PRIME® by Atlas Systems vs Availity

Availity offers lifecycle tools, but credentialing, enrollment, and data validation often operate in silos. PRIME delivers a unified, end-to-end platform, from intake to fulfillment, eliminating manual handoffs. This ensures consistent, accurate data across every stage. No fragmentation. No rework.

User reviews consistently cite Availity’s provider data mismatches and lack of correlation with internal systems, forcing teams to rely on manual workarounds. PRIME addresses this with direct provider outreach, AI-powered validations, and 95%+ attestation accuracy, fully logged for audit and regulatory readiness.

Availity’s credentialing intake is digital, but the downstream process remains semi-manual. Users report challenges verifying provider information and say credentialing varies by payer. PRIME automates credentialing and enrollment through license checks, real-time alerts, and built-in approval workflows, ensuring nothing slips through the cracks.

Availity supports claims and eligibility APIs, but lacks real-time, bidirectional roster sync across payers. PRIME uses FHIR-native connectivity to push validated data directly to payer systems, with reconciliation engines tuned to payer-specific formats, reducing denials and compliance risk at scale.

Several Availity users cite the platform as difficult to navigate, with excessive information required for even basic verifications. PRIME removes friction through an intuitive, spreadsheet-like portal where providers can review and validate data using smart forms with embedded compliance checks.

Unlike Availity, which provides basic reporting but lacks real-time audit trails, PRIME includes secret shopper simulation tools, attestation tracking, and compliance alerting for SB137, CMS 90-day rules, and No Surprises Act mandates.

Availity focuses AI on revenue cycle use cases like claims editing. PRIME brings GenAI to the lifecycle level, with tools like Ask PRIME, predictive error alerts, and real-time KPI dashboards that surface insights without waiting for BI teams.