Availity Demonstrates Industry Shift from Denial Management to Prevention with New Resource

JACKSONVILLE, Fla. - June 9, 2026- Availity, the nation's largest health information network, today announced the release of its latest industry resource, "A Guide to Preventing Denials and Protecting Revenue." The new eBook is designed to help providers move beyond back-end denial management and adopt a more proactive, connected approach to denial prevention.

As claim denials continue to place operational and financial pressure on healthcare organizations, Availity is helping define the next era of revenue cycle management: one where providers use better data, payer connectivity, and predictive intelligence to prevent avoidable denials before they disrupt cash flow, staff capacity, and patient experience.

According to the recent Availity Abrasion Index, 90% of providers and 87% of payers view denials as a major abrasion point. Many denials are due to inaccurate data or submissions and could be addressed earlier in the administrative process. While approximately 70% of denied claims are eventually overturned, the appeals process is costly at $57.23 per claim in 2023. Collectively, this underscores the growing administrative and financial challenges impacting revenue cycle teams.

Denials are no longer simply a back-office reimbursement issue. They are a systemic workflow challenge tied to data quality, payer connectivity, administrative complexity, and the ability to act before a claim is submitted.

"Claim denials are one of the most persistent and costly challenges in healthcare revenue cycle management," said Russ Thomas, CEO of Availity. "With the right data, connectivity, and AI-driven insights, providers can prevent issues before submission, improve clean claim rates, and significantly reduce administrative burden.That is where the industry needs to move-from reacting to denials after the fact to preventing them upstream through connected, real-time information exchange."