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This tutorial covers the use of Availity for outpatient claims using CMS 1500. To start, log into Availity, navigate to "Claims and Payments," and select "Professional Claim." Choose your organization, which may be your billing agency or client, and select the payer, such as Aetna, from the dropdown menu. If you select the wrong payer, you can easily change it without exiting the claim portal. The screen displays the organization name, professional claim transaction type, and the responsibility sequence marked as primary, indicating you're billing the main insurance first. After the primary insurance processes the claim, you can resubmit it if needed.
