Skip to site content

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
- Availity Essentials
  Streamline provider workflows and improve collaboration.
- Availity Essentials Plus
  Reach more health plans while streamlining pre-service and billing.
- Availity Essentials Pro
  Boost efficiency, prevent denials, expedite payments.
- Availity Fusion
  Enhance clinical data quality for optimized downstream workflows.
- Availity AuthAI
  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
- Network Status
About
Connect
- Contact Us
  Find the best way to get in touch.
- Locations
  See where we're located.
- Events
  Learn about upcoming industry events.

Essentials Login
- 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
  - Availity Essentials
    Streamline provider workflows and improve collaboration.
  - Availity Essentials Plus
    Reach more health plans while streamlining pre-service and billing.
  - Availity Essentials Pro
    Boost efficiency, prevent denials, expedite payments.
  - Availity Fusion
    Enhance clinical data quality for optimized downstream workflows.
  - Availity AuthAI
    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 Us
    Find the best way to get in touch.
  - Locations
    See where we're located.
  - Events
    Learn about upcoming industry events.
- Essentials Login New to Availity?

Simplifying the Prior Authorization Process through Automation

Download the PDF

Manual prior authorization workflows are time consuming and costly for payer and provider organizations and can delay patient access to care. To increase provider visibility into which services require prior authorization and to bring automation to the submission and decision processes, the collaborators in this case study worked together to develop a more automated, self-service solution that allows providers to determine whether a given service requires prior authorization, submit a request, and receive a determination, all within their EMR workflow. The technology has improved efficiency, reduced denials, and increased revenue.

Download the Case Study

Related Case Studies

End-to-End Authorizations

Availity’s Authorization Solution

API

End-to-End Authorizations

Interoperability

End-to-End Prior Authorizations Using FHIR APIs

Eligibility & Coverage

Revenue Cycle Management

Better Eligibility and Benefits Results Give Regence Dental Providers Something to Smile About