CMS 0057-F Interoperability & Prior Authorization Final Rule

End-to-End Prior Authorization

End-to-End Authorizations on the Availity Platform delivers a fully integrated, CMS-compliant solution that not only streamlines authorization submissions across all provider channels but leverages responsible AI to help care managers make fast and accurate determinations on the appropriateness and the timeliness of care.

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Interoperability and Clinical Data

Payer-to-Payer Connectivity

Case Study: End-to-End Prior Authorizations Using FHIR® APIs

The collaborative initiative by Humana, Athena Health, and Availity aims to improve transparency, reduce administrative burdens, leverage clinical content, and increase automation in the prior authorization process.

Whitepaper: End-to-End Authorizations

Availity leads a deep-dive into how AI, automation and business intelligence are changing the prior authorization game.

One-Pager: CMS Prior Authorization

This content discusses Availity's CMS Prior Authorization API solution, which helps health plans comply with the CMS Interoperability and Prior Authorization final rule.

We're looking forward to helping you overcome the CHALLENGE before it becomes a CRISIS

Our solutions ease the burden, helping you navigate the complexities of CMS compliance so you can focus on what matters most. The challenges of CMS 0057-F compliance are much more complicated than they seem on the surface. Fill out the form and let's get started!

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Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 4 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment