Availity has developed a common approach to the electronic transmission of administrative transactions in order to fundamentally change the way the health care industry conducts business. Availity's mission is to optimize the flow of information between multiple health care stakeholders through a single, secure internet-based exchange. We exist to strengthen these direct relationships by delivering quality administrative, financial, and clinical information across all channels and by enabling a more collaborative approach to health care operation and delivery.
ClaimLogic has been the trusted claims and payment processing partner to many of the largest and most respected Medical Centers and Physician groups for nearly a decade. Our web-based claims processing and payment tools allow our clients to manage their organizations with a depth of revenue cycle management clarity rarely seen in the industry.
Real-time, nationwide connectivity to thousands of government and private payers allows your staff to verify eligibility prior to service–without time-consuming phone calls or multiple visits to payer websites. Verifying patient eligibility at check-in improves time-of-service collections so you get paid faster. In fact, eligibility checks performed via Emdeon One™ (formerly Capario)return an immediate response.
Gateway EDI, Inc., one of the nation's fastest growing healthcare clearinghouses, offers simple solutions to complex business electronic connectivity challenges. From standard claims processing and status reporting, to sophisticated new technology to flag rejected claims - all through HIPAA compliant solutions - Gateway EDI boasts unusually high performance standards. Services include electronic claims, claim status, eligibility, paper claims, patient statements, automated secondary claims, and electronic remittance advice.
HealthSmart Information Systems, formerly CareVu, offers innovative electronic information services for the healthcare industry. HealthSmart is dedicated to creating and implementing the latest technologies to ensure we exceed expectations when met with the many challenges associated with healthcare information systems.
McKesson solutions for claims management provide greater efficiency and accuracy at every point where claims are handled — from provider to payor — to improve the reimbursement process. Our solutions for claims management, including electronic data interchange (EDI), streamlining business interactions between providers and payors.
RelayHealth provides the connectivity and solutions that enable constituents across healthcare to exchange information securely and conveniently. RelayHealth offers real-time solutions to streamline interactions throughout healthcare. The net result: improved care, faster access, lower costs and enhanced bottom lines.
First Coast Service Options (FCSO) has proudly served as one of the nation’s largest Medicare administrators for over 40 years, and is the current Medicare Administrative Contractor for Jurisdiction 9 (J9), which includes Puerto Rico, the U.S. Virgin Islands and Florida.
HP Enterprise Services, a division of Electronic Data Services (EDS), administers Florida Medicaid. The Agency for Health Care Administration (AHCA) develops and carries out policies related to the Medicaid program.
TrailBlazer administers Texas Medicare.
Texas Medicaid & Healthcare Partnership's (TMHP) administers Texas Medicaid and other state health-care programs.