List of Availity Essentials Customers
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United States
Since 2010, our global team of researchers has been studying Availity Essentials customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Availity Essentials for Patient Management, Insurance Claims Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Availity Essentials for Patient Management, Insurance Claims Management include: Highmark Blue Shield, a United States based Insurance organisation with 44000 employees and revenues of $29.40 billion, Anthem Blue Cross and BlueShield, a United States based Insurance organisation with 11000 employees and revenues of $6.00 billion, Premera Blue Cross, a United States based Insurance organisation with 3200 employees and revenues of $3.40 billion, Arkansas Blue Cross and Blue Shield, a United States based Insurance organisation with 3375 employees and revenues of $1.10 billion, Blue Cross & Blue Shield of Wyoming, a United States based Insurance organisation with 220 employees and revenues of $100.0 million and many others.
Contact us if you need a completed and verified list of companies using Availity Essentials, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Availity Essentials customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight | Insight Source |
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Anthem Blue Cross and BlueShield | Insurance | 11000 | $6.0B | United States | Availity | Availity Essentials | Patient Management,Insurance Claims Management | 2017 | n/a | In 2017 Anthem Blue Cross and BlueShield implemented Availity Essentials as a provider-facing claims and patient management channel, deploying Availity Essentials on the Anthem provider website to handle online claims submission and related provider interactions. The implementation targets Patient Management,Insurance Claims Management functions, positioning the application as the primary web portal for external provider access to claims workflows. The Availity Essentials configuration emphasizes core insurance claims management capabilities, including electronic claims submission, real-time eligibility and benefits verification, claim status inquiry, patient demographic management and support for attachments and electronic remittance acknowledgments. Configuration work focused on aligning form and transaction mappings, provider authentication flows and workflow automation typical to a payer-facing claims intake solution. Operationally the deployment is embedded in Anthem’s provider portal and is used by provider billing offices, provider relations teams and internal claims operations to receive and manage inbound transactions. Governance for the Availity Essentials deployment centers on centralized provider access controls, account provisioning through the portal and standardized claims intake workflows to ensure consistent handling of incoming provider submissions. | |
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Arkansas Blue Cross and Blue Shield | Insurance | 3375 | $1.1B | United States | Availity | Availity Essentials | Patient Management,Insurance Claims Management | 2022 | n/a | In 2022, Arkansas Blue Cross and Blue Shield began moving its provider portal to Availity Essentials in a phased transition. Availity Essentials is now Arkansas Blue Cross and Blue Shield’s provider portal for Patient Management,Insurance Claims Management functions, providing eligibility and benefits, claims and claims corrections, claims status, remittance viewer and related provider services. The deployment positions Availity Essentials as the central provider-facing application for eligibility verification, claims lifecycle interactions, and remittance visibility. Configuration work focused on enabling functional modules for eligibility and benefits inquiry, claims submission and claims corrections, claims status tracking, and remittance viewing, alongside provider self service account management and workflow orchestration. These capabilities reflect standard Patient Management,Insurance Claims Management workflows and support provider initiated corrections and status driven case handling within the Availity Essentials platform. Rollout is being executed as a phased transition with Availity and Arkansas Blue Cross coordinating education, provider engagement, and training activities and maintaining a single information hub for updates and adoption guidance. Public communications highlight an enhanced user experience for providers as the stated benefit, and Availity’s Arkansas Blue Cross page will serve as the primary source for ongoing updates and training opportunities. | |
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Blue Cross & Blue Shield of Wyoming | Insurance | 220 | $100M | United States | Availity | Availity Essentials | Patient Management,Insurance Claims Management | 2019 | n/a | In 2019 Blue Cross & Blue Shield of Wyoming implemented Availity Essentials for Patient Management,Insurance Claims Management to centralize provider billing and claims processing. Availity Essentials was adopted as the primary platform for provider-facing billing and claims transactions and as the repository for billing resources published to providers on the BCBSWY portal. Implemented functional modules and capabilities included EDI transaction file upload and ingestion for batch EDI workflows, claims adjustment processing with downloadable Professional Claim Adjustment Form and Institutional Claim Adjustment Form, remittance advice and claim remark code visibility, CMS-1500 form guidance and form management, and electronic claim correction instructions. The system also hosted policy and coverage guidance materials such as obesity coverage guidelines alongside operational billing resources. The deployment was structured to integrate Availity Essentials directly with provider billing workflows and EDI transaction feeds, enabling providers to upload EDI batch files and submit electronic claim corrections through the platform. Operational coverage focused on billing and claims processing teams and provider relations, supporting both professional and institutional claim types and the end-to-end claims submission and correction lifecycle. Governance emphasized standardized upload procedures and published instructions, using the Availity Essentials environment to enforce consistent transaction file handling, claims adjustment submission, and remittance code reconciliation. Provider-facing documentation and step by step instructions for uploading transaction files and completing CMS-1500 and adjustment forms were used to operationalize workflows and reduce submission errors. | |
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Healthcare | 100 | $10M | United States | Availity | Availity Essentials | Patient Management,Insurance Claims Management | 2018 | n/a |
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Insurance | 44000 | $29.4B | United States | Availity | Availity Essentials | Patient Management,Insurance Claims Management | 2020 | n/a |
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Insurance | 3200 | $3.4B | United States | Availity | Availity Essentials | Patient Management,Insurance Claims Management | 2021 | n/a |
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Buyer Intent: Companies Evaluating Availity Essentials
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