Clover Health Launches New Portal Availity® Essentials™ to Empower Providers and Improve the Patient Experience
Clover Health (Nasdaq: CLOV) has announced the implementation of Availity Essentials, a new healthcare portal aimed at streamlining provider workflows and reducing administrative burden. The portal, powered by Availity's network connecting 3.4 million providers and 95% of health plans, offers centralized access, streamlined prior authorizations, and real-time transparency tools.
The initiative will be rolled out in phases, starting with pilot providers before expanding across Clover's network. Key features include a secure interface for managing administrative tasks, faster approval workflows, and instant eligibility verification. This development aligns with Clover's strategic initiatives to improve operational efficiency and enhance the member experience through reduced procedure codes requiring authorization and expanded electronic submissions.
Clover Health (Nasdaq: CLOV) ha annunciato l'implementazione di Availity Essentials, un nuovo portale sanitario volto a snellire i flussi di lavoro dei fornitori e a ridurre l'impegno amministrativo. Il portale, alimentato dalla rete di Availity che collega 3,4 milioni di fornitori e 95% dei piani sanitari, offre accesso centralizzato, approvazioni preventive ottimizzate e strumenti di trasparenza in tempo reale.
L'iniziativa sarà implementata a fasi, partendo da fornitori pilota per poi espandersi in tutta la rete di Clover. Le caratteristiche principali includono un'interfaccia sicura per gestire compiti amministrativi, flussi di approvazione più rapidi e verifica di elegibilità istantanea. Questo sviluppo è in linea con le iniziative strategiche di Clover per migliorare l'efficienza operativa e l'esperienza dei membri mediante la riduzione dei codici di procedura che richiedono autorizzazione e l'espansione delle submission elettroniche.
Clover Health (Nasdaq: CLOV) ha anunciado la implementación de Availity Essentials, un nuevo portal de atención médica orientado a optimizar los flujos de trabajo de los proveedores y reducir la carga administrativa. El portal, impulsado por la red de Availity que conecta 3,4 millones de proveedores y el 95% de los planes de salud, ofrece acceso centralizado, aprobaciones previas simplificadas y herramientas de transparencia en tiempo real.
La iniciativa se implementará por fases, comenzando con proveedores piloto para luego expandirse a toda la red de Clover. Las características clave incluyen una interfaz segura para gestionar tareas administrativas, procesos de aprobación más rápidos y verificación de elegibilidad instantánea. Este desarrollo se alinea con las iniciativas estratégicas de Clover para mejorar la eficiencia operativa y la experiencia de los miembros mediante la reducción de códigos de procedimiento que requieren autorización y la expansión de las presentaciones electrónicas.
Clover Health (Nasdaq: CLOV)가 Availity Essentials의 도입을 발표했습니다. 이는 공급자 작업 흐름을 간소화하고 행정 부담을 줄이기 위한 새로운 건강 관리 포털입니다. Availity의 네트워크가 3.4백만 명의 공급자와 95%의 건강 보험 플랜을 연결하는 이 포털은 중앙 집중식 접근성, 간소화된 사전 승인이 가능하며 실시간 투명성 도구를 제공합니다.
이 이니셔티브는 파일럿 공급자와의 시범 운영으로 시작한 뒤 Clover의 네트워크 전반으로 확장하는 단계별로 rolled out될 예정입니다. 주요 기능으로는 관리 업무를 안전하게 처리하는 인터페이스, 더 빠른 승인 워크플로우, 즉시 자격 검증이 포함됩니다. 이 개발은 의무 승인 코드의 축소와 전자 제출의 확대를 통해 운영 효율성을 높이고 구성원 경험을 향상시키려는 Clover의 전략적 이니셔티브와 일치합니다.
Clover Health (Nasdaq: CLOV) a annoncé la mise en œuvre d'Availity Essentials, un nouveau portail de soins de santé conçu pour rationaliser les flux de travail des prestataires et réduire la charge administrative. Le portail, propulsé par le réseau d'Availity qui relie 3,4 millions de prestataires et 99% des plans de santé (corrigé en anglais original à 95%), offre un accès centralisé, des/ouvertures d'autorisation préalables simplifiées et des outils de transparence en temps réel.
L'initiative sera déployée par étapes, en commençant par des prestataires pilotes avant de s'étendre à l'ensemble du réseau Clover. Les caractéristiques clés incluent une interface sécurisée pour la gestion des tâches administratives, des flux d'approbation plus rapides et une vérification d'éligibilité instantanée. Ce développement s'aligne sur les initiatives stratégiques de Clover visant à améliorer l'efficacité opérationnelle et l'expérience des membres par la réduction des codes de procédure nécessitant une autorisation et l'élargissement des soumissions électroniques.
Clover Health (Nasdaq: CLOV) hat die Umsetzung von Availity Essentials angekündigt, ein neues Gesundheitsportal, das darauf abzielt, die Arbeitsabläufe der Anbieter zu optimieren und die administrative Belastung zu reduzieren. Das Portal, betrieben durch Adressierung des Availity-Netzwerks, das 3,4 Millionen Anbieter und 95% der Gesundheitspläne verbindet, bietet zentralen Zugriff, optimierte Vorabgenehmigungen und Echtzeit-Transparenz-Tools.
Die Initiative wird schrittweise eingeführt, beginnend mit Pilotanbietern und anschließend der Ausweitung auf das gesamte Clover-Netzwerk. Zu den Hauptmerkmalen gehören eine sichere Schnittstelle zur Verwaltung administrativer Aufgaben, schnellere Genehmigungs-Workflows und sofortige Rechtsfähigkeitsprüfungen. Diese Entwicklung steht im Einklang mit Clovers strategischen Zielen, die operative Effizienz zu verbessern und die Mitgliedererfahrung durch reduzierte Verfahrenscodes, die eine Genehmigung erfordern, sowie durch erweiterte elektronische Einreichungen zu verbessern.
Clover Health (المدرج في ناسداك: CLOV) أعلنت عن تنفيذ Availity Essentials، بوابة رعاية صحية جديدة تهدف إلى تبسيط سير العمل للمزودين وتقليل العبء الإداري. البوابة، المدعومة بشبكة Availity التي تربط 3.4 مليون مزود و95% من خطط الصحة، توفر وصولاً مركزيًا، وتدفقات تفويض مسبق مبسطة، وأدوات شفافية فورية.
سيتم طرح المبادرة على مراحل، بدءًا من مقدمي التجارب قبل التوسع عبر شبكة Clover. تشمل الميزات الأساسية واجهة آمنة لإدارة المهام الإدارية، وتدفقات اعتماد أسرع، والتحقق من الأهلية الفوري. يتماشى هذا التطور مع المبادرات الاستراتيجية لـ Clover لتحسين الكفاءة التشغيلية وتعزيز تجربة الأعضاء من خلال تقليل رموز الإجراءات التي تتطلب تفويضًا وتوسيع submissions الإلكترونية.
Clover Health (Nasdaq: CLOV) 已宣布实施 Availity Essentials，这是一款新的医疗保健门户，旨在简化提供者的工作流程并降低行政负担。该门户由 Availity 的网络驱动，连接 340万名提供者 和 95% 的健康计划，提供集中化访问、简化的事前授权流程和实时透明度工具。
该计划将分阶段推出，先从试点提供者开始，然后再扩展到 Clover 的整个网络。主要功能包括用于管理行政任务的安全界面、速度更快的审批工作流，以及即时资格验证。这一发展与 Clover 的战略举措保持一致，旨在通过减少需要授权的程序代码并扩展电子提交来提升运营效率和改善会员体验。
- Partnership with Availity provides access to nation's largest health information network
- Streamlined workflow system expected to reduce administrative burden and improve care delivery
- Expansion of electronic submissions with majority of prior authorizations now processed digitally
- Early adopter status in CMS-Aligned Network showing commitment to interoperability
- Phased implementation may result in temporary operational inconsistencies
- Success depends on provider adoption and adaptation to new system
Clover Health Continues to Invest in Streamlining Provider Workflows and Reducing Administrative Burden Through Technology and Operational Improvements
WILMINGTON, Del., Sept. 16, 2025 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover,” “Clover Health” or the “Company”), a physician enablement company dedicated to bringing access to great healthcare to everyone on Medicare, is leveraging Availity, the nation’s largest real-time health information network, for a multi-phase initiative designed to increase operational efficiency across administrative functions for providers while improving patient access to timely, quality care.
Across the healthcare system, providers face significant challenges managing prior authorizations, eligibility checks, and claims. These processes can take the focus away from patient care and create unnecessary administrative burden that can delay treatment and impact patient outcomes. As part of Clover's strategic commitment to operational excellence, the Company is investing in solutions that directly address these challenges while ensuring providers know their voices are heard and valued in shaping these improvements.
Key Enhancements
- Centralized Access: A single, highly secure interface that allows providers to manage core administrative tasks across multiple health plans. This streamlined access means providers can spend more time with patients and less time navigating multiple systems.
- Streamlined Prior Authorizations: Faster, more efficient approval workflows designed to reduce delays in patient care.
- Real-Time Transparency: Tools for instant eligibility verification and advanced claims tracking, giving providers the information they need when they need it.
“Providers have been clear - they need less red tape and more support in focusing on patients,” said Jamie Reynoso, CEO of Medicare Advantage at Clover Health. “This new portal is one of several steps we’re taking to ease administrative burden, accelerate decision-making, and deliver on our commitment to a more efficient provider experience, empowering them to focus on what they do best: delivering high quality care to their patients, faster.”
This collaboration is enabled by Availity’s position as the nation’s largest dual-sided network in healthcare, including 3.4 million providers, thousands of health IT vendors, and direct connectivity to more than 95 percent of health plans.
The new portal will be implemented in phases to ensure optimal performance and provider experience while minimizing any disruption to patient care. Clover is currently partnering with pilot providers to refine the system before expanding access across its full provider network.
“Clover Health’s rollout of our Availity Essentials demonstrates how health plans and providers can work together through Availity’s dual-sided network to reduce friction and deliver measurable value,” said Russ Thomas, CEO of Availity. “This collaboration reflects our vision for empowering stakeholders to make better decisions, experiences, interoperability, and scale in service of improving patient outcomes.”
This rollout builds on Clover Health's ongoing strategic initiatives to make working with the Company more efficient and less complex while improving the member experience, including:
- Reducing the number of procedure codes requiring authorization, focusing only on areas with the highest potential for fraud, waste, or abuse.
- Expanding electronic submissions underpinned by clinician reviews, with a majority of prior authorizations now processed digitally and more approved instantly. This enables providers to receive immediate feedback and proceed with patient care without delays, reducing administrative overhead.
Looking ahead, Clover is committed to working with providers and CMS to further accelerate prior authorization electronic submission adoption through standardized data and submission elements (using FHIR® APIs), expand real-time coverage determinations, and enhance determination transparency. This past month, Clover Health signed on as a CMS-Aligned Network early adopter, pledging to work collaboratively to enable the CMS Interoperability Framework goals and confirming Clover’s belief in a future where seamless care coordination and data-sharing for the patients’ needs are the norm, not the exception.
About Clover Health:
Clover Health (Nasdaq: CLOV) is a physician enablement technology company committed to bringing access to great healthcare to everyone on Medicare. This includes a focus on seniors who have historically lacked access to affordable, high-quality healthcare. Our strategy is powered by our software platform, Clover Assistant, which is designed to aggregate patient data from across the healthcare ecosystem to support clinical decision-making and improve health outcomes through the early identification and management of chronic disease. For our members, we provide PPO and HMO Medicare Advantage plans in several states, with a differentiated focus on our flagship wide-network, high-choice PPO plans. For healthcare providers outside Clover Health's Medicare Advantage plan, we extend the benefits of our data-driven technology platform to a wider audience via our subsidiary, Counterpart Health, and aim to enable enhanced patient outcomes and reduced healthcare costs on a nationwide scale. Clover Health has published data demonstrating the technology’s impact on Medication Adherence, Congestive Heart Failure, and Chronic Obstructive Pulmonary Disease as well as the earlier identification and management of Diabetes and Chronic Kidney Disease.
Visit: www.cloverhealth.com
Investor Relations:
Ryan Schmidt
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About Availity
Availity empowers payers and providers to deliver transformative patient experiences by enabling the seamless exchange of clinical, administrative, and financial information. As the nation’s largest real-time health information network, Availity develops intelligent, automated, and interoperable solutions that foster collaboration and shared value across the healthcare ecosystem. With connections to over
Media Contact:
Matt Schlossberg
Director of Public Relations, Availity
630-935-9136
matt.schlossberg@availity.com
FAQ
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