Common Contracts

ORGANIZATION ACCESS AGREEMENT FOR THE AVAILITY SECURE WEB SITE

Organization Access Agreement • August 9th, 2013 • Florida

• Contract Type
  Organization Access Agreement
• Filed
  August 9th, 2013
• Jurisdiction
  Florida

The following is an Agreement for Medical Providers to access the Availity secure web site. The Primary Controlling Authority must sign the Agreement. The Agreement is then submitted to Availity at the Fax number: 904.470.4770. The information will be reviewed and verified for completeness. If there are any problems with the information provided, Availity will attempt to resolve them to expedite the approval process. When the Agreement is complete, Availity will notify the Organization via an e-mail to the PAA indicating that access to the Availity secure web site is now available.