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Essentials Reviews & Product Details

Essentials Overview

What is Essentials?

From the first phone call with a new patient through final claim reconciliation and payment, you need a simpler way to collect, submit, and track the administrative, clinical, and financial data that make healthcare possible. Availity Essentials is the place to connect with your payers—at no cost to providers. Availity works with hundreds of payers nationwide to give providers a one-stop-portal where they can check eligibility, submit claims, collect patient payments and track ERAs, and even sign up for EFT. Your Essentials account gets you access to all this and more, with one password. You can also update your provider profiles, manage quality-of-care paperwork, and get detailed reporting about your office’s standard HIPAA and other payer transactions.

Essentials Details
Languages Supported
English
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Product Description

Essentials solve the communication challenges between healthcare stakeholders, creating a more transparent exchange of information between health plans, providers, and technology partners.


Seller Details
Seller
Availity
Year Founded
2001
HQ Location
Jacksonville, FL
Twitter
@Availity
2,088 Twitter followers
LinkedIn® Page
www.linkedin.com
1,604 employees on LinkedIn®

JL
Overview Provided by:

Recent Essentials Reviews

Verified User
A
Verified UserSmall-Business (50 or fewer emp.)
4.0 out of 5
"Best Portal for Verification of insurance"
If you are using availity for your providers you have less chances to get denials of payments. check patients benefit from insurance before checkou...
Jennifer F.
JF
Jennifer F.Small-Business (50 or fewer emp.)
2.0 out of 5
"Good but not so good"
I like that you can review EOB's, when it works.
AB
Angela B.Small-Business (50 or fewer emp.)
3.5 out of 5
"Works well for Insurance verifications and claims"
Allows insurance verifications and payments and claims processing
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Essentials Media

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40 Essentials Reviews

4.1 out of 5
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40 Essentials Reviews
4.1 out of 5
40 Essentials Reviews
4.1 out of 5

Overall Review Sentiment for EssentialsQuestion

Time to Implement
<1 day
>12 months
Return on Investment
<6 months
48+ months
Ease of Setup
0 (Difficult)
10 (Easy)
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G2 reviews are authentic and verified.
AB
Business Manager
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: G2 invite
Incentivized Review
(Original )Information
What do you like best about Essentials?

Allows insurance verifications and payments and claims processing Review collected by and hosted on G2.com.

What do you dislike about Essentials?

Like other claims and insurance processing suites - there is no one "go-to" to determine if a patient is active and process all insurance verifications. This site is a go-to for specific insurance lines others do not work with. However, limitations are found on all. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Determining active insurance coverage before the patient comes in for the appointment and processing claims for those insurance lines they work with. Review collected by and hosted on G2.com.

DP
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Review source: Organic
What do you like best about Essentials?

The ability to receive claim status and eligibility from multiple payers and providers in one space, with one login. The option to also update provider data and set up EFT payments for some payers is also convenient. Review collected by and hosted on G2.com.

What do you dislike about Essentials?

Sometimes there are issues with ERA's posting in Availity with some payers. Usually this is fixed quickly though within a few days. Some payers functionality in payer spaces could be more accessible as well. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Availity having access to so many payers with just one login streamlines our work process. Without having to use the individual payers provider portals, our workflow is quicker and productivity is improved. Review collected by and hosted on G2.com.

Allyson D.
AD
Mid-Market(51-1000 emp.)
More Options
Validated Reviewer
Verified Current User
Review source: Organic
What do you like best about Essentials?

Availity is extremely easy to use and has all insurance information displayed in an easy manner. Review collected by and hosted on G2.com.

What do you dislike about Essentials?

It can occasionally be difficult to find the insurance policy holder. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Availity allows us to retrieve patient insurance information without having to spend time on hold while calling customer service. Review collected by and hosted on G2.com.

Kevin S.
KS
B
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: G2 invite
Incentivized Review
What do you like best about Essentials?

With Availity, I can see if our claims are being sent to their proper insurance, but it also gives me the errors I need to correct if there are any issues. Also, the customer service is excellent, and I can check eligibility for many different insurances. Review collected by and hosted on G2.com.

What do you dislike about Essentials?

It was free for a long time for what we were using it for, but it is still a fair price and much cheaper than other clearing houses since we only use it for a handful of claims. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Receive quick input on claims data with multiple insurance companies. Also gives us the ability to check eligibility quickly and gives me the correct information I need to see whether we can accept a patient. Review collected by and hosted on G2.com.

Amber B.
AB
Lead Billing
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: G2 invite
Incentivized Review
What do you like best about Essentials?

I like the option to view patient eligibility information and claim information. Review collected by and hosted on G2.com.

What do you dislike about Essentials?

I do not like the inability to view detailed benefit information. I do not like the lack of claim information available for our patients. I do not like how we apply for multiple insurances to be added, yet they aren't. I want more insurances available on Availity, so I do not have to use so many portals. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

If there is a problem with a reconsideration request, they are quick to help me solve it. Review collected by and hosted on G2.com.

Christian C.
CC
Office Manager
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: Organic
What do you like best about Essentials?

I like that I am able to verify patients' dental benefits quickly. I also like the amount of detailed information I am able to obtain! Review collected by and hosted on G2.com.

What do you dislike about Essentials?

There is not really anything that comes to mind that I do not like. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Availity allows me to get the information I need online rather than make a phone call and this allows me to do other things that need to be done. Review collected by and hosted on G2.com.

Jennifer J.
JJ
Business Office Manager
Hospital & Health Care
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: Organic Review from User Profile
What do you like best about Essentials?

Being able to verify eligibility for so many insurance companies. Like being able to update information in one place Review collected by and hosted on G2.com.

What do you dislike about Essentials?

Not being able to verify eligibility without a member id, can be frustrating. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Being able to accomplish many different tasks in one place has made things more streamlined. Review collected by and hosted on G2.com.

Jennifer F.
JF
BILLING CONSULTANT
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: G2 invite
Incentivized Review
(Original )Information
What do you like best about Essentials?

I like that you can review EOB's, when it works. Review collected by and hosted on G2.com.

What do you dislike about Essentials?

There are too many issues to address here but I will start with how Availity advertises certain attributes but it does not apply to all insurances. The insurance companies know nothing about Availity, so they cannot help but availity refers you back to the insurance company for any difficulties. You cannot always find claims. You cannot always find payments. You used to be able to find out-of-state BCBS claims but that is nonexistent anymore. It says you can see the insurance cards but this does not apply to all insurance companies. It would be nice to have insurances speak to providers to find out the use of the system and whether or not it is difficult to use. I feel availity sales a product and makes it look greater than what it can perform. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Multiple insurances in one place but difficult to find answers to all of your needs. Review collected by and hosted on G2.com.

Ali K.
AK
Multi-Department Associate
Mid-Market(51-1000 emp.)
More Options
Validated Reviewer
Review source: G2 invite
Incentivized Review
What do you like best about Essentials?

Availity is straightforward with the tools available to manage claims. It offers an organized homepage that has all the applications one click away. It allows me to check the status of a claim, gives overviews of authorizations and referrals, and most importantly, allows me to verify patient eligibility. The eligibility and benefits inquiry tool is the most effective benefit for me since it will enable me to manage the accuracy of eligibility information thoroughly. Review collected by and hosted on G2.com.

What do you dislike about Essentials?

The major dislike I have for Availity is that they are not resourceful for denied claims or any denials. In addition, their customer service does not offer premier service to their users in times of conflict with the software. Availity could improve their customer support tools for users and create a tool for managing denials to increase their customer base. Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Problems I am solving with Availity are verifying patient insurance for billing purposes and managing claims to complete the medical billing processes effectively. This tool has benefited me by reducing the time needed to verify patient claim information. Review collected by and hosted on G2.com.

Verified User in Medical Practice
UM
Small-Business(50 or fewer emp.)
More Options
Validated Reviewer
Verified Current User
Review source: Organic
What do you like best about Essentials?

Love just how quickly it works and how simple it is to use with the insurance carriers it supports. It is MUCH easier than dealing with insurance companies directly Review collected by and hosted on G2.com.

What do you dislike about Essentials?

It only supports certain carriers and not others, which you don't find out until you need to verify a patient's insurance. I hope they're working to expand to support more carriers! Review collected by and hosted on G2.com.

Recommendations to others considering Essentials:

Go for it! It's bound to save you time no matter what Review collected by and hosted on G2.com.

What problems is Essentials solving and how is that benefiting you?

Availity saves a CONSIDERABLE amount enough time, particularly when you need to verify eligibility for multiple patients at one time. It's also cut down on paperwork Review collected by and hosted on G2.com.