Availity Review

PROS: Before Availity, we didn't have any platform that can help us with insurance verification. We had to do things manually, which very challenging because we also have to multitask and talk to patients at the same time. Using this software has made a significant impact on our lives. Based on my personal experience, I no longer have to spend long hours calling insurance companies to verify some information from their reps.

CONS: Part of my job is to determine the type of plan each patient has before I could qualify him for a procedure. When doing this through Availity, I need to through several steps as part of their verification process. I find it challenging because there are times when I only have limited information on the patients' files. Usually, it would ask for the patient's birthday or NPI code, which is not readily available.

PROS: I can accomplish more tasks and paperwork at the office. No need to spend more than 50 percent of my time waiting or chatting with insurance agents. I can easily retrieve whatever information I need using Availity. It's easy to learn, and I feel more productive, which is a good thing.

CONS: Sometimes the system is down so we couldn't use it for several hours. Also, there are instances wherein the total amount used is not shown on file, so I need to verify that information manually.

PROS: It makes my job easier as compared to before. I can check, make follow-ups, and file for disputes online. There is no need to place a phone call or wait for replies via fax and email. I'm able to submit claims and get approvals in less than two hours. With this process, our company is assured that insurance companies pay us right on time.

CONS: There are instances wherein I'm unable to verify the customers' insurance plan thoroughly. This is because of incomplete information from the system. If this happens, I always end up making a few phone calls to fix things. The good thing is that this doesn't happen often.

PROS: Working using Availity has helped me in terms of time management. I can arrange my daily schedule and treat my patients on time. The platform is so useful that it reduces the time that I usually spend on the phone and fill up different forms, which is so time-consuming.

CONS: They cannot cover all insurance companies in the country, so we still have to verify information over the phone from time to time. I wish that they could upgrade their platform so we would always be able to cater to a broader customer base. There are other options, though, but some clients have their preferences.

PROS: Handling claims and resolving disputes has never been this convenient through Availity. We love the way it works by giving us all the pertinent information in just one system. Before using Availity, it takes us days to verify the status of insurance claims, but now we can do it in only a few minutes.

CONS: There are some insurance companies that Availity doesn't support. You have to get in touch with their team to have the company included in the system. The problem is it takes too long for them to complete such requests. This is frustrating both for our clients and us.

PROS: It's now easier for us to book both major and elective surgeries because of Availity. Since most patients depend on their health insurance, we can quickly screen or determine if they are qualified for a particular procedure or not. An increasing number of patients have been coming in for consults, and that is a clear sign that our business is picking up.

CONS: We are sometimes having issues with the accuracy of patient records and insurance coverage. In cases like this, we have no choice but to give the insurance company a call for further clarification. This process is time-consuming and sometimes frustrating, especially for elderly patients. Although it doesn't happen all the time, it would be best if they could fix this to ensure that all verification processes go on smoothly.

PROS: This platform is handy and informative in our line of business. Every day we deal with tons of medical claims coming from our patients. We are thankful for Availity because it provides us the information we need before treating patients, which is very convenient.

CONS: Dealing with rejected claims is such a big headache. No one wants to deal with it because it's too stressful on our end, but we have no choice but to do it. However, we found out that not all insurance companies are allowed to file an online dispute through Availity. Meaning we need to go through a long process, which sometimes takes days to resolve.

PROS: The program is easy to install use. We introduced it to our new hires and were given their access in just a few hours. In case they get locked out, it's also easy to request for a PW reset and get back to work.

CONS: The only problem that we encounter is when the system becomes latent or stops working for a few hours. If this happens, we have to pick up our phones, do a manual verification, and deal with more backlogs.

PROS: There is no need to place a call to the insurance companies to verify if a specific claim has been approved or not. Availity offers us the convenience by merely logging in to the system and pulling up the required data.

CONS: Limited access to some information. I wish the platform would unlock it in the future because there are things that we would like to know in advance. Having visibility regarding the schedule of payments from all insurance companies would be very much appreciated. This way, we can project our monthly income and make adjustments to our expenses if necessary.

PROS: What I like best about Availity is its wide range of functionality. It takes good care of more than half of our daily workload. From verifying claims, filing for disputes, following up on invoices and payments, name it, and Availity can do it for you.

CONS: Other insurance companies take advantage of the system. Some of them tend to overdo claims investigation, which makes matters more complicated.

PROS: There is no need to ask my secretary to come to work 2 hours before the clinic opens to call the insurance company. Now we can get all the information needed for our customers in a few minutes. I also noticed that my staff is more motivated to accept patients because their workload is now made more comfortable.

CONS: They need to work on missing or incomplete information. This may sound like a minor issue to most clients, but it leaves us feeling disappointed. We paid for the platform, and we expect excellent service in return.

PROS: It's so easy to learn how to use the whole platform. The learning process took us only two days tops. We are currently using this app to help us determine the patients' insurance coverage. Normally we would spend Hours calling the insurance hotline to get the information that we need. But with the help of Availity, it takes us a few minutes to complete this particular task.

CONS: The layout needs a lot of improvement. I find it dull and unappealing. It would be best if they could do something about it too so people would find more interest in using the platform.

PROS: I am usually loaded with tons of verification tasks and other workloads in the office, and I'm always behind things. With Availity, I was able to do more things, such as checking our remittances from insurance companies.

CONS: I need to dedicate some time to learn more about the platform. I'm new to this, so there are times that I feel challenged. But if I familiarize myself with Availity, things will be better. I am usually loaded with tons of verification tasks and other workloads in the office, and I'm always behind things. With Availity, I was able to do more things, such as checking our remittances from insurance companies.

PROS: The platform is very organized and detail-oriented, which I genuinely appreciate using. It doesn't take too much time and effort to verify claims. Rather than calling all, I need to do is research. It saves me a lot of time and reduces the amount of paperwork that I need to work on at the office. I didn't have any difficulties using the site because of its ergonomic layout.

CONS: I think that my major complaint is the limited number of insurance companies that the platform supports. We have clients who have insurance with other companies that Availity is unable to support. Of that's the case, I have no choice but to do all of the work manually, which is cumbersome, especially if I have similar cases within the day. Also, I would like to point out that since the site is loaded with too much data, I sometimes feel overwhelmed.