Availity® Health Information Network

Recommendations

Info

Table of Contents Availity® Health Information Network Electronic Data Interchange (EDI) & Web Solutions Companion Guides Navigating the EDI Clearinghouse Health Plan Partners Section……......……………………………………………..…………3 Availity’s NPI Options………………………………………………………………………………………..………………………….4 Availity’s Electronic Data Interchange (EDI) Health Plans Partners.…………………………………...………….…...…...5 – 28 Availity’s Electronic Remittance Advice (ERA) Health Plan Partners...…………………………………………………….29 - 41 Availity’s Business to Business (B2B) Health Plan Partners...……………………………………………………………………42 Availity’s Web Portal Health Plan Partners...…………………………………………...…………………………….………43 – 46 Workers’ Compensation Payer List…..…………………………………………………...………………………………….47 - 124 2 of 124 Visit our web site: www.availity.com
Navigating the EDI Clearinghouse Health Plan Partners Section Last Update Column: ‘A’ means a payer has been added to the list ‘D’ means a payer has been removed from the list ‘U’ means a payer’s information or/and capabilities have been updated Claim Enrollment Required: Denotes payers that require enrollment for EDI claims submission (837P/I). See EDI Requirements for enrollment details. Government Payer: Denotes Government payers May not be a direct connection to the government entity Remit (835): Electronic remittance advice sent by payers to communicate adjudication results and payment information for submitted claims. Receiving remits generally requires additional enrollment. Please enroll with Availity first. Please see Availity’s Electronic Remittance Advice (ERA) Health Plan Partners list for registration details. NPI Option: The NPI is a unique identification number for covered health care providers. Availity is making every effort to confirm and communicate the status of our connected payers. For a detailed explanation of our NPI options please see the attached NPI Options Document. Availity® Health Information Network Electronic Data Interchange (EDI) & Web Solutions Companion Guides (EDI) Electronic Data Interchange: Customers create batch transactions in their own practice management system (PMS) or hospital information system (HIS) and upload them to Availity. This functionality can be transparent to the end user if their system vendor offers a seamless solution. Availity also offers end users the ability to log onto the portal to upload batches directly. A list of vendor partners is available on the Availity web site. (B2B) Business to Business: Customers submit transactions in real-time or near real-time using their own practice management system (PMS) or hospital information system (HIS), often using the vendor’s user interface. A list of vendors that support this level of integration is available on the Availity web site. Please see Availity's B2B specification document for additional information. 3 of 124 Visit our web site: www.availity.com
Page 1: Availity, L.L.C. P.O. Box 550857 Ja
Page 5 and 6: Last Update Payer ID Payer Name Ava
Page 19 and 20: Last Update Payer ID Payer Name Gov
Page 29 and 30: Availity's Electronic Remittance Ad
Page 31 and 32: Availity® Health Information Netwo
Page 41 and 42: Availity® Health Information Netwo
Page 43 and 44: Payer Name Payer ID Enrollment Requ
Page 45 and 46: Payer Name Payer ID Enrollment Requ
Page 47 and 48: Workers' Compensation Payer List Av
Page 53 and 54:
Workers' Compensation Payer List Av
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Texas Municipal League (TML) Payer
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
show all

Availity® Health Information Network

Create successful ePaper yourself

Delete template?

Save as template?