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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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 Download as Excel

Manager

Relationship

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

Unrated
Mar 2026

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Manager

Loyalty

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

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Mar 2026

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CIO

Relationship

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

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Mar 2026

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CIO

Product

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

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Mar 2026

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CIO

Relationship

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

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Mar 2026

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CIO

Relationship, Product

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

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Mar 2026

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CIO

Value

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

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Mar 2026

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CIO

Product

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

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Mar 2026

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Analyst/Coordinator

Operations

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

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Mar 2026

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Analyst/Coordinator

Relationship

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

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Mar 2026

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Analyst/Coordinator

Relationship

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

Unrated
Mar 2026

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Analyst/Coordinator

Relationship, Product

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

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Mar 2026

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Director

Relationship

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

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Feb 2026

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Director

Product

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

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Feb 2026

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Director

Culture, Value

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

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Feb 2026

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Director

Relationship

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

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Feb 2026

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Director

Product

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

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Feb 2026

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Director

Relationship

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

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Feb 2026

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Director

Product

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

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Feb 2026

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VP/Other Executive

Loyalty, Relationship

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

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Feb 2026

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VP/Other Executive

Value

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

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Feb 2026

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VP/Other Executive

Product

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

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Feb 2026

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VP/Other Executive

Relationship

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

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Feb 2026

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Director

Product

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

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Feb 2026

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Director

Relationship

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

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Feb 2026

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Director

Relationship, Product

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

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Feb 2026

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Director

Operations

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

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Feb 2026

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Director

Relationship

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

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Feb 2026

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Director

Relationship

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

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Feb 2026

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Director

Product

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

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Feb 2026

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Director

Relationship, Value

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

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Feb 2026

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Director

Relationship

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

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Feb 2026

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Manager

Product

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

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Feb 2026

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Manager

Relationship

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

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Feb 2026

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Manager

Relationship

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

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Feb 2026

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Manager

Product

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

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Feb 2026

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Manager

Product

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

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Feb 2026

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Manager

Product

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

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Feb 2026

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Analyst/Coordinator

Operations, Product

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

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Feb 2026

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Analyst/Coordinator

Relationship

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

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Feb 2026

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VP/Other Executive

Product, Value

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

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Feb 2026

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Manager

Operations

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

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Nov 2025

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Manager

Product

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

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Nov 2025

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Manager

Relationship

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

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Nov 2025

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Manager

Product, Value

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

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Nov 2025

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CEO/President

Relationship

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

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Nov 2025

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CEO/President

Product

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

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Nov 2025

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Manager

Product

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

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Nov 2025

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Physician

Product, Value

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

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Nov 2025

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Director

Product

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

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Oct 2025

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Director

Product

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

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Oct 2025

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Director

Relationship

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

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Oct 2025

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Director

Product

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

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Oct 2025

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Director

Relationship

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

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Oct 2025

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Analyst/Coordinator

Product

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

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Oct 2025

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Manager

Relationship

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

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Oct 2025

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Manager

Operations

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

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Oct 2025

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Manager

Loyalty

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

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Oct 2025

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Manager

Product

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

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Oct 2025

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VP/Other Executive

Relationship, Product

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

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Oct 2025

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Manager

Product

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

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Oct 2025

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Manager

Relationship

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

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Oct 2025

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Manager

Product

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

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Oct 2025

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Manager

Operations

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

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Oct 2025

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Manager

Product

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

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Oct 2025

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Manager

Relationship, Product

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

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Oct 2025

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Manager

Relationship

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

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Oct 2025

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Manager

Relationship, Product

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

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Oct 2025

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Director

Relationship

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

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Oct 2025

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Director

Relationship, Product

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

Unrated
Oct 2025

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Director

Loyalty, Relationship

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

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Sep 2025

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Director

Relationship

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

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Sep 2025

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Director

Relationship, Product

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

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Sep 2025

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Director

Relationship, Product

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

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Sep 2025

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Director

Operations

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

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Sep 2025

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Director

Loyalty, Product

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

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Sep 2025

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Director

Value

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

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Sep 2025

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Director

Product

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

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Sep 2025

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Director

Product

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

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Sep 2025

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VP/Other Executive

Relationship

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

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Aug 2025

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VP/Other Executive

Loyalty

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

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Aug 2025

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Analyst/Coordinator

Operations, Product

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

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Aug 2025

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Analyst/Coordinator

Loyalty, Product

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

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Aug 2025

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Analyst/Coordinator

Relationship

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

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Aug 2025

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Analyst/Coordinator

Loyalty, Relationship

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

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Aug 2025

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Manager

Operations

We have been with Availity for so long, so we are kind of used to them. Availity Essentials Pro is...

Unrated
Jun 2025

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Manager

Relationship

I have a high satisfaction with the vendor’s quality of response. I'm thinking of real-time...

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Jun 2025

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Manager

Relationship, Value

When we transitioned from our legacy billing system to Availity's system, it was very refreshing to...

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Jun 2025

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Manager

Relationship

I always see the correct personnel on the calls, including if there is something that requires a...

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Jun 2025

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Manager

Operations

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

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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...

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Jun 2025

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Manager

Product

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

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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...

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Jun 2025

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Manager

Product

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

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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...

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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...

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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...

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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...

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Jun 2025

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Manager

Value

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

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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...

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Jun 2025

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Manager

Product

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

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Jun 2025

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Manager

Culture

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

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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...

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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...

Unrated
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...

Unrated
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...

Unrated
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.

Unrated
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...

Unrated
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...

Unrated
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...

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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...

Unrated
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...

Unrated
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...

Unrated
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...

Unrated
Apr 2025

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Analyst/Coordinator

Loyalty, Relationship

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

Unrated
Apr 2025

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Analyst/Coordinator

Relationship

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

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Apr 2025

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Analyst/Coordinator

Relationship, Product

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

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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...

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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...

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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...

Unrated
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...

Unrated
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...

Unrated
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...

Unrated
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...

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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...

Unrated
Apr 2025

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Director

Product

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

Unrated
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...

Unrated
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...

Unrated
Apr 2025

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Director

Relationship, Operations

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

Unrated
Apr 2025

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Director

Relationship

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

Unrated
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...

Unrated
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...

Unrated
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...

Unrated
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...

Unrated
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...

Unrated
Apr 2025

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