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8.7

Spot Score

Availity - Hospital Management Software

Availity Review: Is It The Right Hospital Management Software For Your Team?

Best for SMB teams · Mid-market · Enterprise

GDPRSOC 2HIPAA
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Availity offers custom pricing plan

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SpotSaaS Analysis for Availity

Availity is a hospital management software primarily used by medical office staff, billing specialists, and patient registration teams in medium to large enterprises. With a rating of 3.5 out of 5 from 144 user reviews, it indicates a mixed reception, suggesting that while many find it valuable, there are notable areas for improvement.

The software excels in providing an easy-to-use interface that facilitates quick and accurate insurance verification, significantly saving time by streamlining processes with instant eligibility checks. However, a limitation is the platform's incomplete information due to the limited availability of some insurance companies, which can hinder comprehensive verification.

Quick facts about Availity

Rating3.5/5 (144 reviews) | SpotScore: 8.7/10Best forMedical office staff, billing specialistsPricingQuote-based — contact salesDeploymentBrowser BasedTop strengthQuick and accurate insurance verificationWatch-outLimited availability of some insurers

What is Availity?

Availity is a cloud-based hospital management software solution designed for the needs of healthcare providers. The Availity solution enables patients to access their own health records, enhancing communication between patients and their providers. Communication across departments improves efficiency, effectiveness and patient satisfaction. Availity's HIPAA compliant system integrates seamlessly with other IT systems at participating healthcare organizations.

Pricing

  • Availity offers custom pricing plan

Best For

Suited for solo users, small teams, SMBs, and enterprise

Security & Compliance

SOC 2
GDPR
HIPAA
  • SSO & MFA supported

  • Data residency:🇺🇸

Availity Software Demo

Availity was reviewed internally using user feedback, in-house testing, and market research to assess its performance, reliability, and user experience. Learn how we review products and our evaluation process.

Who should consider Availity

Use cases
Healthcare providers, Medical billing departments, Insurance verification teams
Team types
Medical office staff, Billing specialists
Company size
Medium Business, Large Enterprises
Workflow style
Simple and streamlined
Setup complexity
Medium

Why teams choose Availity

  • Easy to use interface for quick and accurate insurance verification

  • Saves time by providing instant eligibility verification

  • Centralized platform for billing multiple insurance companies

Is Availity right for you?

Best for streamlined insurance verification in medium to large healthcare providers.

Choose Availity if

  • You need quick, accurate insurance eligibility verification to save staff time.
  • Your organization requires a centralized platform to bill multiple insurance companies efficiently.
  • You want a HIPAA-compliant system that integrates seamlessly with existing healthcare IT.

Consider alternatives if

  • Your practice requires comprehensive insurance coverage from all providers due to limited platform availability.
  • You are a small practice needing highly customizable and detailed benefit reporting features.

What buyers should know before shortlisting Availity

Availity is a highly efficient tool for insurance verification that has garnered significant praise from users over the past year. Users appreciate its user-friendly interface and the ease with which they can verify patient insurance eligibility, cutting down on time-consuming phone calls and streamlining the appointment scheduling process.

The platform also offers quick and accurate results, saving time and improving workflow efficiency for medical practices. While some users have mentioned occasional inaccuracies in the information provided and layout issues, the overall consensus is positive.

Availity's ability to centralize insurance verification and streamline the billing process stands out as a key strength, allowing users to manage multiple insurance companies seamlessly. Additionally, the platform's features for claim status viewing and benefits verification have been highlighted as particularly beneficial for medical practices.

Overall, Availity offers a comprehensive solution for insurance verification and billing needs, making it a valuable asset for healthcare providers looking to enhance their operational efficiency and streamline insurance-related tasks.

Pros and cons

Availity pros and cons

  • Availity pros
  • Easy to use interface for quick and accurate insurance verification

  • Saves time by providing instant eligibility verification

  • Centralized platform for billing multiple insurance companies

  • Availity cons
  • Limited availability of some insurance companies on the platform

  • Occasional delays, errors, and system downtimes affecting real-time verification

3.5/5 rating
25 verified reviews

Ready to try it?

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Connect with the team for a personalised demo.

Get Pricing Details

Still comparing?

See how it stacks up

Compare Availity side-by-side with top Hospital Management Software alternatives.

SoftClinic
Insta HMS
Uniwide HIMS
+9 more
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Availity reviews and ratings

Buyer sentiment

Overall positive sentiment highlights ease of use and time savings, tempered by concerns over data completeness and occasional system issues.

What buyers like

  • Ease of use
  • Time savings
  • Accuracy of insurance verification

Common complaints

  • Limited insurance company coverage
  • System reliability issues

3.5

Good

Based on 144 ratings & 25 reviews

Rating Distribution

Excellent

(14)

Very Good

(7)

Good

(3)

Poor

(0)

Poor

(1)

What users are saying

G

Gisela S

11/22/19

5 out of 5

Simplifying Insurance Verification

What do you like best? What I like best about Availity is that it's really self explanatory and not much information is needed to verify eligibility ...

Read more

EH

Erika H

11/15/19

5 out of 5

Business Development

What do you like best? We are able to instantly verify patient insurance to qualify patients for our procedure. What do you dislike? There are ...

Read more

UI

User in Medical Practice

11/12/19

3 out of 5

Quick insurance verification

What do you like best? I like the fact that I can do a quick insurance verification without having the call a patients insurance company. What do ...

Read more

UI

User in Medical Practice

11/12/19

5 out of 5

Fastest Insurance Verification

What do you like best? I love using availity for quick accurate results. It’s a lot easier than calling each insurance company and dealing with that ...

Read more

UI

User in Human Resources

11/11/19

4.5 out of 5

Insurance Information

What do you like best? Availity is very useful in determining medical claim status and patient eligibility for many different insurance policies! ...

Read more

UI

User in Hospital & Health Care

11/09/19

3.5 out of 5

Efficiency

What do you like best? When working properly it is very thorough. What do you dislike? There are often long delays and errors. Many times the ...

Read more

What are the features of Availity?

36%

Feature coverage

4 of 11 tracked features

An invoice and a bill are documents that convey the same information about the amount owing for the sale of goods or services. Still, a comp…

Claims management refers to the process of managing and handling insurance claims from start to finish. This process typically involves reco…

In-Patient Management is an essential feature of software designed to streamline and optimize the process of managing patients who are admit…

Out-Patient Management refers to the process of managing, tracking, and monitoring the care of patients who do not require hospitalization.…

Security & Compliance

Availity security and data handling

Key compliance certifications and security features for IT and security teams evaluating Availity.

Certifications

SOC 2✓ Certified
GDPR✓ Certified
HIPAA✓ Certified
HITECH✓ Certified

Security features

Single Sign-On (SSO)✓ Yes
Multi-Factor Authentication✓ Yes
Data Encryption✓ Yes
Audit Logs✓ Yes

Developer & data

Data residency
🇺🇸

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Help & Contact

Availity Support Options

Customer ServiceOnline
LocationJacksonville, Florida

Frequently Asked Questions About Availity

Common questions buyers ask before choosing Availity.

Availity is a Hospital Management Software. Availity offers Out-Patient Management, In-Patient Management, Claims Management and many more functionalities.

Availity is a strong fit if: You need quick, accurate insurance eligibility verification to save staff time.; Your organization requires a centralized platform to bill multiple insurance companies efficiently.. Consider alternatives if: Your practice requires comprehensive insurance coverage from all providers due to limited platform availability.; You are a small practice needing highly customizable and detailed benefit reporting features..

Buyers commonly note the following limitations of Availity: Limited availability of some insurance companies on the platform; Occasional delays, errors, and system downtimes affecting real-time verification; Some features are complex and challenging to figure out.

Some top alternatives to Availity includes SoftClinic, Insta HMS, Uniwide HIMS, Medstar HIS and NextGen Office.

Availity offers Quotation Based pricing model

We don't have information regarding integrations of the Availity as of now.

The starting price is not disclosed by Availity. You can visit Availity pricing page to get the latest pricing.

Ready to try it?

Get started with Availity

Get connected with the team for a personalised demo.

Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

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