Availity Essentials

JSON twin: https://www.healthaidb.com/software/availity-essentials.json

Company Name

Availity

Product URL

https://www.availity.com/essentials/

Company URL

https://www.availity.com

Categories

• administrative Operations
• revenue Cycle
• payer Solutions
• clinical Data Management
• communication
• provider Management
• utilization Management
• payment Solutions
• integration Platform
• Administrative
• Revenue Cycle Management
• Payer Integration
• Clinical Data Solutions
• Digital Correspondence
• Provider Lifecycle Solutions
• Intelligent Utilization Management
• Payment Accuracy
• Multi-payer Portal
• Enterprise Integration

Summary

Availity Essentials is a multi-payer portal that streamlines healthcare administrative processes by providing real-time access to various payers, enhancing provider efficiency and collaboration.

Description

Availity Essentials is a comprehensive platform designed to simplify healthcare administrative tasks by offering real-time access to multiple payers. It enables providers to manage eligibility verification, claim status, authorizations, and remittances through a unified interface, thereby improving operational efficiency and reducing administrative burdens. The platform also integrates advanced features like Predictive Editing, powered by AI, to proactively identify and prevent claim denials, further enhancing revenue cycle management. Additionally, Availity Essentials supports seamless integration with enterprise systems via RESTful APIs and HL7/FHIR compliance, facilitating smooth data exchange and scalability. The platform is accessible through a web interface, ensuring broad usability across various healthcare settings.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2001

Company Offices

• United States

Compliance

• HIPAA
• SOC 2
• ISO 27001
• HITECH
• GDPR

Customers

• Healthcare providers using Availity Essentials

Data Residency

US-only

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Eligibility and Benefits Verification
• Prior Authorization Management
• Claims Submission and Status Tracking
• Secure Messaging and Notifications
• Digital Correspondence Hub
• Patient Cost Estimation
• Care Reminders
• Claim Appeals Management
• Provider Data Management
• Provider Training and Support

Id

SW0951

Integration Partners

• Practice management systems
• EHRs

Integrations

• Epic
• Cerner
• PACS
• Billing Systems
• EHRs
• Practice Management Systems
• RevSpring Payment Services
• InterQual Clinical Decision Support
• Anomaly Insights AI Engine

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Essentials Plus
• Essentials Pro

Os Platforms

• Web

Pricing Details

Free access to many payers; Availity Essentials Plus subscription starts at $25 per month; Availity EDI Clearinghouse starts at $35 per month.

Pricing Model

freemium

Privacy Features

• BAA available
• Consent Management
• Anonymization
• Data Minimization

Product Code

SW0951

Product Name

Availity Essentials

Ratings

• 4.1/5 (40 reviews) - G2
• 4.6/5 (21 reviews) - G2
• 4.4/5 (114 reviews) - G2
• 4.3/5 (11 reviews) - G2
• 4.1/5 (122 reviews) - G2

Regions Available

• United States

Related Urls

• https://elion.health/products/availity-essentials

Release Year

2001

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit Logs
• 2FA
• DLP
• Rapid Recovery Model

Specialties

• General Healthcare
• Multi-specialty Practices
• Hospitals
• Health Systems
• Group Practices

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• admins
• healthcare providers
• healthcare organizations

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Allows insurance verifications and payments and claims processing.
• The ability to receive claim status and eligibility from multiple payers and providers in one space, with one login.
• Easily accessible with many plans.
• With Availity, I can see if our claims are being sent to their proper insurance, but it also gives me the errors I need to correct if there are any issues.
• I like the option to view patient eligibility information and claim information.
• I like that I am able to verify patients' dental benefits quickly. I also like the amount of detailed information I am able to obtain!
• Being able to verify eligibility for so many insurance companies. Like being able to update information in one place.
• Love just how quickly it works and how simple it is to use with the insurance carriers it supports. It is MUCH easier than dealing with insurance companies directly.
• Availity is straightforward with the tools available to manage claims. It offers an organized homepage that has all the applications one click away. It allows me to check the status of a claim, gives overviews of authorizations and referrals, and most importantly, allows me to verify patient eligibility. The eligibility and benefits inquiry tool is the most effective benefit for me since it enables me to manage the accuracy of eligibility information thoroughly.
• Availity is extremely easy to use and has all insurance information displayed in an easy manner.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "Availity Essentials",
  "company_name": "Availity",
  "product_url": "https://www.availity.com/essentials/",
  "company_url": "https://www.availity.com",
  "related_urls": [
    "https://elion.health/products/availity-essentials"
  ],
  "product_code": "SW0951",
  "summary": "Availity Essentials is a multi-payer portal that streamlines healthcare administrative processes by providing real-time access to various payers, enhancing provider efficiency and collaboration.",
  "description": "Availity Essentials is a comprehensive platform designed to simplify healthcare administrative tasks by offering real-time access to multiple payers. It enables providers to manage eligibility verification, claim status, authorizations, and remittances through a unified interface, thereby improving operational efficiency and reducing administrative burdens. The platform also integrates advanced features like Predictive Editing, powered by AI, to proactively identify and prevent claim denials, further enhancing revenue cycle management. Additionally, Availity Essentials supports seamless integration with enterprise systems via RESTful APIs and HL7/FHIR compliance, facilitating smooth data exchange and scalability. The platform is accessible through a web interface, ensuring broad usability across various healthcare settings.",
  "categories": [
    "administrative Operations",
    "revenue Cycle",
    "payer Solutions",
    "clinical Data Management",
    "communication",
    "provider Management",
    "utilization Management",
    "payment Solutions",
    "integration Platform",
    "Administrative",
    "Revenue Cycle Management",
    "Payer Integration",
    "Clinical Data Solutions",
    "Digital Correspondence",
    "Provider Lifecycle Solutions",
    "Intelligent Utilization Management",
    "Payment Accuracy",
    "Multi-payer Portal",
    "Enterprise Integration"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins",
    "healthcare providers",
    "healthcare organizations"
  ],
  "specialties": [
    "General Healthcare",
    "Multi-specialty Practices",
    "Hospitals",
    "Health Systems",
    "Group Practices"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "freemium",
  "pricing_details": "Free access to many payers; Availity Essentials Plus subscription starts at $25 per month; Availity EDI Clearinghouse starts at $35 per month.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2001",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Eligibility and Benefits Verification",
    "Prior Authorization Management",
    "Claims Submission and Status Tracking",
    "Secure Messaging and Notifications",
    "Digital Correspondence Hub",
    "Patient Cost Estimation",
    "Care Reminders",
    "Claim Appeals Management",
    "Provider Data Management",
    "Provider Training and Support"
  ],
  "optional_modules": [
    "Essentials Plus",
    "Essentials Pro"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "PACS",
    "Billing Systems",
    "EHRs",
    "Practice Management Systems",
    "RevSpring Payment Services",
    "InterQual Clinical Decision Support",
    "Anomaly Insights AI Engine"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2",
    "ISO 27001",
    "HITECH",
    "GDPR"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit Logs",
    "2FA",
    "DLP",
    "Rapid Recovery Model"
  ],
  "privacy_features": [
    "BAA available",
    "Consent Management",
    "Anonymization",
    "Data Minimization"
  ],
  "data_residency": "US-only",
  "customers": [
    "Healthcare providers using Availity Essentials"
  ],
  "user_reviews": [
    "Allows insurance verifications and payments and claims processing.",
    "The ability to receive claim status and eligibility from multiple payers and providers in one space, with one login.",
    "Easily accessible with many plans.",
    "With Availity, I can see if our claims are being sent to their proper insurance, but it also gives me the errors I need to correct if there are any issues.",
    "I like the option to view patient eligibility information and claim information.",
    "I like that I am able to verify patients' dental benefits quickly. I also like the amount of detailed information I am able to obtain!",
    "Being able to verify eligibility for so many insurance companies. Like being able to update information in one place.",
    "Love just how quickly it works and how simple it is to use with the insurance carriers it supports. It is MUCH easier than dealing with insurance companies directly.",
    "Availity is straightforward with the tools available to manage claims. It offers an organized homepage that has all the applications one click away. It allows me to check the status of a claim, gives overviews of authorizations and referrals, and most importantly, allows me to verify patient eligibility. The eligibility and benefits inquiry tool is the most effective benefit for me since it enables me to manage the accuracy of eligibility information thoroughly.",
    "Availity is extremely easy to use and has all insurance information displayed in an easy manner."
  ],
  "ratings": [
    "4.1/5 (40 reviews) - G2",
    "4.6/5 (21 reviews) - G2",
    "4.4/5 (114 reviews) - G2",
    "4.3/5 (11 reviews) - G2",
    "4.1/5 (122 reviews) - G2"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2001",
  "integration_partners": [
    "Practice management systems",
    "EHRs"
  ],
  "id": "SW0951",
  "slug": "availity-essentials",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/availity-essentials.json"
  }
}