Availability Named Single Source Technology Partner for California’s Centralized Provider Directory

Availity brings multi-payer capabilities and extensive provider network to Symphony, the Integrated Healthcare Alliance single cloud-based source for provider directory data

JACKSONVILLE, Fla., July 27, 2022 /PRNewswire/ — Availity, the nation’s largest real-time health information network, announced today that it will serve as the single-source technology partner for the Symphony Provider Directory, of California provider directory program.

Launched in 2019 by the nonprofit Integrated Health Care Association (IHA), Symphony is a centralized, cloud-based platform that streamlines the way health plans and providers share, reconcile, and validate provider data in California. Symphony is the result of collaboration among stakeholders across the healthcare industry, including plans, providers, purchasers, regulators and others to address the regulatory requirements introduced by Senate Bill 137.

“Symfonia is the central repository for provider data of California the largest health care entities”, he said Jeff Rideout, MD, MA, FACP, President and CEO of IHA. “Leveraging Availity’s depth of expertise and ability to scale will help expand our reach to all California-provider-based, efficient health plans and provider organizations, and deliver value that ultimately benefits patients.”

More than 100 provider organizations and 18 health plans and purchasers participate in Symphony today. Selecting Availity as its technology partner will enable IHA to incorporate health plans and provider organizations into Symphony with greater scale and efficiency, providing an intuitive solution for capturing, validating, correcting and sharing health information. directory of providers.

The power of multipayers to manage provider data

Inaccurate or outdated provider directories can make it difficult for patients to find the right doctor or result in unexpected medical costs for out-of-network care. Additionally, inaccurate data makes payer-provider collaboration more difficult and increases compliance risks with legislation such as the federal No Surprises Act and of California SB 137, which outlines requirements for publishing and maintaining accurate provider directory information based on uniform data standards.

Availity Provider Data Management (PDM), a web-based tool designed for provider information, uses automation tools that generate directory forms pre-populated with essential provider data elements, including office locations and hours, specialties , certifications, affiliations, access, languages ​​spoken, and more.

Providers simply need to verify, correct or submit their information. Availity automatically sends updates to health plans in their preferred format and structure.

Unlike the multiple interfaces and disparate workflows associated with legacy information management systems, Availity PDM enables a single point of entry that supports multiple provider workflows.

It also empowers health plans to communicate real-time information—payer-specific—to their provider networks without multichannel communication, such as phone calls, faxes, and e-mail.

Provider data management made easy

According to a white paper released by IHA evaluating Symphony’s inaugural year, the typical health plan can have thousands of provider records with conflicting data elements. Reconciling and maintaining these records to address conflicting data elements costs health plans and providers 2.1 billion dollars every year, the white paper notes.

Understanding and cataloging these data conflicts enables Symphony to support organizations to make targeted and impactful improvements, reducing their time spent reconciling and maintaining provider data.

With Availity technology available in Symphony, providers, regardless of the size and complexity of their organization, can validate and share their information without having to invest in new information management solutions to meet directory requirements.

“The synergy between Availity and Symphony lies in empowering health plans and providers to share information more efficiently, with more accountability, automated within established business rules and workflows,” said Russ Thomas, CEO of Availity. “IHA’s unique ability to bring together health plans and providers and Availity’s expertise in real-time information sharing ensures that this important initiative will deliver great value as it expands across California.”

Availity PDM is part of Availity Essentials, the company’s leading multi-payer portal that simplifies the exchange of administrative, clinical and financial data between health plans and providers. Learn more about Availity PDM and Availity Essentials for providers and health plans.

About availability

Availability is where healthcare finds the answers it needs to return the focus to patient care. We work to solve healthcare communication challenges by creating a richer, more transparent exchange of information between health plans, providers and technology partners. As one of the nation’s largest health information networks, Availity facilitates billions of clinical, administrative and financial transactions each year. Our dynamic product suite, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment.

For more information, including an online demonstration, please visit www.availity.com or call 1.800.AVAILITY (282.4548). Follow us on LinkedIn and I tweet.

About the Integrated Healthcare Association (IHA)

The Integrated Healthcare Association (IHA) brings the healthcare community together to solve industry-wide challenges that stand in the way of high-value care. As a nonprofit industry association, we use our decades of expertise, objective data, and unique role as a trusted facilitator to make the health care system work better for everyone. We provide insights that help the healthcare system continuously improve. We build new tools that simplify how the industry works together. And we provide a forum for cross-industry leaders – through our boards and programs – to have candid conversations that drive the future of healthcare.

Learn more at www.iha.org.

Contacts:

Matt Schlossberg
Director of Public Relations, Availity
630-935-9136
[email protected]

Ashley Burkett
Director of Marketing and Communications, IHA
[email protected]

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