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Build on the Network Healthcare Already Runs On

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Availity Extend is an enhanced developer experience and agent‑ready activation layer that allows healthcare technology companies to build, automate, and coordinate workflows using APIs connected to Availity’s network—where more than half of U.S. healthcare administrative transactions already run today.

Availity Extend is currently available through an Early Access Program, ahead of general availability.

Built for Scale

Availity Extend makes it practical to build, automate, and scale healthcare workflows on shared infrastructure—so solutions can scale without adding integration complexity or governance risk.

Build once. Scale across the network.


Move beyond one-off implementations by building on the network that already connects payers and providers—so what works for one customer can scale to the next.

Activate workflows—human and agent-driven.

Use an enhanced developer experience plus an MCP-based activation layer to coordinate multi-step workflows across eligibility, authorizations, claims, and payments with consistent patterns.

Governance that holds in production.


Run automation within established data permissions and controls, with observability by design—so scaling doesn’t mean losing accountability.

Build Once, Operate Everywhere.

Availity Extend supports healthcare technology companies building solutions that work across payers, providers, and partners—inside real administrative workflows.

Embed network‑connected workflows Integrate eligibility, authorizations, claims, and payment interactions directly into your applications using live network context rather than downstream reconciliation.
Coordinate multi‑step processes Activate workflows that span multiple clinical and administrative steps, with consistent behavior across organizations and lines of business.
Support AI‑driven and rule‑based automation Enable customer‑managed AI and automation to assist with workflow execution using standardized interaction patterns—without custom logic for every payer.
Scale implementations without reintegration Move from one‑off builds to repeatable solutions that scale across the ecosystem without rebuilding connectivity, contracts, or controls.

Two Capabilities, One Foundation

Availity Extend brings together the two things healthcare innovators need to scale execution inside real workflows: a better way to build, and a consistent way to activate.

The Availity network already moves more than half of U.S. healthcare administrative transactions, connecting payers, providers, and partners across core workflows. Availity Extend builds on that foundation by pairing an enhanced developer experience with an agent‑ready activation layer—making it possible to build and automate workflows that operate across real healthcare systems, rather than around them.

  • Enhanced developer experience
    Discover and work with network‑connected APIs through a workflow‑oriented experience designed for healthcare—so teams understand required context, dependencies, and behavior before they integrate.
  • Agent‑ready activation layer
    Coordinate interactions across Availity APIs using standardized activation patterns that support both rule‑based automation and customer‑managed AI agents—without bespoke logic for every payer or workflow.
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Governance By Design

Availity Extend is built to support automation and AI without changing the rules that healthcare already runs on. Extend operates entirely within existing contractual, security, and governance frameworks—so scale does not introduce new risk or ambiguity.

No change to data rights or access

Extend does not expand access or introduce new entitlements. All interactions follow existing permissions and agreements.

Customer managed AI and automation

Healthcare innovators build and operate their own AI, agents, and automation. Availity provides a governed foundation for how those systems interact with the network.

Observability built in

Workflow execution is designed to be traceable and auditable, so actions remain accountable as volume and complexity increase.

Designed for production healthcare environments

Governance isn’t added after the fact. It’s inherent to how Extend operates inside live healthcare workflows.

APIs Designed for Real Workflows

Production-grade, network-connected APIs aligned to eligibility, authorizations, claims and payments—built to work together and operate at national scale.

Availity provides network‑connected APIs aligned to core healthcare workflows, including eligibility, authorizations, claims, and payments—reflecting live behavior across the network at national scale. Through Availity Extend, these APIs are combined with activation and shared network intelligence, transforming point access into coordinated workflow execution without managing payer‑by‑payer complexity.

What this means for healthcare innovators:

  • APIs reflect live network behavior, not static or replicated data
  • Capabilities are aligned to how healthcare work actually flows
  • standard based where possible, extended where necessary to scale
  • built to support activation and agent driven execution, not just calls and responses

For teams that need direct access, Availity APIs remain available independently. Extend makes them easier to discover, coordinate, and scale across real workflows.

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Availity Extend – Early Access Program

Early access to a better developer experience—built on proven, production-grade APIs.

Availity Extend is built on APIs that already support production healthcare workflows at national scale. The Early Access Program gives healthcare innovators early access to a new developer experience and activation layer—designed to make those proven capabilities easier to discover, combine, and scale inside real workflows.

Access and exposure
Early access to the Availity Extend developer experience, including a curated set of APIs supporting real healthcare workflows such as coverage, cost estimation, and claim status.

Evaluation and feedback
Hands‑on evaluation of the experience, with structured opportunities to validate real‑world workflow patterns and provide feedback directly to Availity’s product and engineering teams.

Stable foundation
Underlying APIs, data access, permissions, and governance remain unchanged, operating within existing contracts and security controls.

Defined scope
The program focuses on evaluation and learning, without full production parity, unrestricted live data, GA‑level SLAs, or complete API coverage.

Frequently Asked Questions

What is Availity Extend?

Availity Extend is an enhanced developer experience and agent‑ready activation layer that helps healthcare technology companies build, automate, and coordinate workflows connected to the Availity network.

How is Availity Extend different from using Availity APIs directly?

Availity APIs already support production healthcare workflows at national scale; Availity Extend improves how teams discover, combine, and activate those APIs to support multi‑step workflows rather than isolated integrations. 

Are the APIs behind Availity Extend production‑grade today?

Yes. The APIs used by Availity Extend already operate in production across eligibility, authorizations, claims, and payments. 

Is Availity Extend required to use Availity APIs?

No. Direct API access remains available; Availity Extend adds activation, workflow context, and scale on top of existing APIs. 

Is Availity Extend production‑ready, or still evolving?

Availity Extend is built on live, production‑grade APIs and workflows already operating at scale; what’s evolving is the developer experience and activation layer, not the underlying infrastructure. 

What does “agent‑ready activation” mean?

Agent‑ready activation refers to standardized patterns that allow customer‑managed AI agents and automation to coordinate interactions across workflows in governed, predictable ways inside live healthcare operations. 

Does Availity Extend change data access, permissions, or governance?

No. Availity Extend operates within existing contracts, security models, and access controls and does not introduce new data rights or permissions. 

Who manages the AI or automation used with Availity Extend?

Healthcare innovators build and manage their own AI, agents, and automation; Availity provides the governed infrastructure those systems operate within. 

Who is Availity Extend designed for?

Availity Extend is designed for healthcare technology companies and partners building solutions that need to operate across payers, providers, and partners at scale. 

Where do APIs fit if we want direct access?

Availity network APIs remain available independently, while Availity Extend provides a more cohesive way to discover, coordinate, and scale them inside real workflows. 

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