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Learn How to Leverage the Availity® Provider Portal for Efficiencies and Cost Savings

January 22, 2019

Blue Cross and Blue Shield of New Mexico (BCBSNM) 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. Register for an upcoming Availity 101 webinar.

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:

Learn More:

Medical Attachments Application for Quality and Risk Adjustment Purposes

You can now receive and respond to quality and risk adjustment medical record requests electronically via Availity’s Medical Attachments tool. Learn more about MRA.

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 (HMO)SM and Blue Cross Medicare Advantage (PPO)SM plans.

Claim Encounter Reconciliation Application (CERA)

CERA helps you respond to BCBSNM 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.

Availity users have access to many other tools and resources. Visit the BCBSNM provider website to learn more about online options. Providers who are not Availity users are encouraged to register with Availity.com Learn more about third-party links and complete the online application, 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 BCBSNM. BCBSNM 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.