Availity Setup

juggernautsei wrote on Monday, November 17, 2014:


http://open-emr.org/wiki/index.php/Insurance_Eligibility_Check

Is there any new information concerning Availity integration into OpenEMR?

Most of the information I find is out dated. I found where at one time MI2 had a working script to automate most of the processing of claims with availity but that link to the code is outdated and it no longer exist on the web.

So, I am hoping I can be pointed to some new/up to date information on how to setup services with Availity.

fsgl wrote on Monday, November 17, 2014:

Information in the .pdf seems current.
Page 9 Getting Started.
Page 12 Sending Files.
Page 17 Receiving Files.

Support, 1.800.AVAILITY (282.4548), regarding X12 Partners setup.

Be aware of problems:

  1. sender code, see this.
  2. opening 835P, see this.

hitechelp wrote on Tuesday, November 18, 2014:

Sherwin, we’re using Avality and we love it! Attached is a (sanitized) screenshot of our X12 partner setup. fsgl’s post above regarding sender code problems is important only if you are in Florida and bill BC/BS. It was fairly painless to get it going. Best Wishes and Happy Billing.

juggernautsei wrote on Thursday, November 20, 2014:

Thanks for the information!