# Availity vs NextGen Healthcare

**Leader by Vioscale score:** NextGen Healthcare

| Attribute | Availity | NextGen Healthcare |
|---|---|---|
| **Vioscale score** | 31.3 (21% (low)) | 58.9 (63% (medium)) |
| deployment.options | - | `{"cloud":true}` |
| description.long | A healthcare connectivity and transaction platform that processes over half of U.S. healthcare transactions, providing automated workflows across eligibility verification, authorization management, claims processing, and payment handling. | An AI-enhanced, cloud-based system that integrates electronic health records, practice management, patient communications, and revenue cycle management to streamline operations for specialty practices. Features include ambient AI documentation, interoperability with healthcare networks and payers, and tools for population health management. |
| features.capabilities | `{"automated_claim_scrubbing_rules":true,"direct_edi_clearinghouse_connections":true,"era_electronic_remittance_advice_auto_posting":true,"automated_denial_management_and_appeal_workflows":true,"real_time_patient_insurance_eligibility_verification":true}` | `{"epcs":true,"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"practice_mgmt","onc_certified":true,"pricing_model":"quote","revenue_cycle":true,"patient_portal":true,"target_segment":"enterprise","interoperability":"fhir","telehealth_builtin":true,"medicare_medicaid_macra_mips_reporting":true,"patient_statement_generation_and_portal_payments":true}` |
| integrations.count | 1 | 4 |
| integrations.list | `[{"name":"Epic"}]` | `[{"name":"Payers"},{"name":"HIEs (Health Information Exchanges)"},{"name":"State reporting systems"},{"name":"Mirth Connect"},{"name":"Third-party API applications"},{"name":"Patient access applications"},{"name":"National data exchange platforms"},{"name":"WellSky"},{"name":"Health Information Exchanges"}]` |
| market.availability | - | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"ios":true,"web":true,"android":true}` |
| pricing | - | `{"type":"quote","plans":[{"free":false,"name":"NextGen Enterprise","summary":"For 10+ providers","minSeats":10,"description":"Enterprise-level EHR & patient health data platform","contactSales":true},{"free":false,"name":"NextGen Office","summary":"For under 10 providers","description":"Fully-integrated EHR & PM for independent practices","contactSales":true}],"summary":"Contact sales for pricing","freeTier":false,"sourceUrl":"https://www.nextgen.com/","retrievedAt":"2026-08-04T08:41:45.020Z"}` |
| pricing.free_tier | - | no |
| pricing.model | commercial | commercial |
| pricing.price_level | - | unknown |
| pricing.transparent | - | no |
| reliability.status_page | - | yes |
| security.gdpr | yes | - |
| security.hipaa | yes | yes |
| security.iso27001 | - | yes |
| security.pci | - | yes |
| security.soc2 | - | yes |

## Capabilities (Medical Billing Rcm)

| Capability | Availity | NextGen Healthcare |
|---|:--:|:--:|
| **Capabilities** |  |  |
| Automated claim scrubbing rules | ✓ | - |
| Direct edi clearinghouse connections | ✓ | - |
| Icd 10 and cpt coding assistance | - | - |
| Real time patient insurance eligibility verification | ✓ | - |
| Automated denial management and appeal workflows | ✓ | - |
| Patient statement generation and portal payments | - | ✓ |
| Medicare medicaid macra mips reporting | - | ✓ |
| Era electronic remittance advice auto posting | ✓ | - |
| HIPAA baas business associate agreement | - | - |
| SOC2 type ii | - | - |
| ISO 27001 | - | - |
| Pricing model | - | quote |

*Source: Vioscale. Generated 2026-09-01T17:14:55.594Z. "-" = undocumented, not absent.*