JSON twin: https://www.healthaidb.com/software/availity-essentials.json
Availity
https://essentials.availity.com/static/public/onb/onboarding-ui-apps/availity-fr-ui/
Availity Essentials is a secure, multi‑payer provider portal that enables providers to check eligibility, submit and track claims, manage prior authorizations, view remittances, and communicate with payers in real time.
Availity Essentials (aka the Availity multi‑payer portal) is a cloud‑based, role‑based administrative portal and network connecting providers, payers, and HIT partners to perform eligibility & benefits checks, prior authorization submission and tracking, electronic claims submission and status, remittance/ERA access, appeals management, secure messaging, digital correspondence, and payer‑specific workflows across a broad payer network.
yes
2001
US-hosted (United States)
P0176
2025-09-07
commercial/proprietary
Essentials: free access for providers to many payers; Essentials Plus/Pro: nominal fees or subscription for enhanced services and RCM features—contact vendor for exact pricing and tiers.
freemium
Modern web browser (no local OS/DB requirements; SaaS access)
product
1.0
{
"company_name": "Availity",
"company_url": "https://www.availity.com",
"company_offices": [
"United States",
"India"
],
"company_founding": "2001",
"product_url": "https://essentials.availity.com/static/public/onb/onboarding-ui-apps/availity-fr-ui/",
"categories": [
"administrative",
"revenue cycle management",
"interoperability",
"provider portal",
"claims management",
"eligibility & benefits"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.availity.com",
"https://essentials.availity.com/static/public/onb/onboarding-ui-apps/availity-fr-ui/",
"https://www.availity.com/multi-payer-portal/",
"https://www.availity.com/essentials-plus/",
"https://www.availity.com/api-marketplace/",
"https://www.availity.com/training-and-education/",
"https://www.availity.com/customer-support/",
"https://www.g2.com/products/essentials/reviews",
"https://www.capterra.com/p/68854/Availity/reviews/",
"https://klasresearch.com/vendor-ratings/availity/62061"
],
"summary": "Availity Essentials is a secure, multi‑payer provider portal that enables providers to check eligibility, submit and track claims, manage prior authorizations, view remittances, and communicate with payers in real time.",
"description": "Availity Essentials (aka the Availity multi‑payer portal) is a cloud‑based, role‑based administrative portal and network connecting providers, payers, and HIT partners to perform eligibility & benefits checks, prior authorization submission and tracking, electronic claims submission and status, remittance/ERA access, appeals management, secure messaging, digital correspondence, and payer‑specific workflows across a broad payer network.",
"target_users": [
"providers",
"physicians",
"practice administrators",
"billing/coding staff",
"revenue cycle teams",
"payers",
"health system administrators",
"HIT/EMR integration teams"
],
"specialties": [
"primary care",
"cardiology",
"orthopedics",
"radiology",
"behavioral health",
"pediatrics",
"obstetrics-gynecology",
"specialty clinics",
"laboratory",
"pharmacy"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "freemium",
"pricing_details": "Essentials: free access for providers to many payers; Essentials Plus/Pro: nominal fees or subscription for enhanced services and RCM features—contact vendor for exact pricing and tiers.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Eligibility & benefits checking (real-time)",
"Claims submission and status tracking",
"Electronic remittance advice (ERA) / EOB lookup",
"Prior authorization / service review submission (278)",
"Attachments/document uploads for claims and auths",
"Payer directory and multi-payer access",
"Secure messaging between providers and payers",
"EDI/X12 transaction processing (batch and real-time)",
"Reporting and dashboards for RCM metrics",
"User and provider management / account administration",
"Integrated code lookup and claim corrections",
"Acknowledgements and transaction receipts"
],
"optional_modules": [
"Essentials Pro (advanced RCM integrations)",
"AuthAI (prior authorization automation)",
"Service Reviews add-on APIs (enhanced 278 support)",
"EDI Connection Services (SFTP/batch onboarding)",
"API Marketplace subscriptions"
],
"integrations": [
"Epic",
"Cerner",
"MEDITECH",
"Allscripts",
"Practice management systems (various)",
"Payer systems (hundreds of health plans)",
"Clearinghouses / EDI trading partners"
],
"data_standards": [
"X12 (270/271, 278, 834, 837, 835)",
"REST APIs",
"SOAP",
"SFTP/batch EDI"
],
"api_available": "yes",
"system_requirements": "Modern web browser (no local OS/DB requirements; SaaS access)",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2"
],
"certifications": [
"SOC 2"
],
"security_features": [
"TLS encryption in transit",
"Encryption at rest",
"Role-based access control (RBAC)",
"SSO/SAML support",
"Audit logging",
"Multi-factor authentication (MFA/2FA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Access controls and audit trails",
"Document/attachment handling controls"
],
"data_residency": "US-hosted (United States)",
"customers": [
"Blue Cross Blue Shield companies",
"Anthem",
"Cigna",
"Humana",
"Medicare",
"Multiple regional commercial payers"
],
"user_reviews": [
"Availity is the worst clearinghouse on the market. The customer service sucks. It's impossible to even get logged in.",
"Availity is on my last nerve — a nice UI on top of ancient systems with poorly integrated features.",
"Their batch submissions have never worked for me.",
"Get Availity Essentials $25 a month, have them bill Cigna through Availity — it's helped but the portal can be choppy.",
"I've been trying to bill and Availity is killing me — submitting claims repeatedly with no reliable results."
],
"ratings": [
"Capterra: 4.0/5 (overall)",
"G2: Listed product page with user reviews (rating varies by review)"
],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"community"
],
"training_options": [
"documentation",
"webinars",
"live_online"
],
"release_year": "",
"integration_partners": [
"TherapyAppointment",
"Office Ally",
"Change Healthcare",
"Various EHRs and practice management systems (many payer/EHR integrations)"
],
"id": "P0176",
"slug": "availity-essentials",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/availity-essentials.json"
}
}