availity · Example Payload

Eligibility Dependent Example

Eligibility Dependent Example is an example object payload from availity, with 5 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

firstNamelastNamedateOfBirthgenderrelationship

Example Payload

Raw ↑ 
{
  "firstName": "Jane",
  "lastName": "Smith",
  "dateOfBirth": "2025-04-15",
  "gender": "M",
  "relationship": 20
}