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Availity

by Availity · Since 2001
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Active1+ countries
Quick facts
VendorAvaility
Year launched2001
StatusActive
Location5555 Gate Parkway, Suite 110 Jacksonville, FL 32256 United States
Countries served1+
Languages15
Integrations
Free tier
Free trial
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About Availity

Availity combines software functionality with workflow automation, provided by Availity. Product details are not fully accessible online; contact the vendor for current feature lists. Key capabilities: Data export and backup Configurable settings and roles Integration support Reporting and visibility Core workflow management Best for: teams needing workflow tools with configurable settings and integrations.

Availity is a leading healthcare connectivity and collaboration platform designed to simplify and modernize how providers, payers, and health IT partners exchange information. Positioned as the nation’s largest dual-sided, real-time health information network, Availity facilitates billions of clinical, administrative, and financial transactions each year, making it a critical backbone of the U.S. healthcare ecosystem. At its core, Availity focuses on removing friction from complex payer–provider interactions. Its intelligent platform supports end-to-end healthcare transactions, including eligibility checks, prior authorizations, claims, and remittances. By unifying administrative, clinical, and financial data into streamlined workflows, Availity helps organizations resolve issues earlier, improve accuracy, and reduce costly rework. AI-enabled automation further enhances efficiency, particularly in utilization management and prior authorization processes—areas traditionally associated with delays and high administrative burden. For providers, Availity delivers tangible revenue cycle benefits such as reduced denials, faster cash flow, improved margins, and lower staff burnout through more reliable, secure connectivity and workflow automation. Payers benefit from multi-channel provider engagement, API-first connectivity, deeper network insights, and improved precision that reduces waste.

Pros & Cons

What users like
  • +Enhances efficiency by automating complex healthcare workflows
  • +Reduces claim denials, write-offs, and manual errors
  • +Improves revenue cycle performance and accelerates cash flow
  • +Facilitates collaboration across providers, payers, and HITs
  • +Supports nationwide scalability with extensive network reach
What users flag
  • May require training for staff unfamiliar with AI-enabled workflow automation
  • Integration with legacy systems could be complex for some organizations
  • Full feature utilization may depend on payer and provider participation in the network

Features

Key features

Intelligent Utilization Management – Automates prior authorization workflows to improve efficiency and compliance
Dual-Sided Healthcare Network – Connects providers, payers, and HITs through a single, real-time network
AI-Enabled Workflow Automation – Uses artificial intelligence to streamline complex payer/provider workflows
Direct Payer Connectivity – Provides secure, real-time connections to multiple health plans
Administrative and Clinical Data Integration – Combines financial, clinical, and administrative data to improve accuracy and outcomes
Network Reach – Nationwide connectivity with payers, providers, and HITs to enable seamless collaboration
Collaboration Tools – Aligns stakeholders and facilitates shared problem-solving across the healthcare ecosystem
Extensible Platform – Offers flexible APIs and developer resources to enable custom integrations and innovation
End-to-End Transaction Support – Manages eligibility, authorizations, claims, remittances, and other healthcare transactions
Regulatory Compliance – Supports HIPAA-compliant and secure information exchange

Additional features

Intelligent Utilization Management – Automates prior authorization workflows to improve efficiency and compliance
Dual-Sided Healthcare Network – Connects providers, payers, and HITs through a single, real-time network
AI-Enabled Workflow Automation – Uses artificial intelligence to streamline complex payer/provider workflows
Direct Payer Connectivity – Provides secure, real-time connections to multiple health plans
Administrative and Clinical Data Integration – Combines financial, clinical, and administrative data to improve accuracy and outcomes
Network Reach – Nationwide connectivity with payers, providers, and HITs to enable seamless collaboration
Collaboration Tools – Aligns stakeholders and facilitates shared problem-solving across the healthcare ecosystem
Extensible Platform – Offers flexible APIs and developer resources to enable custom integrations and innovation
End-to-End Transaction Support – Manages eligibility, authorizations, claims, remittances, and other healthcare transactions
Regulatory Compliance – Supports HIPAA-compliant and secure information exchange
Margin and Yield Improvement – Optimizes revenue cycle performance for providers
Reduced Denials and Write-Offs – Improves claim accuracy and reduces financial losses
Accelerated Cash Flow – Speeds up payment cycles for healthcare providers

Pricing

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Countries & Languages

1
Countries served
15
Interface languages
7
Billing currencies

Available in

All Countries.

Interface languages

EnglishSpanishFrenchGermanPortugueseItalianDutchRussianChineseJapaneseKoreanArabicTurkishHindiBengali.

Billing currencies

🇺🇸USD🇪🇺EUR🇬🇧GBP🇯🇵JPY🇦🇺AUD🇨🇦CAD🇲🇽MXN

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