Availity

Connecting providers, health plans, and technology partners.

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Overview

Availity operates one of the largest real-time health information networks, connecting a vast network of health plans and providers. They offer a free web portal for core administrative functions like eligibility and benefits verification, claim status, and authorizations.

✨ Key Features

  • Eligibility and Benefits Verification
  • Claim Status Inquiry
  • Authorizations & Referrals
  • Remittance Advice
  • Secure Messaging

🎯 Key Differentiators

  • Vast network of connected payers
  • Single portal for multiple administrative functions
  • Free access for providers

Unique Value: Provides a single, free point of access for providers to conduct electronic transactions, including prior authorizations, with thousands of payers.

🎯 Use Cases (3)

Checking patient insurance coverage in real-time Submitting and tracking prior authorization requests Viewing claim payment information from multiple payers

✅ Best For

  • Multi-payer eligibility and benefits checks
  • Real-time claim status updates

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Comprehensive revenue cycle management beyond core administrative tasks

🏆 Alternatives

Waystar Change Healthcare (Optum) NaviNet

Offers broader payer connectivity for a range of administrative tasks compared to solutions focused solely on prior authorization.

💻 Platforms

Web API

🔌 Integrations

EHR/EMR systems Practice Management Systems API

🛟 Support Options

  • ✓ Email Support
  • ✓ Live Chat
  • ✓ Phone Support
  • ✓ Dedicated Support (Varies tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ SOC 2 Type 2 ✓ EHNAC ✓ CAQH CORE

💰 Pricing

Contact for pricing
Free Tier Available

Free tier: Core features available through the Availity Essentials portal are free for providers.

Visit Availity Website →