Patient Experience Feedback Loop for Prior Authorization Specialists with Availity

Availity Prior Authorization Specialist Utilization Management

The Problem

Utilization Management practices learn about bad experiences from Google reviews instead of closed-loop feedback — reputation damage compounds before the practice can intervene.

What We Build in Availity

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.

Availity Integration Approach

1

Audit your Availity configuration

We map the specific Availity objects, custom fields, and workflows the automation needs to touch for your utilization management practice.

2

Build on the Availity API or agent

Integration happens inside Availity — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in Availity with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your Availity instance

30-minute call. We'll look at your actual Availity setup and show exactly how this workflow fits.

More About This Workflow

Patient Experience Feedback Loop for Prior Authorization Specialists

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.

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