Yes, Availity Intelligent UM integrates directly with electronic medical records (EMRs) and electronic health records (EHRs) systems. It uses FHIR-based APIs and other standards for seamless bi-directional data exchange, allowing providers to submit prior authorization requests and receive determinations right from their native EHR workflows—without leaving the system.

This integration supports real-time pulling of clinical data (like notes and diagnoses) for automated processing via AuthAI. For example:

• Epic: Availity connects via Epic's App Orchard and FHIR APIs for prior auth submissions.
• Cerner (Oracle Health): Interfaces through Cerner's open APIs for utilization management.
• Allscripts and athenahealth: Direct integrations for auth requests and status updates.

Availity's platform acts as a hub, interfacing with over 1,000 EHRs and major insurance payers (e.g., UnitedHealthcare, Aetna, Blue Cross) to automate the entire prior auth process. This complies with CMS interoperability rules, reducing manual work. Providers like hospitals using these EHRs often pair them with Availity for streamlined revenue cycle management.