Responsible AI: Our Commitment to Health Plans and Providers

Your goals to deliver exceptional patient experiences, streamline administrative processes, and minimize healthcare costs start with Availity. We can help health plans and providers breakthrough traditional automation barriers and burdensome manual workflows by leveraging the power of AI for Intelligent Utilization Management. And we’re doing it in a responsible way.

Secure, Unbiased, and Transparent: Our Responsible AI Healthcare Framework

Navigating the complexities of AI in healthcare demands a steadfast commitment to safety, fairness, and transparency. Availity’s Responsible AI Principles are designed with your needs and outcomes at the forefront:

• Safety first: Availity continues to apply strong safety and security practices to reduce risks of harm to clients, users, and other individuals served, building resilience into its AI systems, and establishing proper safeguards to decrease the potential for inappropriate influences.
• Avoid creating or reinforcing unfair bias: To minimize any known biases in data, Availity strives to design AI systems with fair and equitable objectives and is committed to monitoring the outputs accordingly.
• Honor privacy and confidentiality of Availity clients and patients: In addition to adherence to HIPAA Security and Privacy Rule policies, Availity will respect data use rights agreements, adopt architectures with privacy safeguards, and provide appropriate transparency and control over the use of data.
• Lead with accountability, transparency, and observability: Availity prioritizes transparency in the AI development process and observability of AI system outputs. Availity documents the data used to develop the system and the metrics for evaluating the AI (model provenance). It explains how the data produces the system’s recommendations (model observability) and continuously assesses the AI to ensure proper functioning within its intended context and use case (model monitoring).
• Research, learn and iterate: To ensure scientific rigor and integrity, Availity will continuously improve its solutions. This is done by applying a systematic risk management approach through monitoring and analyzing AI system behavior throughout its lifecycle, including gathering feedback from end-users, applying human-in-the-loop audits, and adjusting or retraining systems to ensure fairness, context appropriateness, and security.

Our Pledge to Healthcare’s Future

We believe that AI will revolutionize healthcare delivery. With AI, there’s a newer, better way to do things—but the foundation of any transformative technology is trust. Ensuring the security, reliability, and safety of our AI solutions is paramount in earning your trust. We drive innovation responsibly, guided by our culture of accountability, transparency, and collaboration. We work closely with our clients, industry stakeholders, and regulators to develop and deploy intelligent tools that genuinely benefit everyone involved.

Let Availity’s Responsible AI Principles be your assurance that, together, we can strive to make healthcare better for everyone. Let’s embrace the future of healthcare together, with AI that’s responsible, effective, and aligned with your goals.

Start Your AI Journey Here

• For information about our ethical AI healthcare practices and solutions, visit our Trusted AI with Availity webpage.
• Just getting your arms around the concept of AI technologies? Let Availity help you get back to basics with our AI education resources.
• Ready to jump into the thick of it? Learn more about Intelligent Utilization Management for health plans and Predictive Editing with Availity Essentials Pro for providers.

About the Author

Russ Thomas is the Chief Executive Officer of Availity. Under his leadership, Availity has become the nation’s premier health information network. More than 3 million providers, 2,000 health plans, and 1,000 technology partners nationwide use Availity. Our diversified portfolio of provider and health plan workflow solutions facilitate over 13 billion healthcare transactions annually.

Russ is actively involved in industry and philanthropic organizations. He serves as a board member for the Florida Chamber of Commerce, where he chairs the Healthcare Policy Council, Jacksonville University, and Iodine Software. A licensed commercial pilot, he served on the Jacksonville Aviation Authority from 2015 to 2022.

Russ Thomas

Chief Executive Officer of Availity