Availity
Overview
Availity runs a national payer-provider network and EDI clearinghouse whose Essentials portal lets providers check authorization requirements, submit prior authorizations with clinical attachments, and track status across multiple health plans in one place. It supports FHIR-based prior authorization APIs for CMS-0057-F compliance.
Notable
One of the largest real-time health information networks in the US; building AI-assisted next-generation prior authorization tooling.
Key services
- multi-payer provider portal
- EDI clearinghouse
- prior authorization submission and status
- eligibility and benefits
- FHIR interoperability for CMS-0057-F
Subcategories
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