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.
Kin Score
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 Attachments API
OPEN COLLECTIONAvaility Claim Status API
OPEN COLLECTIONAvaility Eligibility & Benefits API
OPEN COLLECTIONArazzo 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.
ARAZZOAvaility 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.
ARAZZOAvaility 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.
ARAZZOAvaility 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.
ARAZZOPricing Plans 1
Published pricing tiers and plan structures.
Rate Limits 1
Documented rate limits and quota policies.
Availity Rate Limits
RATE LIMITSFinOps 1
Cost, billing, and metering signals for API financial operations.
Availity Finops
FINOPSSemantic Vocabularies 5
JSON-LD contexts and semantic vocabularies used across these APIs.
Availity Availity Context
JSON-LDAvaility Claim Context
JSON-LDAvaility Context
JSON-LDAvaility Eligibility Context
JSON-LDAvaility Service Context
JSON-LDSpectral Rules 2
Spectral governance rulesets for linting and validating these APIs.
availity API Rules
SPECTRALavaility API Rules
SPECTRALJSON Schema 63
Standalone JSON Schema definitions for this provider's data models.
AsyncJobResponse
JSON SCHEMAAttachmentRequest
JSON SCHEMAAttachmentStatusResponse
JSON SCHEMABenefit
JSON SCHEMAClaimAttachmentRequest
JSON SCHEMAClaimAttachmentResponse
JSON SCHEMAClaimStatusList
JSON SCHEMAClaimStatusRequest
JSON SCHEMAClaimStatusResponse
JSON SCHEMACoverage
JSON SCHEMADependent
JSON SCHEMADetailSearchRequest
JSON SCHEMAAvaility Eligibility Response
JSON SCHEMAEligibilityError
JSON SCHEMAEligibilityList
JSON SCHEMAEligibilityRequest
JSON SCHEMAEligibilityResponse
JSON SCHEMAError
JSON SCHEMAIsAuthRequiredRequest
JSON SCHEMAIsAuthRequiredResponse
JSON SCHEMAPayer
JSON SCHEMAPayerInfo
JSON SCHEMAPayerList
JSON SCHEMAPlanInformation
JSON SCHEMAProvider
JSON SCHEMASearchBy276Request
JSON SCHEMAServiceReviewList
JSON SCHEMAServiceReviewRequest
JSON SCHEMAServiceReviewResponse
JSON SCHEMASubscriber
JSON SCHEMASubscriberInfo
JSON SCHEMASummarySearchRequest
JSON SCHEMAClaimAttachmentRequest
JSON SCHEMAClaimAttachmentResponse
JSON SCHEMAAsyncJobResponse
JSON SCHEMAClaimStatusList
JSON SCHEMAClaimStatusRequest
JSON SCHEMAClaimStatusResponse
JSON SCHEMADetailSearchRequest
JSON SCHEMASearchBy276Request
JSON SCHEMASummarySearchRequest
JSON SCHEMABenefit
JSON SCHEMACoverage
JSON SCHEMADependent
JSON SCHEMAEligibilityError
JSON SCHEMAEligibilityList
JSON SCHEMAEligibilityRequest
JSON SCHEMAEligibilityResponse
JSON SCHEMAPayerInfo
JSON SCHEMAPayerList
JSON SCHEMAPayer
JSON SCHEMAPlanInformation
JSON SCHEMAProvider
JSON SCHEMASubscriberInfo
JSON SCHEMASubscriber
JSON SCHEMAAsyncJobResponse
JSON SCHEMAAttachmentRequest
JSON SCHEMAAttachmentStatusResponse
JSON SCHEMAIsAuthRequiredRequest
JSON SCHEMAIsAuthRequiredResponse
JSON SCHEMAServiceReviewList
JSON SCHEMAServiceReviewRequest
JSON SCHEMAServiceReviewResponse
JSON SCHEMAScroll for all 63
JSON Structure 33
JSON Structure definitions describing this provider's data shapes.
Availity Eligibility Structure
JSON STRUCTUREAvaility Structure
JSON STRUCTUREClaim Attachments Claim Attachment Request Structure
JSON STRUCTUREClaim Attachments Claim Attachment Response Structure
JSON STRUCTUREClaim Status Async Job Response Structure
JSON STRUCTUREClaim Status Claim Status List Structure
JSON STRUCTUREClaim Status Claim Status Request Structure
JSON STRUCTUREClaim Status Claim Status Response Structure
JSON STRUCTUREClaim Status Detail Search Request Structure
JSON STRUCTUREClaim Status Search By276 Request Structure
JSON STRUCTUREClaim Status Summary Search Request Structure
JSON STRUCTUREEligibility Benefit Structure
JSON STRUCTUREEligibility Coverage Structure
JSON STRUCTUREEligibility Dependent Structure
JSON STRUCTUREEligibility Eligibility Error Structure
JSON STRUCTUREEligibility Eligibility List Structure
JSON STRUCTUREEligibility Eligibility Request Structure
JSON STRUCTUREEligibility Eligibility Response Structure
JSON STRUCTUREEligibility Payer Info Structure
JSON STRUCTUREEligibility Payer List Structure
JSON STRUCTUREEligibility Payer Structure
JSON STRUCTUREEligibility Plan Information Structure
JSON STRUCTUREEligibility Provider Structure
JSON STRUCTUREEligibility Subscriber Info Structure
JSON STRUCTUREEligibility Subscriber Structure
JSON STRUCTUREService Reviews Async Job Response Structure
JSON STRUCTUREService Reviews Attachment Request Structure
JSON STRUCTUREService Reviews Attachment Status Response Structure
JSON STRUCTUREService Reviews Is Auth Required Request Structure
JSON STRUCTUREService Reviews Is Auth Required Response Structure
JSON STRUCTUREService Reviews Service Review List Structure
JSON STRUCTUREService Reviews Service Review Request Structure
JSON STRUCTUREService Reviews Service Review Response Structure
JSON STRUCTUREScroll for all 33
Examples 35
Example request and response payloads for these APIs.
Availity Eligibility Example
EXAMPLEEligibility Benefit Example
EXAMPLEEligibility Coverage Example
EXAMPLEEligibility Payer Example
EXAMPLEEligibility Provider Example
EXAMPLEScroll for all 35
Security Posture 2
Authentication, domain security, vulnerability disclosure, and trust-center signals.
Scopes 1
OAuth scopes governing access to this provider's APIs.
Agentic Access 1
Recommended x-agentic-access execution contracts for AI agents.
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