Docflow Labs

Payer coverage

Availity prior authorization, automated.

Docflow automates prior authorization on Availity: it builds the request, attaches clinicals, submits it and checks back until there's a decision.

This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.

About Availity

What your team deals with on Availity.

Availity is the largest multi-payer portal in the country. One login reaches hundreds of health plans, and each plan sets its own authorization questions, attachment rules and response times inside it.

  • Every plan behind the login asks different questions, so one checklist doesn't fit them all.
  • Some plans hand the request off to a benefit manager partway through the flow.
  • Status lives inside the portal, so someone has to keep logging back in to see a decision.
How Docflow handles it

From order to decision, without your team logging in.

  1. 01

    Build the request

    Docflow reads the order and clinicals from your system and fills in everything Availity asks for.

  2. 02

    Submit it

    Docflow signs in to Availity with your team's login, submits the request and attaches the documents.

  3. 03

    Follow it to a decision

    Docflow checks back every 12 hours until there's a decision, and flags any request for more information to your team.

  4. 04

    Write it back

    The decision and authorization number land in your system, on the right order, with a record of every step.

FAQ

Availity questions.

Does Docflow handle the plan-specific questions on Availity?

Yes. Docflow answers each plan's questions from the order and clinicals, and routes anything it can't answer to your team instead of guessing.

Can Docflow check eligibility on Availity too?

Yes. Eligibility and benefits checks can run before the authorization, so a request isn't built for a patient whose coverage has changed.

Does Docflow need its own Availity account?

No. Docflow uses your team's login, stored encrypted, so requests are submitted under your organization like they are today.

How long does it take to get started?

Start with a 30-day pilot on your real work. If you're not satisfied, you get a full refund.

Get started

Hand us your Availity queue.

Start with a 30-day pilot, fully refundable if you're not satisfied.

This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.

HIPAA compliantAICPA SOC for Service Organizations logoSOC 2® Type 1Always on, always improving