Optum & Availity Partner to Improve Health Insurance Claims Submission Process for the Benefit of Care Professionals, Consume...
January 20 2016 - 9:30AM
Business Wire
- Advances in completeness and accuracy
expected to reduce the number of claims-processing errors and
appeals, improve care provider and patient experiences, avoid
unnecessary costs
- Availity will implement Optum’s
Advanced Claim Editing (ACE) solution into its Availity Health
Information Network; Optum will use Availity’s network to connect
to commercial and government health plans nationwide
Optum, a leading information and technology-enabled health
services business, and Availity, the nation’s largest real-time
health information network, will collaborate to help improve the
completeness and accuracy of health insurance claims, and reduce
claims-processing errors and appeals.
This Smart News Release features multimedia.
View the full release here:
http://www.businesswire.com/news/home/20160120005255/en/
The partnership will help more than 900,000 care providers who
use practice-management systems to exchange real-time
administrative, financial and clinical information with government
and commercial health plans nationwide through the
Availity Health Information Network.
The companies announced that Availity will implement Optum’s
Advanced Claim Editing (ACE) solution as a component of the
Availity Health Information Network, and Optum will use the
Availity Health Information Network to connect to commercial and
government health plans nationwide.
By using Optum’s ACE solution, participating health plans can
give care providers timely notifications and feedback on actionable
errors or information gaps that often trigger claim denials. This
means care providers are more likely to submit accurately completed
claims and health plans can subsequently reduce claims-processing
times and mitigate appeals that require costly investigation and
recovery efforts. Also, patients are better able to accurately
understand their financial responsibilities.
“By streamlining the claims process for health plans and care
providers, ACE can take unnecessary cost and friction out of the
health system, while improving patient experiences,” said Bill
Miller, CEO of OptumInsight.
Optum will move a significant volume of its third-party
commercial and government transactions to the Availity Health
Information Network, thereby increasing Availity’s scope from 2
billion to more than 3 billion transactions annually. Through this
partnership Availity will drive greater administrative cost savings
for health plans by further streamlining engagement with their care
provider networks.
“Availity’s rich feature-set and extensive network of care
providers and health plans is an ideal home for Optum’s ACE
solution,” said Russ Thomas, CEO of Availity. “Availity offers a
single point of engagement for health plans and care providers,
which leads to improved payment turnaround and more accurate claims
submissions. We are delighted to have been selected by Optum to
connect its industry-leading ACE solution to our broad national
network of health plans.”
About OptumOptum is a leading information and
technology-enabled health services business dedicated to helping
make the health system work better for everyone. With more than
100,000 people worldwide, Optum delivers intelligent, integrated
solutions that help to modernize the health system and improve
overall population health. Optum is part of UnitedHealth Group
(NYSE:UNH). For more information, visit www.Optum.com.
About AvailityAs an industry-leading, HITRUST-certified
health care information technology company, Availity serves an
extensive network of health plans, providers, and technology
partners nationwide through a suite of dynamic products built on a
powerful, intelligent platform. Availity integrates and manages the
clinical, administrative, and financial data needed to fuel
real-time coordination between providers, health plans, and
patients in a growing value-based care environment. Facilitating
over 7 million transactions daily, Availity’s ability to provide
accurate, timely, and relevant information is vital to the
financial success of its clients.
For more information, including an online demonstration, please
visit www.availity.com or call 1.800.AVAILITY (282.4548).
Click here to subscribe to Mobile Alerts for UnitedHealth
Group.
View source
version on businesswire.com: http://www.businesswire.com/news/home/20160120005255/en/
OptumChristine Farazi,
952-205-6654Christine.Farazi@Optum.comorAmendola Communications,
for AvailityMatt Schlossberg,
630-935-9136mschlossberg@acmarketingpr.com
UnitedHealth (NYSE:UNH)
Historical Stock Chart
From Aug 2024 to Sep 2024
UnitedHealth (NYSE:UNH)
Historical Stock Chart
From Sep 2023 to Sep 2024