Availity API
Availity runs a self-serve developer portal at developer.availity.com: create an app, subscribe to a plan, and hit REST APIs with OpenAPI docs. Onboarding is quick, but meaningful access sits on paid plan tiers, and payer coverage varies by transaction type.
Frequently asked questions
Availity scores D+ on the API Report Card. Availity runs a self-serve developer portal at developer.availity.com: create an app, subscribe to a plan, and hit REST APIs with OpenAPI docs. Onboarding is quick, but meaningful access sits on paid plan tiers, and payer coverage varies by transaction type.
Without a usable official API, teams fall back on manual exports, file drops, or one-off vendor integrations. The other option is an unofficial API layer like Supergood that automates the authenticated web app directly.
Availity is the largest real-time health information network/clearinghouse in the US, connecting providers, health plans, and technology partners. It processes eligibility, claims, authorizations, claim status, attachments, and cost-estimate transactions between providers and payers.
Healthcare (clearinghouse/network), Typically for providers, payers, RCM vendors, and healthtech developers needing payer connectivity. Providers/RCM vendors submit X12 270/271 eligibility, 276/277 claim status, authorizations, and claim attachments through Availity's portal or APIs to reach payers in real time.
Processes more than 8.8 million daily healthcare transactions with connectivity to virtually every US health plan; dominant clearinghouse footprint.
No (inverted), Availity owns/intermediates the network; the data is transactional exchange between providers and payers, not a single customer's trapped operating system-of-record.
Founded 2001. Modern cloud network, continuously updated REST API marketplace and developer portal.
Plan/subscription gating and rate considerations. Payer coverage variability across transactions. Full sourced list under Sources below.
Common alternatives include Change Healthcare (Optum), Waystar, Trizetto / Cognizant, Office Ally. Graded alternatives appear under "More from the report card" below.
Grades measure one thing: can a customer's engineering team get their own data out programmatically? We check six things (whether a real API exists, how access is gated, data coverage, auth quality, docs and developer experience, and stability) and roll them into a letter grade. Grades get re-verified, and they only move on evidence.
Yes. Supergood maintains an unofficial Availity API and MCP server so AI agents and internal tools can read and write Availity data. See the Availity integration docs at supergood.ai/docs/availity-api.