November 2009
Electronic data interchange options
We encourage physicians, other health care professionals and facilities to use electronic transactions. Advantages include:
- Reduced paperwork
- Decreased data errors
- Lower administrative costs
- Improved cash flow by providing:
- Expedited account reconciliations and claims processing
- Confirmation reports for submitted, received and denied claims
Several electronic transactions resources are available, including the Provider Center; Availity® LLC, our full-service claims clearinghouse partner; and Office Ally, a full-service claims clearinghouse.
Our Provider Center enables your staff to perform and manage a variety of business transactions with us, including access to valuable information for most of your Regence patients.
The Availity Health Information Network uses a single, secure Web portal to conduct electronic transactions with a large number of health plans. It offers a suite of products and services that reduce administrative inefficiencies, costs and improve the patient experience.
Registered Availity users now have real-time access to claims status and patient eligibility and benefits.
Learn more about Availity via a 90-minute webinar.
The chart below can help determine which of our resources or partner solutions best match your business needs.
| Eligibility Request and Response | Health Care Claim | Remittance Advice | Claims Status Inquiry and Response | Confirmation | |
|---|---|---|---|---|---|
| Electronic Resources | 270/271 | 837 | 835 | 276/277 | 997 |
Provider Center |
X | X | X | X | |
| Availity (batch transactions) | X | X | X | X | X |
| Availity (real-time) | X | X | |||
| Office Ally | X | X | |||
| Phone Tool | |||||
| Interactive Voice Response (IVR) | X | X | |||
Contact us to discuss the best option for your organization.