Automated Workflows With Raintree

In a time of declining reimbursement and increased workload, finding ways to improve cash flow is more important than ever. Raintree and Availity Essentials Pro combine to deliver a solution that helps reduce denials and minimize days in accounts receivable. The result? Cleaner claims, fewer calls to health plans, and faster payments.

Many vendors claim to offer full integration, but the reality often falls short. Not with Availity. Our focus has always been—and continues to be—on creating a seamless workflow where users never have to leave the Raintree environment.

If you have questions or need help, our Customer Success team is available to quickly address your needs.

Eligibility

Improve revenue cycle performance with complete, up-to-date benefit and coverage information. Availity checks eligibility prior to claim submission to prevent pended claims or denials.

Availity delivers critical payer and patient data within Raintree’s patient registration workflow, including:

• Batch and real-time eligibility (RTE) via 270/271

Claims Management

Availity delivers deep integration with Raintree, allowing users to view detailed claim status, correct clearinghouse edits, and resubmit the claim within Raintree, or using the Availity Essentials Pro revenue cycle solution.

Raintree and Availity incorporate the following processes directly into your practice’s workflow:

• Secure, automated file transfers

• Professional and Institutional Claims submission (electronic and drop-to-paper)

• Auto-posting of remittance advice (835s) to Raintree

• Claim status (277U) posting with plain-language error messages to Raintree

• Pre-claim eligibility and benefit verification