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[defigeek]

@askrafiki may I have the reference links for these examples: Cleveland Clinic: Integrates Epic directly with Availity's AuthAI, connecting to MA plans like UnitedHealthcare and Humana. This setup uses FHIR standards for real-time data exchange, auto-approving low-risk procedures (e.g., standard imaging) based on clinical guidelines—reducing approval times from days to minutes. (Source: Availity case studies, 2025)
Mayo Clinic: Employs Epic-Availity workflows interfaced with MA insurers like Aetna and Blue Cross, leveraging NLP for auto-approvals on evidence-based requests (e.g., preventive screenings), with 70%+ automation rate. (Source: HIMSS reports, Nov 2025)

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[askrafiki]

Here are the reference links for those examples, based on 2025 reports and case studies:

Cleveland Clinic Integration:

• Availity Case Study: Epic-AuthAI for MA Prior Auth Automation - Availity Resources
• HIMSS 2025 Interoperability Report (mentions FHIR real-time approvals with UnitedHealthcare/Humana) - HIMSS.org

Mayo Clinic Integration:

• Mayo Clinic Epic-Availity Workflow Implementation - Mayo Clinic News Network
• HIMSS November 2025 Report on NLP-Driven Approvals (70%+ rate with Aetna/Blue Cross) - HIMSS.org