Availity Plans Pricing
Availity's API business is sold as subscribable PRODUCTS on the developer portal, each carrying plan tiers with published call quotas but no published price, plus a set of quote-based corporate product lines. The Demo tier is genuinely self-serve; production is contract-gated.
Availity Plans Pricing is the machine-readable pricing-plan profile for Availity on the APIs.io network, conforming to the API Commons Plans specification.
It defines 7 plans, covering subscription, free, freemium, and enterprise tiers, with named plans including Healthcare HIPAA Transactions — Standard, Healthcare HIPAA Transactions — Demo, Healthcare HIPAA Transactions High Volume, AWS Availity Payer List — Standard, RCM Coverages — Standard, and 2 more.
Tagged areas include Healthcare, HIPAA, X12 EDI, Eligibility, and Claims.
Plans
Production tier of the core API product covering Coverages (270/271), Claim Statuses (276/277), Service Reviews (278), Dental Claims, professional and institutional claim predeterminations, Configurations, Payer List and Dfs.
Free, PHI-free sandbox tier returning canned responses. Selected by requesting the -demo plan scope at the token endpoint; same host and token format as production.
Elevated-throughput variant of the core product. Its plan scopes (-standard and -unlimited) appear in Availity's own published Swagger securityDefinitions, but the product is not listed on the public catalogue page.
Separately subscribable product exposing the payer list through an AWS-hosted route at basePath /epdm-payer-list-aws/v1.
Revenue-cycle-management-specific entitlement over the Coverages (270/271) API. Declared in Availity's Coverages Swagger securityDefinitions but not offered as a public catalogue product.
Free multi-payer provider portal (not an API plan). Providers access eligibility, claim status, ERA and authorizations across participating payers; the cost is borne by the payers.
- Eligibility & Benefits (270/271)
- Claim Status (276/277)
- Electronic Remittance Advice (835)
- Authorizations
- Multi-Payer Reporting
Availity's paid product lines — Essentials Pro (expanded portal workflows), Clearinghouse / Trading Partner Network (per-transaction X12 processing), Revenue Cycle Management, and Availity Extend (workflow orchestration). All quote-based; no price, tier structure or transaction rate is published.
- Essentials Pro — advanced claim status, coverage discovery, worklists, reporting
- Clearinghouse / Trading Partner Network — 270/271, 276/277, 278, 835, 837
- Revenue Cycle Management — pre-service estimation, claim editing, denial management
- Availity Extend — workflow orchestration and real-time API integration