8 workflow automations purpose-built on top of Availity — no data leaves your system, no parallel tool for your team to learn.
AI drafts post-visit instructions from the encounter, sends them to the patient, places orders in CoverMyMeds, and schedules the next visit — the care plan actually happens. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI assembles the CAQH profile, submits payer applications, tracks each status, and escalates stalls — time-to-enrolled drops from 120 days to 60. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI sends post-visit surveys, flags detractors for same-day outreach, and routes promoters to review sites — reputation and clinical quality move in the same direction. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI triages each denial by root cause, recovery likelihood, and appeal deadline — the team works the right denials first and the aged ones don't die quietly. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI runs PDMP checks on every controlled-substance order, documents the check in CoverMyMeds, flags concerning patterns, and generates compliance reports — audit-ready, every prescription. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI schedules infusions against chair capacity in CoverMyMeds, verifies drug stock and PA, and rebalances when patients reschedule — chair utilization climbs and patients stop waiting. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI checks payer-specific PA requirements, pulls the chart from CoverMyMeds, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles. Purpose-built for teams running Availity — uses the native API or agent integration so nothing leaves the system of record.
We build custom AI workflows on top of Availity for any repetitive process. Tell us what you'd automate.
