availity website screenshot

availity

Availity is a healthcare information network and clearinghouse providing REST APIs for real-time HIPAA EDI transactions. The platform processes over 11 billion annual healthcare transactions connecting providers, health plans, and vendors nationwide. Create your application and subscribe to a plan to make use of Availity APIs for eligibility verification, claims management, prior authorization, and patient cost estimation.

availity publishes 7 APIs on the APIs.io network, including Auth Attachments API, Claim Attachments API, Claim Status API, and 4 more.

The availity catalog on APIs.io includes 5 JSON-LD contexts and 2 Spectral governance rulesets.

availity’s developer surface includes authentication, engineering blog, and 3 more developer resources.

47.7/100 developing ▬ flat Agent 37/100 agent ready Full breakdown ↓
scored 2026-07-28 · rubric v0.6
AccessPaidSelf serve
12 APIs

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-07-28 · rubric v0.6
Composite quality — 47.7/100 · developing
Contract Quality 19.6 / 25
Developer Ergonomics 2.6 / 20
Commercial Clarity 7.9 / 20
Operational Transparency 4.1 / 13
Governance 7.0 / 12
Discoverability 6.5 / 10
Agent readiness — 37/100 · agent ready
Machine-Readable Contract 18 / 18
Agentic Access Contract 10 / 10
MCP Server 0 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 9
Stable Error Semantics 0 / 8
Request/Response Examples 7 / 7
Rate-Limit Signaling 7 / 7
Typed Event Surface 0 / 6
Agent Skills 0 / 5
Well-Known Catalog 0 / 4
Consent & Bot Identity 0 / 3
A2A Agent Card 0 / 8
Dry-Run / Simulate Mode 0 / 4
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/availity: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 12

Individual APIs this provider publishes, each with its own machine-readable definition.

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 ...

Availity Patient Cost Estimator API

The Availity Patient Cost Estimator API enables healthcare providers and institutions to estimate service costs before delivery for both institutional and professional services....

Availity Eligibility & Benefits Value-Add APIs

The Availity Eligibility & Benefits Value-Add APIs provide supplementary data during eligibility transactions. The Care Reminders API retrieves real-time care gap information fr...

Availity Payer List API

The Availity Payer List API (v1.0.4) allows healthcare organizations to query available payers and the transactions they support. Returns payer identifiers, names, and supported...

Availity Configurations API

The Availity Configurations API (v1.0.0) provides provider details and payer-specific validation requirements. Returns configuration rules for enhanced claim status, prior autho...

availity Auth Attachments API

Attach documentation to authorization requests

availity Claim Attachments API

Electronic claim attachment submission and retrieval

availity Claim Status API

Claim status inquiries and tracking

availity Eligibility API

Real-time eligibility and benefits verification

availity Enhanced Claim Status API

Enhanced claim status with value-add data

availity Is Auth Required API

Check if authorization is required before submission

availity Service Reviews API

Prior authorization and service review requests

Scroll for all 12

Open Collections 3

Open, tool-agnostic API collections (OpenAPI-derived and Bruno).

Availity Claim Status API

OPEN COLLECTION

Arazzo Workflows 4

Multi-step API workflows described with the Arazzo specification.

Availity Claim Attachment (X12 275)

Submit an X12 275 claim attachment, then poll for its processing status until the payer accepts it.

ARAZZO

Availity Claim Status Inquiry (X12 276/277)

Submit an X12 276 claim status request, then poll for the X12 277 claim status response until the payer finalizes it.

ARAZZO

Availity Eligibility and Benefits (X12 270/271)

Locate a payer that supports the 270 transaction, submit an X12 270 eligibility request, then retrieve the resulting 271 benefit response.

ARAZZO

Availity Prior Authorization (X12 278)

Determine whether authorization is required, create the X12 278 service review, attach supporting clinical documentation, then read back the authorization decision.

ARAZZO

Pricing Plans 1

Published pricing tiers and plan structures.

Rate Limits 1

Documented rate limits and quota policies.

Availity Rate Limits

3 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

Semantic Vocabularies 5

JSON-LD contexts and semantic vocabularies used across these APIs.

Availity Availity Context

2 classes · 32 properties

JSON-LD

Availity Claim Context

9 classes · 45 properties

JSON-LD

Availity Context

0 classes · 5 properties

JSON-LD

Availity Eligibility Context

15 classes · 58 properties

JSON-LD

Availity Service Context

8 classes · 30 properties

JSON-LD

Spectral Rules 2

Spectral governance rulesets for linting and validating these APIs.

availity API Rules

6 rules · 4 warnings 2 info

SPECTRAL

availity API Rules

10 rules · 1 errors 7 warnings 2 info

SPECTRAL

JSON Schema 63

Standalone JSON Schema definitions for this provider's data models.

AsyncJobResponse

2 properties

JSON SCHEMA

AttachmentRequest

6 properties

JSON SCHEMA

AttachmentStatusResponse

2 properties

JSON SCHEMA

Benefit

7 properties

JSON SCHEMA

ClaimAttachmentRequest

5 properties

JSON SCHEMA

ClaimAttachmentResponse

3 properties

JSON SCHEMA

ClaimStatusList

3 properties

JSON SCHEMA

ClaimStatusRequest

6 properties

JSON SCHEMA

ClaimStatusResponse

6 properties

JSON SCHEMA

Coverage

8 properties

JSON SCHEMA

Dependent

5 properties

JSON SCHEMA

DetailSearchRequest

6 properties

JSON SCHEMA

Availity Eligibility Response

8 properties

JSON SCHEMA

EligibilityError

4 properties

JSON SCHEMA

EligibilityList

3 properties

JSON SCHEMA

EligibilityRequest

6 properties

JSON SCHEMA

EligibilityResponse

8 properties

JSON SCHEMA

Error

3 properties

JSON SCHEMA

IsAuthRequiredRequest

1 properties

JSON SCHEMA

IsAuthRequiredResponse

3 properties

JSON SCHEMA

Payer

2 properties

JSON SCHEMA

PayerInfo

3 properties

JSON SCHEMA

PayerList

1 properties

JSON SCHEMA

PlanInformation

5 properties

JSON SCHEMA

Provider

6 properties

JSON SCHEMA

SearchBy276Request

8 properties

JSON SCHEMA

ServiceReviewList

3 properties

JSON SCHEMA

ServiceReviewRequest

5 properties

JSON SCHEMA

ServiceReviewResponse

5 properties

JSON SCHEMA

Subscriber

7 properties

JSON SCHEMA

SubscriberInfo

7 properties

JSON SCHEMA

SummarySearchRequest

8 properties

JSON SCHEMA

ClaimAttachmentRequest

5 properties

JSON SCHEMA

ClaimAttachmentResponse

3 properties

JSON SCHEMA

AsyncJobResponse

2 properties

JSON SCHEMA

ClaimStatusList

3 properties

JSON SCHEMA

ClaimStatusRequest

6 properties

JSON SCHEMA

ClaimStatusResponse

6 properties

JSON SCHEMA

DetailSearchRequest

6 properties

JSON SCHEMA

SearchBy276Request

8 properties

JSON SCHEMA

SummarySearchRequest

8 properties

JSON SCHEMA

Benefit

7 properties

JSON SCHEMA

Coverage

8 properties

JSON SCHEMA

Dependent

5 properties

JSON SCHEMA

EligibilityError

4 properties

JSON SCHEMA

EligibilityList

3 properties

JSON SCHEMA

EligibilityRequest

6 properties

JSON SCHEMA

EligibilityResponse

8 properties

JSON SCHEMA

PayerInfo

3 properties

JSON SCHEMA

PayerList

1 properties

JSON SCHEMA

Payer

2 properties

JSON SCHEMA

PlanInformation

5 properties

JSON SCHEMA

Provider

6 properties

JSON SCHEMA

SubscriberInfo

7 properties

JSON SCHEMA

Subscriber

7 properties

JSON SCHEMA

AsyncJobResponse

2 properties

JSON SCHEMA

AttachmentRequest

6 properties

JSON SCHEMA

AttachmentStatusResponse

2 properties

JSON SCHEMA

IsAuthRequiredRequest

1 properties

JSON SCHEMA

IsAuthRequiredResponse

3 properties

JSON SCHEMA

ServiceReviewList

3 properties

JSON SCHEMA

ServiceReviewRequest

5 properties

JSON SCHEMA

ServiceReviewResponse

5 properties

JSON SCHEMA

Scroll for all 63

JSON Structure 33

JSON Structure definitions describing this provider's data shapes.

Availity Eligibility Structure

8 properties

JSON STRUCTURE

Availity Structure

0 properties

JSON STRUCTURE

Claim Status Async Job Response Structure

2 properties

JSON STRUCTURE

Claim Status Claim Status List Structure

3 properties

JSON STRUCTURE

Eligibility Benefit Structure

7 properties

JSON STRUCTURE

Eligibility Coverage Structure

8 properties

JSON STRUCTURE

Eligibility Dependent Structure

5 properties

JSON STRUCTURE

Eligibility Eligibility Error Structure

4 properties

JSON STRUCTURE

Eligibility Eligibility List Structure

3 properties

JSON STRUCTURE

Eligibility Eligibility Request Structure

6 properties

JSON STRUCTURE

Eligibility Eligibility Response Structure

8 properties

JSON STRUCTURE

Eligibility Payer Info Structure

3 properties

JSON STRUCTURE

Eligibility Payer List Structure

1 properties

JSON STRUCTURE

Eligibility Payer Structure

2 properties

JSON STRUCTURE

Eligibility Plan Information Structure

5 properties

JSON STRUCTURE

Eligibility Provider Structure

6 properties

JSON STRUCTURE

Eligibility Subscriber Info Structure

7 properties

JSON STRUCTURE

Eligibility Subscriber Structure

7 properties

JSON STRUCTURE

Scroll for all 33

Examples 35

Example request and response payloads for these APIs.

Eligibility Payer Example

2 fields

EXAMPLE

Scroll for all 35

Security Posture 2

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Availity Authentication

oauth2 · 1 scheme

SECURITY

Availity Domain Security

TLSv1.3 · DMARC

SECURITY

Scopes 1

OAuth scopes governing access to this provider's APIs.

Availity Scopes

1 scope · clientCredentials

1 scopes

SCOPES

Agentic Access 1

Recommended x-agentic-access execution contracts for AI agents.

Availity Agentic Access

19 operations · 9 acting

19 operations · 9 acting

AGENTIC

Resources

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

Access & Security 3

Authentication, authorization, and security posture

Company 1

The organization behind the API

Source (apis.yml)

apis.yml Raw ↑
aid: availity
accessModel:
  pricing: paid
  onboarding: self-serve
  trial: false
  try_now: false
  public: false
  label: Paid · Self-serve signup
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/availity.png
url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/apis.yml
apis:
- aid: availity:availity-hipaa-transactions-api
  name: Availity Healthcare HIPAA Transactions API
  tags:
  - Clearinghouse
  - EDI
  - Healthcare
  - HIPAA
  image: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/image.png
  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.'
- aid: availity:availity-patient-cost-estimator-api
  name: Availity Patient Cost Estimator API
  tags:
  - Cost Estimation
  - Healthcare
  - Patient Financial Responsibility
  - Price Transparency
  image: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/image.png
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  properties:
  - url: https://developer.availity.com/partner/documentation
    type: Documentation
  - url: https://developer.availity.com/partner/gettingstarted
    type: GettingStarted
  description: The Availity Patient Cost Estimator API enables healthcare providers and institutions to estimate service costs
    before delivery for both institutional and professional services. REST APIs support version 1.0.0 and 2.0.0 and include
    predetermination requests across all major health plan payers, helping meet price transparency requirements.
- aid: availity:availity-eb-value-adds-api
  name: Availity Eligibility & Benefits Value-Add APIs
  tags:
  - Care Reminders
  - EDI
  - Eligibility
  - Healthcare
  - Member ID Card
  image: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/image.png
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  properties:
  - url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
    type: Documentation
  - url: https://developer.availity.com/partner/gettingstarted
    type: GettingStarted
  description: The Availity Eligibility & Benefits Value-Add APIs provide supplementary data during eligibility transactions.
    The Care Reminders API retrieves real-time care gap information from multiple payers. The Member ID Card API retrieves
    digital member ID cards in PDF or PNG format during eligibility verification workflows.
- aid: availity:availity-payer-list-api
  name: Availity Payer List API
  tags:
  - Clearinghouse
  - Healthcare
  - Payer Network
  - Reference Data
  image: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/image.png
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  properties:
  - url: https://developer.availity.com/partner/documentation
    type: Documentation
  - url: https://developer.availity.com/partner/gettingstarted
    type: GettingStarted
  description: The Availity Payer List API (v1.0.4) allows healthcare organizations to query available payers and the transactions
    they support. Returns payer identifiers, names, and supported transaction types including eligibility, claim status, prior
    authorization, and remittance across the nationwide Availity clearinghouse network.
- aid: availity:availity-configurations-api
  name: Availity Configurations API
  tags:
  - Configuration
  - Healthcare
  - Payer Requirements
  - Provider Validation
  image: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/image.png
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  properties:
  - url: https://developer.availity.com/partner/documentation
    type: Documentation
  - url: https://developer.availity.com/partner/gettingstarted
    type: GettingStarted
  description: The Availity Configurations API (v1.0.0) provides provider details and payer-specific validation requirements.
    Returns configuration rules for enhanced claim status, prior authorization, and other transaction types so provider systems
    can validate submissions before sending to payers.
- aid: availity:availity-auth-attachments-api
  name: availity Auth Attachments API
  description: Attach documentation to authorization requests
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Auth Attachments
  properties:
  - type: OpenAPI
    url: openapi/availity-auth-attachments-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
- aid: availity:availity-claim-attachments-api
  name: availity Claim Attachments API
  description: Electronic claim attachment submission and retrieval
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Claim Attachments
  properties:
  - type: OpenAPI
    url: openapi/availity-claim-attachments-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
- aid: availity:availity-claim-status-api
  name: availity Claim Status API
  description: Claim status inquiries and tracking
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Claim Status
  properties:
  - type: OpenAPI
    url: openapi/availity-claim-status-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
- aid: availity:availity-eligibility-api
  name: availity Eligibility API
  description: Real-time eligibility and benefits verification
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Eligibility
  properties:
  - type: OpenAPI
    url: openapi/availity-eligibility-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
- aid: availity:availity-enhanced-claim-status-api
  name: availity Enhanced Claim Status API
  description: Enhanced claim status with value-add data
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Enhanced Claim Status
  properties:
  - type: OpenAPI
    url: openapi/availity-enhanced-claim-status-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
- aid: availity:availity-is-auth-required-api
  name: availity Is Auth Required API
  description: Check if authorization is required before submission
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Is Auth Required
  properties:
  - type: OpenAPI
    url: openapi/availity-is-auth-required-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
- aid: availity:availity-service-reviews-api
  name: availity Service Reviews API
  description: Prior authorization and service review requests
  humanURL: https://developer.availity.com/
  baseURL: https://api.availity.com
  tags:
  - Service Reviews
  properties:
  - type: OpenAPI
    url: openapi/availity-service-reviews-api-openapi.yml
  - type: Documentation
    url: https://developer.availity.com/partner/documentation
  - type: GettingStarted
    url: https://developer.availity.com/partner/gettingstarted
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/ebvalue-add-api
  - type: JSONSchema
    url: https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/availity-eligibility-schema.json
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/25/enhanced-claim-status
  - type: Documentation
    url: https://developer.availity.com/blog/2025/2/28/claim-attachment-api
  - type: Documentation
    url: https://developer.availity.com/blog/2025/3/4/service-reviews
common:
- type: AgenticAccess
  url: agentic-access/availity-agentic-access.yml
- type: DomainSecurity
  url: security/availity-domain-security.yml
- type: Authentication
  url: authentication/availity-authentication.yml
- type: OAuthScopes
  url: scopes/availity-scopes.yml
- url: https://developer.availity.com/blog
  type: Blog
maintainers:
- name: Kin Lane
  email: kin@apievangelist.com
modified: '2026-05-19'
description: Availity is a healthcare information network and clearinghouse providing REST APIs for real-time HIPAA EDI transactions.
  The platform processes over 11 billion annual healthcare transactions connecting providers, health plans, and vendors nationwide.
  Create your application and subscribe to a plan to make use of Availity APIs for eligibility verification, claims management,
  prior authorization, and patient cost estimation.