Availity
Leading real-time healthcare network connecting providers, payers, and health systems for eligibility, claims, and payment management
- Also known as
- availity
What is Availity?
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.
What Availity does
The capabilities that matter for medical billing rcm, normalised so it lines up with every alternative. “-” means we haven't confirmed it, not that it's missing.
- 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
- -
Platform & deployment
Independently observed- Web
Integrations (1)
Independently observed- Epic
Availity alternatives
Other medical billing rcm we track, ranked by the same independent score.
- AdvancedMDA unified cloud platform that consolidates electronic health records, practice management, and patient engagement for behavioral and mental health practiceshigh · 76%
- CureMDCloud-based healthcare platform combining electronic health records, practice management, and billing automation with AI assistancelow · 27%
- WaystarCloud-based revenue cycle management software that automates healthcare payments and claims processinglow · 21%
- CollaborateMDCloud-based medical billing and practice management platform that automates claims processing and revenue cycle operationslow · 40%
- Optum (Optum360)Integrated healthcare services connecting patients, providers, and health planslow · 14%
Compare Availity
Side by side against other medical billing rcm, attribute by attribute, with a source on every value.
The Vioscale score: one lens on the evidence
Not user reviews and not a paid placement: a confidence-weighted blend of the independent signals below (adoption, activity, security posture, and more), which you can sort and re-weight yourself. Vendors can correct their listing but can never move their rank, and stars are weighted low as a vanity metric. It is one way to read the evidence for Availity, not the verdict.
| Signal | Score | Weight | Contribution | Evidence |
|---|---|---|---|---|
| Capabilities | 75 | 0.05 | 3.6 | ✓ |
| Security posture | 15 | 0.07 | 1.1 | ✓ |
| Integrations | 9 | 0.04 | 0.4 | ✓ |
| Price level | 0 | 0.05 | 0.0 | - |
| Reliability | 0 | 0.07 | 0.0 | - |
| Pricing transparency | 0 | 0.08 | 0.0 | - |
Computed . Re-weight it by intent, or see the full method.
All data & sourcesshow ↓
Every value we hold, with its source, retrieval date, and confidence. This is the evidence behind the score: don't trust it, verify it.
Features
| Attribute | Value | Evidence |
|---|---|---|
| Capabilities | Automated claim scrubbing rules, Direct edi clearinghouse connections, Era electronic remittance advice auto posting, Automated denial management and appeal workflows, Real time patient insurance eligibility verification | mediumsource · 2026-08-21 · 60% |
Integrations
| Attribute | Value | Evidence |
|---|---|---|
| Count | 1 | mediumsource · 2026-08-21 · 60% |
Pricing
| Attribute | Value | Evidence |
|---|---|---|
| Model | commercial | mediumsource · 2026-08-21 · 70% |