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What is Optum360?

Optum360 delivers specialized physician advisory services, integrates evidence-based medical research, and employs cutting-edge artificial intelligence (AI) technology to optimize reimbursement practices and ensure accurate documentation. Our team works alongside your medical staff to pinpoint improvement opportunities. You have the flexibility to choose from our extensive range of services or technology, or even a combination of both, tailored to your unique needs. We offer both on-site and remote services that harness AI for efficient patient status evaluations. Our goal is to improve the efficiency, precision, and reliability of your utilization review processes and outcomes. With our Physician Advisor Services and Case Advisorâ„¢ technology, we help reduce denial rates, boost appropriate reimbursement, and mitigate the risk of audits. Additionally, our technology enhances the productivity and effectiveness of your internal physician advisors, enabling them to perform at their best. By merging these resources, we strive to create a cohesive experience that ultimately enhances patient care, streamlines administrative workflows, and fosters collaboration among healthcare professionals.

What is Availity?

Successful teamwork in patient care relies heavily on ongoing connectivity and access to current information. It is becoming ever more important to facilitate the flow of this information with insurance companies. Availity streamlines the collaboration with payers, assisting providers from the initial step of confirming a patient's eligibility all the way to resolving reimbursements. Healthcare professionals seek quick and easy access to details regarding health plans. With Availity Essentials, a free service supported by health plans, providers can take advantage of real-time data exchanges with many of the payers they regularly interact with. Moreover, Availity offers a premium service called Availity Essentials Pro that is designed to enhance revenue cycle performance, reduce claim denials, and secure patient payments more efficiently. By utilizing Availity as your reliable source for payer information, you can concentrate your efforts on providing high-quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions allow providers to seamlessly incorporate HIPAA transactions and other vital functions into their practice management systems, leading to improved operational efficiency. This holistic method not only supports healthcare providers in their operational tasks but also reinforces their ultimate goal of prioritizing patient well-being and satisfaction.

Media

Media

Integrations Supported

AZZLY
AbbaDox
Accurint Crime Analysis
Bridger Insight XG
Cohere Unify
EZBIS
ElderSuite
InMyTeam
InvisaClaim
Lexis Advance Quicklaw
Lexis Omni
Motileo
Motivity
Nexis Data+
Nexis Diligence
Nexis Dossier
Nexis Social Analytics
VerifyRX
Vetriq
eCitation

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

Not specified

Supported Platforms

SaaS

Customer Service / Support

Not specified

Customer Service / Support

Web-Based Support

Training Options

Not specified

Training Options

Webinars
Online Training

Company Facts

Organization Name

Optum

Company Location

United States

Company Website

www.optum360.com/solutions/coding-and-documentation/physician-advisor-solutions.html

Company Facts

Organization Name

Availity

Company Location

United States

Company Website

www.availity.com

Categories and Features

Electronic Medical Records (EMR)

Compliance Tracking
Self Service Portal

Categories and Features

API Marketplaces

Not specified

Healthcare

Not specified

Hospital Management

Accounting Integration
Appointment Scheduling
Billing & Invoicing
Claims Management
In-Patient Management
Medical Billing
Out-Patient Management

Medical Billing

Not specified

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