Providers for Parkland Community Health Plan have access to Availity , a secure, multi-health plan portal offering quick access to clinical tools, member data, and health plan information. Availity simplifies provider transactions such as electronic data exchange, prior authorization requests, claim status, and member inquiries.
Register and Get Started with Availity Essentials
Availity Tools and Features
Benefits and Eligibility
- Get real-time member eligibility and benefits, including co-insurance, copayment, and deductible information
- Submit or check status of authorizations
Prior Authorization
Availity’s Interactive Care Reviewer (ICR) is a utilization management tool that allows you to:
- Submit prior authorization requests
- Review previous submission and receive status updates
- Attach clinical documentation for utilization management (UM) review
- Automatically authorize more than 40 common procedures
- Report a member’s pregnancy
Claims and Payment
- View claim status, detailed payment information, and status of disputes or appeals
- Submit electronic medical records and itemized bills to support a pending or denied claim
Other Resources
Several other tools and resources are available in the Payer Spaces section of Availity:
- PCHP PA Look Up Tool: Research procedure code edits and receive edit rationale
- Education and Reference Center: Locate important policies, forms, and educational resources
- Total Member View: Access a member’s health and treatment history, including care reminders and gaps in care
- Provider Online Reporting: Generate custom reports, including member rosters
Getting Started Guide