Telehealth Visit Follow-up for Prior Authorization Specialists with Availity

Availity Prior Authorization Specialist Utilization Management

The Problem

Telehealth visits in Utilization Management practice end without clear next-step closure — orders, referrals, and med changes get lost between visit and chart close.

What We Build in Availity

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.

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

Telehealth Visit Follow-up for Prior Authorization Specialists

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.

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