Using Integration Platforms

Integration platforms like Redox or Mulesoft provide a seamless connection between Practice EHR and Availity, allowing for automatic data transfer between the two systems without the need for extensive coding. These integrations offer a variety of triggers and actions, enabling you to automate workflows and improve efficiency in healthcare data management.

Using APIs

Another approach to integrate Practice EHR and Availity is by directly utilizing their APIs. By integrating both APIs, you empower healthcare providers and insurance teams with real-time patient insights, fostering improved communication and a superior workflow. To employ this method, refer to their respective API documentation.

Practice EHR and Availity Integration via HL7 Interface

Automating workflows between Practice EHR and Availity through HL7 interfaces involves setting up triggers in Practice EHR that lead to actions in Availity systems. This streamlined approach ensures efficient communication channels between healthcare providers and insurance companies.

• New Patient Registered in Practice EHR -> Send Eligibility Check to Availity
• Encounter Created in Practice EHR -> Send Pre-authorization Request to Availity
• Procedure Completed in Practice EHR -> Submit Claim to Availity
• Discharge Summary Completed in Practice EHR -> Send Clinical Documentation to Availity for Review

For comprehensive details on implementing these integrations, consult with Practice EHR's interoperability team and Availity's provider integration resources.

Direct Integration between Practice EHR and Availity

Some insurance providers, including certain Availity entities, may offer direct integrations with major EHR systems like Practice EHR. These integrations can provide real-time eligibility checks, streamlined claims submission, and automated pre-authorization processes. Check with your local Availity representative to see if they offer a direct integration solution with Practice EHR.

Considerations for Integration

• HIPAA Compliance: Ensure all integrations maintain patient data privacy and security in compliance with HIPAA regulations.
• Data Standardization: Use standard formats like HL7 or FHIR to ensure consistent data exchange between systems.
• Workflow Optimization: Design integrations to streamline existing workflows and reduce manual data entry.
• Scalability: Choose integration solutions that can handle increasing data volumes as your healthcare organization grows.

For more information on healthcare system integrations, visit the HealthIT.gov Interoperability page.