Connecting the Network of Healthcare

A shared space for health plans and providers to connect

Availity Essentials offers a multi-payer alternative to your in-house portal that improves communication with you provider network and reduces calls to your call center. Availity Essentials features an intuitive interface and supports multiple workflows, automates manual processes, and reduces administrative waste.

Seamless connectivity nationwide

Availity's Intelligent Gateway is a secure and scalable transaction network that provides the connectivity health plans need to exchange critical information with providers and other healthcare submitters through integration with their practice management, hospital information systems, and EHRs.

Clinical insight to improve healthcare outcomes

Availity Fusion upcycles raw, disparate clinical data so health plans can put it to use across the enterprise for a range of initiatives, including risk adjustment and quality programs, care management, CMS mandates, FHIR compliance, and more.

Connect to payers through our portal

Availity Essentials helps you check eligibility, get authorizations, submit and track claims, and get remits for free in an easy-to-use interface. Upgrade to Essentials Plus and get access to more payers using the Essentials app and workflows with an easy-to-manage subscription.

Submit EDI transactions directly to any payer

Securely transmit batch and API transactions from your practice management system to any payer nationwide. Tiered pricing helps you manage your cost and supports submitters of all sizes.

End-to-end Revenue Cycle Management

Availity Essentials Pro offers more power for larger hospitals and health systems to connect with health plans nationwide and manage their revenue cycle through an integrated clearinghouse that reduces claim denials, optimizes workflows, and increases profitability.