Availity Essentials Pro Commentary
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Subject Expert
Dustin Cragun
VP of RCM & Operations
KLAS VP of RCM & Operations - Dustin Cragun
 
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User Commentary

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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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Director

Product

The denials management piece isn't connected to the rest of the claim system in Availity Essentials...

May 2024
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Director

Product

Availity Essentials Pro is a pretty straightforward clearinghouse that does what we want it to do,...

May 2024
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Director

Operations

My original implementation with Availity was just trash. Every time we met, they would say to do...

May 2024
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CEO/President

Product

Availity Essentials Pro is very easy to use, and I like the functionality. We have been using it for...

May 2024
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CEO/President

Relationship

Availity’s support system is great. We have never had issues with it. The vendor is responsive and...

May 2024
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CEO/President

Product

Availity has alerts that come up on the screen if there are issues, and while that is probably the...

May 2024
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CEO/President

Value

Availity Essentials Pro is expensive but worth the cost. We like the whole process of getting our...

May 2024
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CEO/President

Relationship

When there is an edit or an error we don't understand, we put in a ticket, and Availity is very...

May 2024
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Analyst/Coordinator

Relationship

There have been some times when we have created a ticket with Availity’s support and we have felt...

Apr 2024
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Analyst/Coordinator

Relationship

The individual provider representatives that Availity has assigned us through the years have always...

Apr 2024
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Analyst/Coordinator

Relationship

When it comes to integration, Availity does all the work anytime we need to make changes or when...

Apr 2024
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Analyst/Coordinator

Operations

Availity has quite a few videos, and they offer webinars for training. Most people learn to navigate...

Apr 2024
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Analyst/Coordinator

Relationship

With Change Healthcare’s cybersecurity issue, Availity has gone above and beyond and has taken...

Apr 2024
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Analyst/Coordinator

Relationship, Product

Availity is always willing to add edits and scrub things for us, and we are really happy with that....

Apr 2024
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Analyst/Coordinator

Relationship, Product

There are a few hiccups with Availity Essentials Pro. For instance, there is a small rate of error...

Apr 2024
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Analyst/Coordinator

Product

I have used a lot of clearinghouses in previous jobs, and Availity Essentials Pro is the easiest....

Apr 2024
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Analyst/Coordinator

Operations, Product

I have had a hard time building reports that make sense to me. The challenge lies in the ease of...

Apr 2024
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Analyst/Coordinator

Relationship, Product

Availity does a great job with scrubbing, but they don’t give detailed information on the scrubbing...

Apr 2024
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Analyst/Coordinator

Operations

Availity Essentials Pro has good reports, but our main system also has good reports. To use...

Apr 2024
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Analyst/Coordinator

Value

We get charged for everything. Even if we want to create a new edit strictly for us, that is a...

Apr 2024
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Analyst/Coordinator

Relationship

The support team could use some extra care by being proactive with tickets and fixing things when we...

Apr 2024
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Analyst/Coordinator

Product

We can send things to some payers electronically, but we don't always know that; we have to go...

Apr 2024
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Director

Loyalty

Availity Essentials Pro is in my long-term plans. I would buy it again but maybe not in the same...

Mar 2024
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Director

Culture, Value

Availity does keep promises, and I don't get charged for little things. I don't get trained on...

Mar 2024
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Director

Loyalty, Product

With Availity Essentials Pro, we get cleaner claims and have a higher first-pass rate than general...

Mar 2024
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Director

Loyalty, Product

I have known RealMed for a long time, and I saw so much of their product in the marketplace before...

Mar 2024
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Director

Product

The claims reporting feature in Availity Essentials Pro is beneficial for comparing days in A/R...

Mar 2024
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Director

Loyalty, Product

If Availity can use the product to harness the clinical information and get an on-demand medical...

Mar 2024
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Manager

Relationship, Product

Availity’s reporting is not out of the box. Sometimes, I have to work with our customer service...

Feb 2024
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Manager

Product

We get a monthly overview report from Availity, and that report is very helpful. It encompasses a...

Feb 2024
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Manager

Product

We would like to see additional attachment payers from Availity so payers can do claims attachments...

Feb 2024
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Manager

Product

From a claims perspective, Availity Essentials Pro is a really great tool. I have no complaints...

Feb 2024
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Manager

Relationship, Product

Availity has been really easy to work with. They need to improve their real-time eligibility...

Feb 2024
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Manager

Loyalty, Relationship

Availity has excellent customer service. That was actually one of the things that we were looking...

Feb 2024
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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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