availity Essentials Pro, we have been able to drill down further. We had a lot of claims edits...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

I would buy Availity Essentials Pro again. The top reason, and what I talk about to anyone who will...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

It would make our workflow easier if Availity had a more robust system for the many things that we...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Director

We gave Availity some ideas, and they loved them. They actually work on the product based on...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

We use Availity’s system for claims processing and real-time eligibility (RTE). On the claims side,...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

When we ask Availity questions, we kind of have to go through the chain and wait. However, Availity...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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Director

Users who go into the portal for Availity Essentials Pro will be daunted. It is not easy or...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

We are satisfied with Availity Essentials Pro. Our clean claim rate has been high and relatively...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Director

We have had to proactively come to Availity for claims and payers that are no longer on paper only...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Director

Availity's implementations are fine. From a technical standpoint, we have gotten results back that...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

The Availity Essentials Pro and claims aspects of what we do with Availity are steady. However, we...

Comment Tone Negative
Pillars Loyalty, Product
Evaluation Unrated

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Director

With Availity, there have been postage markups and cost markups for dropping paper claims. We can...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Director

Availity Essentials Pro is pretty good, but I think there is something wrong with Availity's overall...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

Availity is essentially our clearinghouse vendor. They are consolidating and packaging our 837s to...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

I have nothing but good things to say about Availity. If they get to put Best in KLAS on their thing...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

The product is part of my long-term plans, but with the One Big Beautiful Bill Act that is now law,...

Comment Tone Negative
Pillars Loyalty
Evaluation Unrated

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Analyst/Coordinator

Availity's system has great tools, and with the proper training, those tools could be super...

Comment Tone Positive
Pillars Operations, Product
Evaluation Unrated

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Analyst/Coordinator

Availity just did an update to the software code in their system. The vendor has a new cloud-based...

Comment Tone Negative
Pillars Loyalty, Product
Evaluation Unrated

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Analyst/Coordinator

Something that drives me nuts is that when we fill out support tickets, Availity asks for our...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

I have done comparisons between other clearinghouses. We thought about changing systems multiple...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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