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Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

Business

Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation
Business

Business

Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

2026-01-12 21:00 Last Updated At:23:42

SAN FRANCISCO & JACKSONVILLE, Fla.--(BUSINESS WIRE)--Jan 12, 2026--

Abridge, the leading enterprise-grade AI for clinical conversations, is collaborating with Availity, the nation’s largest real-time health information network, to launch a first-of-its kind prior authorization experience. The engagement uses cutting-edge technology grounded in the clinician-patient conversation to facilitate a more efficient process between clinicians and health plans in medical necessity review.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20260112960386/en/

Rather than creating parallel AI systems across healthcare stakeholders, Abridge and Availity are working together to ensure shared clinical context at the point of conversation powers administrative processes, such as prior authorization review and submission, improving outcomes for patients and the teams delivering care.

This collaboration unites two trusted and scaled organizations: combining Abridge’s enterprise-grade AI platform, serving over 200 health systems and projected to support over 80 million patient-clinician conversations in 2026, with Availity’s next-generation, FHIR-native Intelligent Utilization Management solution, which helps payers and providers digitize and operationalize coverage requirements within administrative workflows.

Availity’s FHIR-native APIs enable fast, scalable, and secure connectivity of payer information across the entire healthcare ecosystem. With Abridge’s Contextual Reasoning Engine technology, clinicians can gain visibility into relevant clinical information during the conversation to support documentation aligned with prior authorization requirements.

“At Availity, we’ve invested in building AI-powered, FHIR-native APIs designed to bring clinical policy logic directly into provider workflows,” said Russ Thomas, CEO of Availity. “By embedding our technology at the point of conversation, we’re enabling faster, more transparent utilization management decisions rooted in clinical context. We’re excited to collaborate with Abridge and to demonstrate what’s possible when payer intelligence meets real-time provider workflows.”

The development of real-time prior authorization is just a component of a broader revenue cycle collaboration that is focused on applying real-time conversational intelligence across the patient, provider, and payer experiences. The companies intend to support integration by collaborating on workflow alignment between their respective platforms in the following areas:

“Abridge and Availity are each bringing national scale, deep trust, and a track record of solving important challenges across the care and claims experience to this partnership,” said Dr. Shiv Rao, CEO and Co-Founder of Abridge. “We’re building real-time bridges between patients, providers, and payers, unlocking shared understanding, focused at the point of conversation.”

About Availity

Availity empowers payers and providers to deliver transformative patient experiences by enabling the seamless exchange of clinical, administrative, and financial information. As the nation's largest real-time health information network, Availity develops intelligent, automated, and interoperable solutions that foster collaboration and shared value across the healthcare ecosystem. With connections to over 95% of payers, more than 3 million providers, and over 2,000 trading partners, Availity provides mission-critical connectivity to drive the future of healthcare innovation. For more information, including an online demonstration, please visit www.availity.com or call 1.800.AVAILITY (282.4548). Follow us on LinkedIn.

About Abridge

Abridge was founded in 2018 to power deeper understanding in healthcare. Abridge is now trusted by more than 200 of the largest and most complex health systems in the U.S. The enterprise-grade AI platform transforms medical conversations into clinically useful and billable documentation at the point of care, reducing administrative burden and clinician burnout while improving patient experience. With deep EHR integration, support for 28+ languages, and 50+ specialties, Abridge is used across a wide range of care settings, including outpatient, emergency department, and inpatient.

Abridge’s enterprise-grade AI platform is purpose-built for healthcare. Supported by Linked Evidence, Abridge is the only solution that maps AI-generated summaries to source data, helping clinicians quickly trust and verify the output. As a pioneer in generative AI for healthcare, Abridge is setting the industry standard for the responsible deployment of AI across health systems.

Abridge was awarded Best in KLAS 2025 for Ambient AI in addition to other accolades, including Forbes 2025 AI 50 List, TIME Best Inventions of 2024, and Fortune’s 2024 AI 50 Innovators.

Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

NEW YORK (AP) — Democratic incumbents are facing spirited challenges Tuesday in at least two of New York's congressional primaries, the latest proving ground in the high-stakes fight between the progressive left and the party establishment over the Democratic Party's future.

U.S. Rep. Dan Goldman and U.S. Rep. Adriano Espaillat are both seeking to stave off candidates backed by Mayor Zohran Mamdani, the 34-year-old democratic socialist who's testing the limits of his growing political muscle in the state's first batch of elections since he took office in January.

Mamdani and his slate are promising to push the Democratic Party further left on key issues, the war in Gaza chief among them, even as establishment Democrats in Washington worry that their policies could alienate swing voters in midterm elections across the country this fall.

Goldman faces former city Comptroller Brad Lander while Espaillat, who chairs the Congressional Hispanic Caucus, faces another Mamdani pick, Darializa Avila Chevalier, a democratic socialist who once helped organize pro-Palestinian protests at Columbia University. Mamdani is also backing his democratic socialist ally, state Assembly Member Claire Valdez, who along with the rest of the mayor's candidates has vowed to abolish U.S. Immigration and Customs Enforcement.

“It’s not just a question of electing more Democrats. It’s a question of electing better Democrats, ” Mamdani said Tuesday. “When I look at these candidacies, I see in them a willingness to also put working people back at the heart of our politics.”

In Washington, House Democratic Leader Hakeem Jeffries downplayed the influence of the Mamdani-backed candidates should they prevail Tuesday, which would make them the overwhelming favorites to win congressional seats in November given New York City's strong Democratic makeup.

“We have agreed to strongly disagree,” Jeffries said of Mamdani on Capitol Hill. “There are 215 members of the House Democratic caucus. A handful of primaries that go in one direction or the other, in a given state or two, aren’t going to reshape who we are as House Democrats.”

Meanwhile, Democrat Jack Schlossberg, the 33-year-old grandson of former President John F. Kennedy, is hoping to write his own chapter in Camelot lore as he competes in a crowded field for a seat being vacated by retiring U.S. Rep. Jerry Nadler. Mamdani has made no endorsement in that race.

The Kennedy scion is running in one of the country's wealthiest congressional districts — covering much of the center of Manhattan — but faces questions about his lack of work experience against more seasoned opponents.

The field includes state Assembly members Micah Lasher, a longtime government hand backed by Democratic leaders, and Alex Bores, whose proposals to regulate artificial intelligence have triggered tech industry blowback. Also running is George Conway, who helped start the anti-Trump group, The Lincoln Project, and has centered his candidacy on impeaching the president.

Mamdani, whose first six months in office have drawn praise from establishment Democrats and even President Donald Trump, has made a big push to promote three congressional candidates who are challenging Democrats supported by the party's leadership.

Two of Mamdani's congressional slate identify as democratic socialists, while Lander has often aligned himself with the movement. All three have repeatedly promised to “abolish ICE,” condemned the “genocide” in Israel and vowed to “tax the rich” if elected.

Mamdani's most polarizing pick is Avila Chevalier, 32, in her race against Espaillat, 71, who was the first Dominican American elected to Congress and represents a district in upper Manhattan and the Bronx.

Avila Chevalier has not held political office and casts herself as an outsider. Around an hour before polls closed, she was standing on a street corner in Harlem with controversial streamer Hasan Piker, chatting with voters in a final Election Day push.

On the next corner, a small truck displayed an ad attacking Avila Chevalier, highlighting a disparaging remark she made on social media about former Vice President Kamala Harris. Avila Chevalier had previously apologized for the post.

Espaillat’s allies have called Avila Chevalier unfit for office, pointing out a history of inflammatory and profane social media posts when she was in her 20s.

In East Harlem, 47-year-old voter Sara Hyler said she flip-flopped several times between Avila Chevalier and Espaillat in the lead up to Election Day, but eventually cast her ballot for Avila Chevalier after learning about AIPAC’s heavy support for the incumbent.

“It was the breaking point, my last straw,” she said of AIPAC’s donations to Espaillat.

Hyler said it was important to elect a new crop of progressive democrats who aren’t beholden to AIPAC and the Israeli government. “As much as I support Israel, I don’t think we should be paying for them,” Hyler said.

Lander, a fixture of the city's progressive Democrats, got the mayor's endorsement in a race against Goldman, a progressive former federal prosecutor who served as lead counsel for Trump’s first impeachment.

The war in Gaza has been a dividing line between the two candidates, both of whom are Jewish. Lander assailed Goldman for not being tough enough on Israel over its military action against Palestinians. Goldman has consistently criticized Israel's government and condemned settler violence but has stopped short of describing the conflict as a genocide, which Lander has done.

Still, Goldman has amped up his criticism of Israel's war posture in response to Landers' barbs and shifting voter sentiments, all while seeking to keep his campaign focused on the high cost of living and such issues as opposing Trump's agenda.

Mamdani has also backed Valdez over Brooklyn Borough President Antonio Reynoso, in the race to succeed retiring U.S. Rep. Nydia Velazquez in a district covering parts of Brooklyn and Queens. Reynoso was Velazquez's handpicked successor, but failed to earn the mayor's backing.

Yvette Sanchez, a 30-year-old preschool teacher who voted for Espaillat, said she was put off by Mamdani's attempts to unseat the incumbent in her district and stifle Velazquez’s preferred successor, arguing that the established candidates are supported by Black and Latino communities.

“Do you just think you can insert anyone you want or do you actually want to listen to us?” Sanchez, who supported Mamdani last year, said of the mayor.

In northern New York state, a Trump acolyte with no previous political experience is facing a conservative state lawmaker in the Republican primary for a seat soon to be vacated by U.S. Rep. Elise Stefanik.

Anthony Constantino, head of the custom sticker company Sticker Mule, showcased his enthusiasm for the president by putting a massive “Vote For Trump” sign atop one of his company buildings. He also released a hip-hop album titled “Thank You President Trump," and commissioned a statue of Trump and gave it to the president in Florida. Trump has endorsed him.

Constantino's opponent, conservative state Assembly Member Robert Smullen, has strong support from local Republicans and has argued that Constantino's antics, which include regular bashing of the state GOP, make him unfit to serve in the House.

Associated Press writers Jake Offenhartz and Larry Neumeister in New York contributed.

A voter casts a ballot during New York’s primary election on Tuesday, June 23, 2026, in New York. (AP Photo/Ryan Murphy)

A voter casts a ballot during New York’s primary election on Tuesday, June 23, 2026, in New York. (AP Photo/Ryan Murphy)

A person campaigns for Democratic Congressional Candidate Jack Schlossberg during New York's primary election on Tuesday, June 23, 2026, in New York. (AP Photo/Ryan Murphy)

A person campaigns for Democratic Congressional Candidate Jack Schlossberg during New York's primary election on Tuesday, June 23, 2026, in New York. (AP Photo/Ryan Murphy)

A voter casts a ballot during New York’s primary election on Tuesday, June 23, 2026, in New York. (AP Photo/Ryan Murphy)

A voter casts a ballot during New York’s primary election on Tuesday, June 23, 2026, in New York. (AP Photo/Ryan Murphy)

Rep. Adriano Espaillat, D-N.Y., takes part in the National Puerto Rican Day Parade, Sunday, June 14, 2026 in New York. (AP Photo/Adam Gray)

Rep. Adriano Espaillat, D-N.Y., takes part in the National Puerto Rican Day Parade, Sunday, June 14, 2026 in New York. (AP Photo/Adam Gray)

Democratic congressional candidates, Claire Valdez, Brad Lander, and Darializa Avila Chevalier gesture on stage with Mayor Zohran Mamdani during a Get Out The Vote rally ahead of New York's primary election, Thursday, June 18, 2026, in the Brooklyn borough of New York. (AP Photo/Ryan Murphy)

Democratic congressional candidates, Claire Valdez, Brad Lander, and Darializa Avila Chevalier gesture on stage with Mayor Zohran Mamdani during a Get Out The Vote rally ahead of New York's primary election, Thursday, June 18, 2026, in the Brooklyn borough of New York. (AP Photo/Ryan Murphy)

FILE - A voter completes their ballot at a voting site, in New York, Nov. 4, 2025. (AP Photo/Richard Drew, File)

FILE - A voter completes their ballot at a voting site, in New York, Nov. 4, 2025. (AP Photo/Richard Drew, File)

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