# Availity vs Optum (Optum360)

| Attribute | Availity | Optum (Optum360) |
|---|---|---|
| **Vioscale score** | 31.3 (21% (low)) | 24.3 (14% (low)) |
| 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. | A comprehensive healthcare platform that combines patient care access, health management tools, pharmacy services, billing and financial management, and health information resources to make healthcare more accessible and affordable. |
| 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}` | `{"hipaa_baas_business_associate_agreement":true,"patient_statement_generation_and_portal_payments":true}` |
| integrations.count | 1 | - |
| integrations.list | `[{"name":"Epic"}]` | - |
| market.availability | - | `{"hqCountry":"US","primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"ios":true,"web":true,"android":true}` |
| pricing.model | commercial | - |
| security.gdpr | yes | - |
| security.hipaa | yes | yes |

## Capabilities (Medical Billing Rcm)

| Capability | Availity | Optum (Optum360) |
|---|:--:|:--:|
| **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 | - | - |

*Source: Vioscale. Generated 2026-09-01T17:10:37.842Z. "-" = undocumented, not absent.*