Podcast Episode
Anne Neal on How Availity Is Reducing Claim Denials and Administrative Waste

About this episode
EPISODE SUMMARYIn this episode of The Claim Game, Jeremy Zug sits down with Anne Neal, Vice President of Product Management & Payment Integrity at Availity, to discuss the future of revenue cycle management. Together, they explore Availity's Abrasion Index, payment integrity, AI, prior authorization, and preventing claim errors before submission.. They also discuss fraud prevention, responsible AI, and the future of touchless claims processing.KEYWORDSAvaility, Revenue Cycle Management, Payment Integrity, Claims Management, Claim Denials, Prior Authorization, Healthcare AI, Payment Accuracy, Abrasion IndexTAKEAWAYSPrevention Beats Correction: Preventing claim errors before submission reduces denials, appeals, administrative work and payment accuracy.Shared Challenges: Providers and payers face many of the same pain points, creating opportunities to collaborate.Payment Integrity Starts Early: Helping providers submit clean claims before submission improves reimbursement.Responsible AI: AI can streamline claims management and prior authorization when combined with transparency, governance, and human oversight.Touchless Claims: Automation, AI, and better data sharing are moving healthcare toward faster, more accurate reimbursement.CHAPTERS00:00 Introduction to Availity and Anne Neal's Journey04:50 Availity's $4.5T Network Healthcare Network09:37 Preventing Claim Errors15:56 Prevention Over Clawbacks22:40 What the Abrasion Index Reveals26:40 What Is Payment Integrity?29:50 Responsible AI in Healthcare34:55 The Future of Touchless Claims38:49 Innovation at the Speed of AI40:43 Building a Better System TogetherRESOURCESToday Sponsors: Visit practicesol.com
Visit availity.com
Availity’s Payment Integrity, Availity Extend, and Abrasion Index
Anne Neal on LinkedIn
The Claim Game Podcast
The Hourglass Learning Hub.
Practice Solutions Blog.
Book: Insurance Billing Basics: Steps for Therapists to Successfully Take Insurance.