Availity complaints

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Preferred solution Deliver product or service ordered. New Reviewer. Jul 04, Marilyn H Ahm. Cannot get claims information, platform for EOBs makes no sense. Now they're trying to bring Aetna on board and it's a nightmare. They could at least use the same claims and EOB system as Anthem. Trying to file a claim with Aetna is annoying but trying to find claim information is a nightmare.

Navinet was x better. The old remittance review for Anthem was also much better than this. Logging in is also ridiculousI wish there was and you may never get back inif you are locked out.

Comment Helpful 1 Not helpful 0. Oct 24, PissedConsumer Well they have also sucked Anthem and Magellen into their abyss. Jun 29, Barbara H Lhm. If Aetna thought it would be a more helpful platform for providers they were grossly mistaken. Navinet was far more user friendly and required less information input to obtain claims, eligibility and referrals than Availity.

Hate the look of the claims that have been paid why not just make the EOB available as did Navinet? The wheel wasn't broken and didn't need to be reinvented!

Availity overall not nearly as user friendly as Navinet which wasperfectly fine for Aetna. Availity requires more info when trying to access eligibility, claims which is pathetic on this platform and referrals.

Have not yet had to deal with their reps or IT people but doesn't sound encouraging either. I don't know what idiot at Aetna thought it a good idea to switch from Navinet but it was certainly not well thought out. It wasn't broken so didn't need fixing Location Media, Pennsylvania. Availity requires a 2-step authentication procedure before a provider can access his or her Aetna account. I recently chose the text option whereby the computer is supposed to text my cell a number that I was then supposed to input on Availity's website authentication page within 3 minutes.

The problem is that Availity's computer doesn't send the text, either at all or within even 5 or 10 minutes. Obviously, Availity doesn't have a clue and hires the least competent tech people to write its software. Seriously, Aetna, can't you do any better than Availity??? User's recommendation: Avoid Availity's website because it will suck the life out of you!

Comment Helpful 2 Not helpful 0. Cons Read my review. Jun 17, Michael S Qny. Bad software platform; bad customer service. As a healthcare provider, I tried to register with Availity, since Aetna has recently switched to it from Navinet. Very user-unfriendly registration process, but the worst experience was with customer service representatives, who were clearly over-worked and under-trained and answered their calls already seemingly hostile and dismissive.

I was shunted between a very rude and insulting representative and her supervisor, and then a technical specialist, who between them, were unable to resolve the procedural issues around my registering to use their site.

I spent cumulatively about 2 hours on the phone with them. User's recommendation: caveat emptor: let the buyer beware. Preferred solution Apology. So people know not to get involved with this company. Awful, no humans, and they want a ridiculous amount of personal information, more than I have ever experienced it actually made me very uncomfortable.

User's recommendation: don't join this. Location New York, New York. Jun 02, Hiram J. Provider login. Please advise.

Jun 02, patrick w Cek. Giant waste of time and all the insurance companies want to use it. Jul 27, PissedConsumer Jun 11, PissedConsumer At least with NaviNet I could get the answers I needed. Availity is the absolute worst! Jun 02, PissedConsumer Reply 2 0. View more comments 2. Preferred solution Let the company propose a solution.

Can't get into site. Availity is now requiring a two step authentication method with restricted methods for doing so. We have phones with extensions, staff are not allowed to use personal cells at work OR do not even own one. Absurd that cell phones should be prompted in the work place.

The only other option we are left with to pay money to buy a token. We shouldn't have to pay to have access to the benefits and claims of our patients! User's recommendation: Complain to the payers! Comment Helpful 1 Not helpful 1. Preferred solution Provider easier to implement methods! Bad bad bad. Remittance viewer was not working. I should call later.

She can't tell me what release of information options mean because they don't tell us what to put in the field. From navinet to this nightmare, why? One likable attribute of Availity is the continuum of its dynamic solutions. The platform provides products that enable healthcare industry stakeholders to solve the core issues that hinder proper communications.

It connects health plans, providers, and technology partners, allowing them to collaborate in real-time and have meaningful interactions. It also fixes the malfunctioned data management process allowing for the consolidation of quality information. In addition, this solution offers patient financial and revenue cycle management solutions. Availity comes with a powerful patient access solution.

The solution permits employees to access patient data in real-time. Automated workflows save time and allow employees to focus more on the patient. Availity allows healthcare providers to capture accurate clinical data. The entire process is automated, which means you will no longer spend time answering manual clinical data requests.

Besides, the faxes, calls, and chart chase allied to risk, and quality programs are eliminated. The solution gives providers a desirable way to update, confirm, and authenticate the correctness of their data. However, it is futile to chance on such application even among widely used software solutions. The sensible thing to do should be to write the several essential aspects which entail scrutiny such as important features, packages, technical skill aptitude of the users, business size, etc.

Then, you must follow through the research through and through. Have a look at some of these Availity review articles and check out each of the software solutions in your shortlist more closely.

Such well-rounded research makes sure you weed out poorly fit software products and choose the one which provides all the features your company requires to realize efficiency. Availity is one of the top 20 EHR Software products. If you are interested in Availity it could also be a good idea to analyze other subcategories of EHR Software listed in our base of B2B software reviews.

It's important to note that hardly any service in the EHR Software category will be a perfect solution able to match all the requirements of various business types, sizes and industries. It may be a good idea to read a few Availity EHR Software reviews first as specific solutions might perform well only in a very small group of applications or be prepared with a really specific type of industry in mind. Others may function with an intention of being simple and intuitive and consequently lack advanced elements needed by more experienced users.

You can also find services that cater to a large group of customers and provide a rich feature set, but this in most cases comes at a higher cost of such a service. Make sure you're aware of your requirements so that you get a service that has specifically the features you search for. Contact the vendor for complete pricing details. The data is then displayed in an easy to digest way indicating how many clients had positive and negative experience with Availity.

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: 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. 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. User-friendly and provides fast results which is very much appreciated. It addresses the majority of our issues regarding insurance claims and billing. 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. 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.

Availity is a one of a kind platform that allows you to handle billing and insurance stuff all the same time. 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. 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.

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. 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. Intelligent layout plus its a results-oriented platform. Plus I learned to use it in two days. The results are fast and accurate. 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. Availity changed the way we verify insurance coverage because we work fast and efficiently. PROS: There is no need to ask my secretary to come to work 2 hours before the clinic opens to call the insurance company.