GA Physicians to Benefit from Business Tools That Reduce Cost, Improve Efficiency in Local Practices

Press release from the issuing company

Friday, May 27th, 2011

Blue Cross and Blue Shield of Georgia today announces statewide participation in Availity, a leading health information network that streamlines business processes between more than 26,000 of Georgia's health care providers and the state's largest health plan. The announcement follows the successful completion of a pilot program with nearly 500 physicians in Georgia, including several with Emory Healthcare.

With Availity, health care providers in BCBSGa's provider network can use a secure, Web-based exchange to quickly and easily:

  • Obtain current insurance coverage information on patients (including eligibility and benefits),
  • Submit claims online,
  • Monitor the status of claim submissions, and
  • Review patients' longitudinal health records.

"Making patient information more readily accessible to providers throughout the state is of great value to both the physician and the patient," said Morgan Kendrick, President of BCBSGa. "Availity's efficiencies allow providers to spend more time with patients, not managing paperwork, ultimately reducing health care costs while improving patient outcomes."

The network will also deliver timely and relevant clinical messages to doctors through the Availity CareProfile —a longitudinal patient care record that includes information assimilated by BCBSGa from network physicians, pharmacies, labs and other providers of care. Clinical messages provide selected "reminder" information on disease symptoms, health risks and best practices in treatment protocols for certain chronic diseases. These messages can play an important role in improving efficiency and quality in health care that helps better-engage patients in their treatment, and provides decision support to treating physicians.

"Availity is a very efficient tool and it certainly fits our needs," said Melanie Williams, Sr. Contract and Provider Services Manager for Emory Healthcare. "We have found the Web site to be very user- friendly and easy to navigate, and it contains many valuable resources. Equally important, we have found it to be easy to set up for both staff and payers."

Julie Klapstein, chief executive officer for Availity, says "Blue Cross and Blue Shield of Georgia is underscoring their commitment to help providers manage their businesses even more efficiently in response to the financial pressures of health care reform. Ultimately, patients are the winners in this scenario, as greater efficiency can drive better outcomes at lower costs. Availity helps providers get connectivity to the information they need, and BCBSGa supports system-wide efficiencies. It's a great partnership."