April 22, 2018 10:42 AM ET

Health Care Technology

Company Overview of Availity, LLC

Company Overview

Availity, LLC develops network software which provides information exchange between various healthcare stakeholders. It connects care providers with various health plans through an Internet-based and HIPAA-compliant network that allows for automation of business transactions. The company offers physicians and healthcare providers a single destination for processing patient claims and payments; information for healthcare plans and healthcare management services; and information for technology companies. It provides Availity CareCollect, an automated payment collection solution; Availity CareCost Estimator, which provides patient financial responsibility estimation solution; Availity CareProfi...

7406 Fullerton Street

Suite 300

Jacksonville, FL 32256

United States

Founded in 2001





Key Executives for Availity, LLC

Chief Executive Officer
Age: 54
Chief Revenue Officer and Senior Vice President of Sales
Chief Financial Officer
Chief Technology Officer and Senior Vice President
Chief Compliance Officer, Senior Vice President of Legal & Regulatory Affairs and General Counsel
Compensation as of Fiscal Year 2017.

Availity, LLC Key Developments

Amedisys-Availity Relationship Yields Faster Payor Authorizations

The new relationship with Availity, LLC, Amedisys Inc. is processing authorizations more efficiently and less costly. Previously, Amedisys processed every authorization for managed care claims manually, through either a website or a phone call, requiring 15 to 20 minutes per claim. As a result, authorizations often took too long to complete, thus raising administrative costs and at times, delaying patient care. To address those longstanding challenges, Amedisys forged a relationship with Availity. Availity electronically synthesizes and shares data in real-time between providers and health plans nationwide. This is their first foray in home health. The automated approach has brought Amedisys numerous advantages. It not only quickens authorizations but also lowers administrative costs. Such benefits can produce a ripple effect. Each authorization at Amedisys now takes only seven minutes to process compared to the 15 minutes required by manual-based processes, enabling clinicians to visit patients sooner and Amedisys to be reimbursed faster. Amedisys is the first provider in the home health industry working with Availity to utilize electronic authorizations. While Amedisys is only using this technology with one payor at this time, it is working to expand to others. The transition to Availity was made possible after Amedisys implemented Homecare Homebase software.

Availity, LLC Presents at HITRUST Third Party Assurance Summit 2018, Feb-20-2018 01:45 PM

Availity, LLC Presents at HITRUST Third Party Assurance Summit 2018, Feb-20-2018 01:45 PM. Venue: Chicago, Illinois, United States. Speakers: Debbie Hutchinson, Director - IT Audit & Third Party Assurance.

Triwest Healthcare Alliance Selects Availity for Provider Engagement Portal

TriWest Healthcare Alliance announced that it selected Availity, to implement its Provider Engagement Portal. The first phase of the rollout occurred last month. The solution will be accessed by the company's network of 200,000 providers, who serve the healthcare needs of military veterans in 28 states. TriWest supports the Department of Veterans Affairs Veterans Choice Program and Patient-Centered Community Care program. It network has served more than 1 million veterans with more than 7 million healthcare appointments since 2014. The Availity Provider Engagement Portal facilitates seamless electronic collaboration and communication between providers and third-party administrators, such as TriWest Healthcare Alliance, in real-time. TriWest's investment in the portal will make it even easier for network providers to Complete clinical and administrative transactions, including claim status inquiries. Electronically submit and edit claims, including unsolicited claims attachments, for timely adjudication and reimbursement. Amend and validate their demographic information in accordance with TriWest's business rules and data structure The strength and market participation of Availity's customers gives providers a single point of entry and streamlined navigation through the Provider Engagement Portal. Rather than moving between completely different interfaces, providers and their staff navigate just one, which enables multiple workflows.

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Recent Private Companies Transactions

Private Placement
September 26, 2017

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