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Leverage the Availity® Provider Portal for Efficiencies and Cost Savings

January 18, 2019

Blue Cross and Blue Shield of Texas (BCBSTX) offers free online training to help you and your staff learn more about existing and new tools in the Availity Provider Portal.

Back to Basics: ‘Availity 101’

This general webinar is offered on an ongoing basis. Join us to learn how to use the Availity Portal to help verify patient information and check claim status. You’ll also get an overview of advanced tools, such as the Medical Attachments application for quality and risk adjustment, Claim Encounter Reconciliation Application (CERA) and the Clinical Quality Validation (CQV) tool. To register to attend an upcoming Availity 101 session, refer to the Educational Webinar/Workshop Sessions page on the provider website.

 In-depth Training for New Data-Sharing Tools on the Availity Portal
To help you navigate more advanced tools, such as the new data-sharing tools listed below, helpful tip sheets and other information are available in the Provider Tools section of our website.

  • Clinical Quality Validation (CQV) Tool
    Comply with Healthcare Effectiveness Data and Information Set (HEDIS®) measures using Availity’s new Clinical Quality Validation Tool. By using CQV you may document your patients’ care and assessments electronically, while closing quality HEDIS gaps. CQV also helps support the Centers for Medicare & Medicaid (CMS) STAR rating for Blue Cross Medicare Advantage HMOSM and Blue Cross Medicare Advantage PPOSM plans. Learn more about CQV.
  • Claim Encounter Reconciliation Application (CERA)
    CERA helps you respond to BCBSTX if potential risk adjustment gaps are identified, based on claims data for members with commercial and on/off-exchange health plans. Learn more about CERA.

Join us for an Online Clinical Data Exchange for Quality and Risk Adjustment webinar:

Use the links below to register for sessions covering the Medical Attachments, CQV and CERA tools. Select a session date and time:

Feb. 5, 2019 – 2 to 3 p.m. (CT)
Feb. 6, 2019 – 10 to 11 a.m. (CT)
Feb. 7, 2019 – 3 to 4 p.m. (CT)

Registered Availity users have access to many other tools and resources. Visit availity.com for more information, including an online application to become an Availity registered user, at no charge.

At this time, electronic medical record request and submission process are not available for medical record requests resulting from utilization review activities or the claims adjudication process.

Availity® is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third-party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.