Availity Claims & Eligibility Support Services
Outsourced billing support for practices that submit and verify through Availity, one of the largest US healthcare clearinghouses.
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What are Availity claims support services?
Availity claims support services are outsourced billing work performed through a practice's Availity account — real-time eligibility verification, claim submission, clearinghouse-rejection correction, and remittance retrieval and posting — so a practice fully uses the Availity network its payers route through instead of under-operating it.
- Availity is one of the largest US clearinghouses and payer-connection networks
- Many national payers route eligibility, claims, and remittance through Availity
- We work eligibility, submission, rejections, and remittances in your Availity account
- Clearinghouse support that pairs with full billing, not a software switch
Availity is one of the largest healthcare clearinghouses and payer-connection networks in the country — many national plans route their real-time eligibility, claim submission, and remittance through it, and some require the Availity portal for provider transactions. That makes Availity central to a practice's revenue cycle and easy to under-operate: eligibility checks get skipped, claims reject at the clearinghouse and sit uncorrected, and electronic remittances go unretrieved. MedPrecision works the billing that flows through your Availity account — verifying eligibility before visits, submitting and correcting claims, clearing Availity rejections, and retrieving and posting remittances — so the network your payers rely on is actually worked on your side.
Who This Service Is For
What Is Breaking Right Now
Eligibility not verified in Availity, driving avoidable denials
Claims stuck in Availity rejection reports, counting as unbilled
Electronic remittances delivered through Availity but never retrieved or posted
The payer-required portal under-operated for lack of staff
What We Handle
Real-time eligibility & benefits verification
We run eligibility and benefits checks through Availity before appointments — coverage, copay, deductible, and prior-auth requirements — so claims aren't denied for eligibility the practice could have confirmed up front.
Claim submission through Availity
We submit claims through your Availity account and resolve scrubber edits before they reach the payer, so first-pass acceptance improves instead of claims bouncing back as clearinghouse rejections.
Clearinghouse-rejection resolution
Availity rejections are claims stopped before the payer sees them — they never pay until corrected. We work the rejection reports and resubmit, so those claims stop counting as silently unbilled revenue.
Remittance retrieval & posting
We retrieve electronic remittances (ERAs) through Availity and post them against expected reimbursement, catching underpayments and unretrieved payments the network delivers but no one collects.
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Work the Availity network on your side
Get a free review of your Availity eligibility, rejections, and remittances — we'll show you the revenue flowing through the network that no one on your side is collecting.
What Reporting and Visibility Looks Like
Transparency is built into every engagement. You will always know where your revenue stands and what actions are being taken on your behalf.
Monthly KPI Dashboards
Track collection rates, denial trends, days in A/R, and payer-level performance with dashboards delivered on a fixed schedule.
Real-Time Claim Tracking
See claim status updates in real time so you never have to wonder where a payment stands or when follow-up is happening.
Quarterly Business Reviews
Detailed reviews with actionable recommendations covering denial root causes, payer trends, and revenue recovery opportunities.
Proactive Alerts
Automated alerts when key metrics shift, so issues are caught and addressed before they affect your bottom line.
Availity Claims & Eligibility Support | Billing Services Key Terms
- Availity
- One of the largest US healthcare clearinghouses and payer-connection networks, handling real-time eligibility, electronic claim submission, and remittance between providers and health plans.
- Clearinghouse rejection
- A claim stopped by the clearinghouse before it reaches the payer, due to a format or edit error. It never adjudicates or pays until corrected and resubmitted.
Common Questions
Common questions about availity claims & eligibility support | billing services.
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Get a Free Billing Audit arrow_forwardWhat is Availity used for in medical billing?
Availity is a healthcare clearinghouse and payer-connection network. Practices use it for real-time eligibility and benefits verification, electronic claim submission, and remittance (ERA) retrieval, and some national payers require the Availity portal for provider transactions. It is central to the revenue cycle for practices whose payers route through it.
Can you work claims and eligibility inside my Availity account?
Yes. We operate through your existing Availity account — verifying eligibility before visits, submitting and correcting claims, clearing clearinghouse rejections, and retrieving remittances. There is no new software; we work the network you already use.
What's the difference between an Availity rejection and a payer denial?
An Availity clearinghouse rejection stops a claim before it reaches the payer — it never adjudicates and never pays until corrected. A payer denial happens after the payer receives and processes the claim. Both must be worked, and each has a different fix; we handle both.
Do I have to use Availity, or can you submit elsewhere?
Some national payers require Availity for eligibility and claims, so we work it where your payers route through it. Where they don't, we submit through your practice's chosen clearinghouse. The point is that the transactions get worked, wherever they flow.
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Work the Availity network on your side
Get a free review of your Availity eligibility, rejections, and remittances — we'll show you the revenue flowing through the network that no one on your side is collecting.
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