List of Availity Essentials Claims Management Customers
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Since 2010, our global team of researchers has been studying Availity Essentials Claims Management 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 Claims Management for 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 Claims Management for Insurance Claims Management include: Aetna Inc, a United States based Insurance organisation with 50000 employees and revenues of $105.60 billion, Sanford Health, a United States based Healthcare organisation with 46000 employees and revenues of $7.50 billion, Regence BlueShield, a United States based Insurance organisation with 3500 employees and revenues of $2.60 billion, Zing Health, a United States based Insurance organisation with 143 employees and revenues of $43.0 million and many others.
Contact us if you need a completed and verified list of companies using Availity Essentials Claims Management, 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 Claims Management 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 |
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Aetna Inc | Insurance | 50000 | $105.6B | United States | Availity | Availity Essentials Claims Management | Insurance Claims Management | 2020 | n/a |
In 2020, Aetna Inc implemented Availity Essentials Claims Management, an Insurance Claims Management application to support provider-facing claims and benefits workflows. The web based portal was provisioned to streamline day to day provider office interactions, enabling submission of claims, retrieval of authorizations and referrals, and verification of patient benefits and eligibility.
Availity Essentials Claims Management was configured with functional modules for claims submission, authorizations and referrals, benefits and eligibility inquiry, secure document upload for medical records and supporting documentation, and dispute and appeals filing. The deployment also included provider account management and profile update capabilities, and centralized access to applications, resources and news to support provider communications and operational adoption.
Integration work connected the Availity portal to Aetna's internal claims processing and benefits adjudication services to enable routing of claims and supporting documentation into operational workflows. Governance focused on standardizing intake and appeals workflows, provider onboarding and role based access controls to align claims operations, utilization management and provider relations with consistent processing and data protection.
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Regence BlueShield | Insurance | 3500 | $2.6B | United States | Availity | Availity Essentials Claims Management | Insurance Claims Management | 2020 | n/a |
In 2020 Regence BlueShield implemented Availity Essentials Claims Management with Availity to improve eligibility and benefits results for dental providers via the Availity provider portal. The launch delivered an improved eligibility and benefits user interface for dental providers and the improved interface went live in October 2020 in the United States.
The implementation emphasized eligibility and benefits UI enhancements inside Availity Essentials Claims Management, leveraging provider portal workflows for real time eligibility lookups and benefits display. The case study focuses on eligibility and benefits improvements, and Regence leveraged the broader Availity Essentials provider portal which includes claims and remittance workflows, so claims management and remittance capabilities are inferred as part of the Insurance Claims Management deployment context.
Operational scope targeted dental provider interactions and associated provider support channels, impacting provider services, claims operations, and customer service workflows. The configuration centered on provider-facing functionality accessed through the Availity provider portal, aligning with standard claims inquiry and remittance visibility use cases common to Insurance Claims Management implementations.
Governance and rollout details highlight the October 2020 UI release and a focus on reducing live support demand, with measurements showing about an 11 percent reduction in provider call volume and an estimated savings of $75,000 over eight months in the United States. The engagement is documented between Regence BlueShield and Availity, and the narrative reins in claims management context to the functional scope already present in the Availity Essentials provider portal.
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Sanford Health | Healthcare | 46000 | $7.5B | United States | Availity | Availity Essentials Claims Management | Insurance Claims Management | 2024 | n/a |
In 2024 Sanford Health deployed Availity Essentials Claims Management to advance a broader revenue-cycle modernization initiative in the United States. The implementation targeted the Insurance Claims Management domain to simplify claims and payment processing and to support revenue-cycle and finance functions across the organization.
The project centered on Availity Essentials Pro configuration to handle core claims and payment processing capabilities, with emphasis on claims and finance workflows, clean claims adjudication, and electronic claims routing. Functional components implemented aligned with typical Insurance Claims Management capabilities, including claims intake, validation, adjudication workflows, and payment facilitation to streamline financial posting and collections processes.
Sanford accelerated the selection and provisioning following the February 2024 clearinghouse cyberattack, a disruption during which Availity Lifeline played a catalytic role in the decision timeline. Operational coverage focused on revenue-cycle and finance teams across Sanford Health in the United States, enabling a rapid operational cutover to resume claims processing after the outage.
Governance and rollout were executed as part of Sanford's larger revenue-cycle modernization program, aligning claims processing, finance workflows, and collections operations to the Availity Essentials Claims Management platform. The deployment enabled Sanford to resume processing clean claims quickly after the outage, improving collections and operational resiliency.
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Insurance | 143 | $43M | United States | Availity | Availity Essentials Claims Management | Insurance Claims Management | 2022 | n/a |
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