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Solutions
- Payer Solutions Overview
  Simplify complex processes and improve payer-provider collaboration.
- Provider Engagement
  Streamline workflows and improve engagement.
- Provider Directories
  Maintain compliance by capturing provider updates at the source.
- Interoperability
  Transform data-sharing capabilities and reduce the cost of care.
- End-to-End Authorizations
  Ease prior authorization burdens with AI-driven solutions.
- Digital Correspondence
  Reduce print and postage costs and replace manual processes.
- Payment Accuracy
  Lower admin costs and prevent revenue leakage.
- Provider Solutions Overview
  Streamline workflows, reduce denials, and ensure accurate payments.
- Revenue Cycle Management
  Automated solutions covering pre-service, post-service, and post-adjudication.
- Vendor Solutions Overview
  Seamlessly deliver complete and accurate healthcare information.
- Healthcare Connectivity
  Facilitate seamless data exchange via X12, REST, and FHIR APIs.
Products
- Multi-Payer Portal
  Streamline provider workflows and improve collaboration.
- Enhanced Payer Connectivity
  Reach more health plans while streamlining pre-service and billing.
- Revenue Cycle Management
  Boost efficiency, prevent denials, expedite payments.
- Clinical Data Transformation
  Enhance clinical data quality for optimized downstream workflows.
- Intelligent Utilization Management
  Simplify the prior authorization review process.
- EDI Clearinghouse
  Connect to health plans nationwide.
- Intelligent Gateway
  Seamlessly connect and exchange administrative data.
- API Marketplace
  REST and FHIR-based APIs for fast, secure connectivity.
- Provider Data Management
  Maintain accurate provider directories.
- Payer-to-Payer Hub
  Streamline data exchange to meet mandatory compliance.
Insights
- Case Studies
  See success stories from our customers.
- Blog
  Get the latest industry insights.
Resources
- Essentials Registration & Support
  Get help registering or using Essentials.
- Training & Education
  Learn about our training courses.
- Essentials Payer List
- Essentials Pro Payer List
- Supported Systems
- Preferred Vendors
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  Find the best way to get in touch.
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  Get in touch with customer support.
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- Solutions
  Back
  
  Solutions
  - For Payers
    Simplify complex processes and improve payer-provider collaboration.
    
    Back
    
    For Payers
    
    Payer Solutions Overview
    Simplify complex processes and improve payer-provider collaboration.
    
    Provider Engagement
    Streamline workflows and improve engagement.
    
    Provider Directories
    Maintain compliance by capturing provider updates at the source.
    
    Interoperability
    Transform data-sharing capabilities and reduce the cost of care.
    
    End-to-End Authorizations
    Ease prior authorization burdens with AI-driven solutions.
    
    Digital Correspondence
    Reduce print and postage costs and replace manual processes.
    
    Payment Accuracy
    Lower admin costs and prevent revenue leakage.
  - For Providers
    Streamline workflows, reduce denials, and ensure accurate payments.
    
    Back
    
    For Providers
    
    Provider Solutions Overview
    Streamline workflows, reduce denials, and ensure accurate payments.
    
    Revenue Cycle Management
    
    Eligibility & Coverage
    
    Authorizations
    
    Claim & Claim Status
    
    Denial Prevention & Management
  - For Vendors
    Seamlessly deliver complete and accurate healthcare information.
    
    Back
    
    For Vendors
    
    Vendor Solutions Overview
    Seamlessly deliver complete and accurate healthcare information.
    
    Healthcare Connectivity
    Facilitate seamless data exchange via X12, REST, and FHIR APIs.
- Products
  Back
  
  Products
  - Multi-Payer Portal
    Streamline provider workflows and improve collaboration.
  - Enhanced Payer Connectivity
    Reach more health plans while streamlining pre-service and billing.
  - Revenue Cycle Management
    Boost efficiency, prevent denials, expedite payments.
  - Clinical Data Transformation
    Enhance clinical data quality for optimized downstream workflows.
  - Intelligent Utilization Management
    Simplify the prior authorization review process.
  - EDI Clearinghouse
    Connect to health plans nationwide.
  - Intelligent Gateway
    Seamlessly connect and exchange administrative data.
  - API Marketplace
    REST and FHIR-based APIs for fast, secure connectivity.
  - Provider Data Management
    Maintain accurate provider directories.
  - Payer-to-Payer Hub
    Streamline data exchange to meet mandatory compliance.
- Insights
  Back
  
  Insights
  - Case Studies
    See success stories from our customers.
  - Blog
    Get the latest industry insights.
- Resources
  Back
  
  Resources
  - Essentials Registration & Support
    Get help registering or using Essentials.
  - Training & Education
    Learn about our training courses.
  - Essentials Payer List
  - Essentials Pro Payer List
  - Supported Systems
  - Preferred Vendors
  - Network Status
- About
  Back
  
  About
- Connect
  Back
  
  Connect
  - Contact Sales
    Find the best way to get in touch.
  - Customer Support
    Get in touch with customer support.
  - Locations
    See where we're located.
  - Events
    Learn about upcoming industry events.
- Essentials Login New to Availity?

Clinical data monitoring and quality improvement

Request Information

Clinical data is the digital currency of today’s healthcare ecosystem. However, clinical data is difficult to leverage in its raw form due to quality issues. Availity Fusion™ makes it easy for payers to evaluate the quality of clinical data and transform it into a strategic asset for immediate use across the enterprise.

Evaluate the quality of clinical data

Availity Fusion’s Data Dashboard uses over 400 configurable rules to weigh and measure source data usability helping to identify non-compliant documentation, conflicting dosage instructions or inconsistencies in units, disparities between human and machine-readable information.

Attain up to 80% improvement in clinical data quality

Healthcare decisions and actions should be informed by standardized data that’s accurate and reliable. Availity Fusion™ improves the quality and usability of clinical data by:

Structuring data into industry standards (FHIR)
Removing duplicate entries and errors
Enriching data with metadata and classifications
Building longitudinal patient records

Harness high-quality clinical data for strategic initiatives

Once your organization’s clinical data has been structured, enriched, deduplicated, and summarized, it can be used for data-driven decision making and strategic initiatives including but not limited to:

Risk adjustment
Predictive analytics
Care management
Compliance

Learn more about how Availity can help

Solution

Interoperability

Transform data-sharing capabilities and reduce the cost of care.

Solution

End-to-End Authorizations

Learn how Availity eases prior authorization burdens with AI-driven solutions to help reduce costs and improve care.

Case Study

Why Upcycling Data™ Matters

Learn how Availity can help you harness the power of bi-directional data intelligence to reduce costs, improve care quality, and drive innovation.

Fill out the form below and we will get back with you.

It’s time to find a better way with Availity.