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EDI Clearinghouse for Seamless Nationwide Payer Connectivity & Claim Submission | Availity

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Availity’s EDI Clearinghouse enables healthcare trading partners to securely exchange electronic claims and payer data with health plans and providers. Our solution streamlines claim submission, enhances payer connectivity, and ensures compliance with HIPAA and healthcare regulations. Processing over 13 billion transactions annually. Availity provides real-time data exchange, improving efficiency and accelerating reimbursements.

Submit Claims & HIPAA EDI Transactions with Ease

Availity’s EDI transactions support seamless electronic claim submission and payer data exchange, ensuring fast, secure, and HIPAA-compliant transmissions. Our clearinghouse enables:

  • Eligibility and Benefits (270) – Verify patient coverage in real time
  • Remittances (835) – Process electronic remittances more effectively
  • Claim Submission (837 I, P, D) – Send claims to payers faster
  • Claim Status (276) – Track submitted claims instantly
  • Authorization and Referral (278) – Execute prior authorization requests efficiently

Enhance Claims Processing with APIs & Health Plan Connectivity Tools

Availity offers advanced APIs that enhance claims processing, eligibility verification, and prior authorization workflows. These tools provide real-time insights and improve payer-provider connectivity.  

  • Member ID Card: Access digital ID cards instantly
  • Care Reminders: Improve patient engagement with automated alerts
  • Is Auth Required: Simplify prior authorization workflows
  • Enhanced Claim Status: Get real-time claim updates

Get Expert Support for Payer IDs & EDI Transactions

Availity simplifies payer connectivity and claim submission with expert support for EDI transactions, payer IDs, and healthcare clearinghouse compliance. Our dedicated team ensures smooth electronic data interchange between providers and payers, reducing errors and improving claim acceptance rates.

Learn more about how Availity can help

Product

Availity Essentials Pro

Boost efficiency, prevent denials, expedite payments with Availity Essentials Pro End-to-End RCM.

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Product

API Marketplace

Experience healthcare’s future with Availity’s REST and FHIR-based APIs for fast, secure connectivity.

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