Availity · Example Payload

Eligibility Eligibility Request Example

HealthcareClearinghouseHIPAAX12 EDIEligibilityClaimsPrior AuthorizationRevenue Cycle ManagementPayersPrice Transparency

Eligibility Eligibility Request Example is an example object payload from Availity, with 2 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

controlNumberencounter

Example Payload

Raw ↑ 
{
  "controlNumber": "CTRL-001",
  "encounter": {
    "serviceTypeCodes": [
      "ABC123"
    ],
    "beginningDate": "2025-04-15",
    "endDate": "2025-04-15"
  }
}