Direct health plan connectivity
Real-time data powers healthcare today, and trading partners need access to the most up-to-date data to support their customers. Availity offers trading partners and vendors access to a nationwide network of payers, technical expertise, and hands-on customer support.
Leverage a nationwide payer network
As the nation’s largest real-time health information network, Availity connects more than a million providers with more than 2,700 payers nationwide, including:
- Government payers like Medicaid and Medicare
- Exclusive payer gateways services for Blue plans
Support for multiple submission methods
Availity processes core HIPAA transactions including the most common X12 transaction data, along with RESTful and FHIR APIs.
Access to value-added payer content
Providers need real-time access to clinical and administrative information as well as financial transactions for efficient decision making. Trading partners in the Availity network have access to the following value-added RESTful APIs:
- Patient Cost Estimator
- Enhanced Claim Status
- Is Auth Required
- Authorization Attachments
- Care Reminders
- Member ID Card
Learn more about how Availity can help
Claim & Claim Status
Reduce denials and get paid quickly and accurately.
Availity Essentials
Learn how Availity can help streamline provider workflows and improve collaboration.
Availity Essentials Plus
Learn how Availity can help you reach more health plans while streamlining pre-service and billing.
Availity Essentials Pro
Boost efficiency, prevent denials, expedite payments with Availity Essentials Pro.
Case Study
EDI Clearinghouse for Network Resellers
As an EHR or practice management system vendor, your priority is delivering exceptional service and reliability for your provider customers. But that’s not easy when you don’t have the tools required to manage your customers’ EDI connectivity and billing.