Simplify complex processes and improve payer-provider collaboration.
Simplify complex processes and improve payer-provider collaboration.
Streamline workflows and improve engagement.
Maintain compliance by capturing provider updates at the source.
Transform data-sharing capabilities and reduce the cost of care.
Ease prior authorization burdens with AI-driven solutions.
Reduce print and postage costs and replace manual processes.
Lower admin costs and prevent revenue leakage.
Streamline workflows, reduce denials, and ensure accurate payments.
Streamline workflows, reduce denials, and ensure accurate payments.
Seamlessly deliver complete and accurate healthcare information.
Seamlessly deliver complete and accurate healthcare information.
Facilitate seamless data exchange via X12, REST, and FHIR APIs.
Streamline provider workflows and improve collaboration.
Reach more health plans while streamlining pre-service and billing.
Boost efficiency, prevent denials, expedite payments.
Enhance clinical data quality for optimized downstream workflows.
Simplify the prior authorization review process.
Connect to health plans nationwide.
Seamlessly connect and exchange administrative data.
REST and FHIR-based APIs for fast, secure connectivity.
Maintain accurate provider directories.
Streamline data exchange to meet mandatory compliance.
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Availity CEO Russ Thomas recently joined the Definitively Speaking podcast to discuss the systemic factors driving the misalignment between payers and healthcare providers and shared how technology can simplify Utilization Management and prior authorization workflow.
How can payers and providers create more transparency in the claims process? Can AI and other tech solve payers’ yield problems? “The language of authorizations is particularly complex because unlike standard transactions like claims and eligibility and things like that, an authorization is both an administrative and a clinical transaction,” Thomas said. “There’s a great opportunity for someone to sit in the middle of that conversation between a payer and provider and to translate provider intent into payer language and payer response into provider language. And what I see is a broad desire on the part of both payers and providers to simplify that workflow.”
Listen to the entire podcast here. To learn more about Availity’s end-to-end prior authorization solutions, click here.