Availity

Availity Healthcare HIPAA Transactions API

The Availity Healthcare HIPAA Transactions API provides a unified interface for standard HIPAA EDI transactions. REST APIs enable healthcare providers and vendors to submit and receive X12 EDI transactions across payers including eligibility, claims, remittance, authorizations, and referrals. Quota: 100,000 calls per day, 100 calls per second rate limit.

GitHub

Documentation

📖
Documentation
https://developer.availity.com/portal/catalogue-products/healthcare-hipaa-transactions-1
📖
Documentation
https://developer.availity.com/blog/2025/3/25/hipaa-transactions
📖
GettingStarted
https://developer.availity.com/partner/gettingstarted

Other Resources

🔗
APIsJSON
https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/apis.yml
🔗
Arazzo
https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/arazzo/availity-claim-attachment-workflow.yml
🔗
Arazzo
https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/arazzo/availity-claim-status-inquiry-workflow.yml
🔗
Arazzo
https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/arazzo/availity-eligibility-benefits-workflow.yml
🔗
Arazzo
https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/arazzo/availity-prior-authorization-workflow.yml

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API entry from apis.yml

apis.yml Raw ↑ 
aid: availity:availity-hipaa-transactions-api
name: Availity Healthcare HIPAA Transactions API
tags:
- Clearinghouse
- EDI
- Healthcare
- HIPAA
humanURL: https://developer.availity.com/portal/catalogue-products/healthcare-hipaa-transactions-1
baseURL: https://api.availity.com
properties:
- url: https://developer.availity.com/portal/catalogue-products/healthcare-hipaa-transactions-1
  type: Documentation
- url: https://developer.availity.com/blog/2025/3/25/hipaa-transactions
  type: Documentation
- url: https://developer.availity.com/partner/gettingstarted
  type: GettingStarted
description: 'The Availity Healthcare HIPAA Transactions API provides a unified interface for standard
  HIPAA EDI transactions. REST APIs enable healthcare providers and vendors to submit and receive X12
  EDI transactions across payers including eligibility, claims, remittance, authorizations, and referrals.
  Quota: 100,000 calls per day, 100 calls per second rate limit.'