Simplify complex processes and improve payer-provider collaboration.
Simplify complex processes and improve payer-provider collaboration.
Connect to the most providers and HIT partners nationwide.
Improve collaboration with your provider network by automating core workflows.
Help ensure the right care at the right time by transforming the prior authorization process.
Reduce administrative waste by shifting edits early in the claim lifecycle.
Make clinical data work for you by streamlining acquisition, improving quality, and optimizing workflows.
Improve the quality of provider data for use across the enterprise.
Drive cost out of provider communications by digitizing paper correspondence.
Operationalize 0057 with compliant FHIR APIs and scalable interoperability on a trusted national network.
Streamline workflows, reduce denials, and ensure accurate payments.
Streamline workflows, reduce denials, and ensure accurate payments.
Improve revenue cycle performance with fast and secure connections to payers nationwide.
Seamlessly deliver complete and accurate healthcare information.
Solutions for healthcare technology companies—from foundational connectivity to network‑powered innovation.
National‑scale transaction processing and trusted connectivity across eligibility, claims, and payments.
Modern developer experience and agent‑ready orchestration layer for building and automating real healthcare workflows on the Availity network.
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Matt Cunningham, Strategic Innovation Partner at Availity, recently published an article in Medcity News titled “Digitizing Medical Policy Alone Will Not Automate Prior Authorization at Scale.” In this piece, he examines why digitizing medical policies alone is not enough to enable scalable prior authorization automation. Cunningham explains that without translating medical necessity criteria into executable clinical logic, health plans continue to face slow turnaround times, inconsistent decisions, and provider frustration, even with FHIR APIs and digital policies in place.
The article outlines:
Read the full article here.