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Availity

Large U.S. payer-provider health information network providing administrative, clinical and financial connectivity and increasingly serving as an execution layer for healthcare AI and automation.
RCM InfrastructurePayer ConnectivityPrivate
Private
Private

RevCycleAI Brief

Published research

Large U.S. payer-provider health information network providing administrative, clinical and financial connectivity and increasingly serving as an execution layer for healthcare AI and automation.

Payer connectivityEligibilityClaims transactionsPayer-provider connectivityClaimsPrior authorizationUtilization managementClinical interoperability

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Key findings

Research highlights

If healthcare AI shifts from recommendation to transaction execution, Availity could become increasingly valuable as the trusted connectivity layer underneath third-party agents. Its network position is difficult for point solutions to replicate.

Introduced Availity Extend as an agent-ready activation layer for AI and automation on the Availity network

Integrated WNS-HealthHelp clinical engine with Availity Intelligent Utilization Management; cited network reach of 95%+ of payers and 3M+ providers

Acquired Olive AI's utilization management solution and business unit

RevCycleAI Intelligence Scores

Methodology
38
62
38
66

Market Matrix: Emerging · Impact 45 · Capability 56

Full research

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