Efficient revenue cycle management (RCM) is a cornerstone of financial success in healthcare. Availity empowers enterprises to automate RCM processes, from eligibility checks to payment reconciliation, minimizing manual effort and reducing claim denials.
Seamless Data Flow
Availity’s APIs connect scheduling systems, EHRs, and billing applications. Eligibility verification can be triggered automatically when an appointment is booked. Claims are submitted electronically and tracked in real time, with Availity flagging errors before they reach the payer.
Intelligent Automation
- Robotic Process Automation (RPA): Automate repetitive tasks such as claim resubmission or prior authorization requests.
- Machine Learning Models: Analyze historical claim data to predict and prevent denials.
- Real-Time Dashboards: Provide CFOs and RCM teams with actionable financial insights.
Integration with Financial Systems
Availity can interface with corporate ERP and accounting software, providing instant posting of remittance advice and reducing reconciliation delays. Secure APIs ensure that every financial transaction is encrypted and audit-ready.
Compliance and Security
Built-in HIPAA safeguards, along with options for SOC 2 and ISO 27001 compliance, protect sensitive payment and patient information. Enterprises can configure custom access policies and multi-factor authentication to meet their internal governance standards.
By leveraging Availity’s integration capabilities and automation tools, healthcare enterprises can accelerate cash flow, reduce operational costs, and enhance financial predictability.