ContractOrganization Access Agreement • June 30th, 2004
ORGANIZATION ACCESS AGREEMENT FOR THE AVAILITY SECURE WEB SITEOrganization Access Agreement • August 9th, 2013 • 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.
