JSON twin: https://www.healthaidb.com/software/availity-fusion.json
Availity
https://www.availity.com/clinical/
Availity Fusion is an API-based clinical data transformation engine that aggregates, normalizes, deduplicates and converts multi-format clinical data into high-quality FHIR resources in near real-time.
Availity Fusion ingests clinical data from EHRs, HIEs, labs and other sources, semantically normalizes and enriches the data (Upcycles Data™), deduplicates records, and exposes the result via FHIR APIs and FHIR streaming to power analytics, care management, population health, Payer-to-Payer exchanges and other downstream workflows.
yes
2001
US (nationwide connectivity and hosting for US payers)
P0177
2025-09-07
proprietary (commercial)
Contact vendor for pricing, deployment tiers, and trial/pilot options.
enterprise_quote
product
1.0
{
"company_name": "Availity",
"company_url": "https://www.availity.com",
"company_offices": [
"United States",
"India"
],
"company_founding": "2001",
"product_url": "https://www.availity.com/clinical/",
"categories": [
"clinical",
"interoperability",
"data management",
"connectivity",
"API",
"revenue cycle",
"administrative"
],
"market_segment": [
"enterprise",
"payer"
],
"links": [
"https://www.availity.com",
"https://www.availity.com/clinical/",
"https://www.availity.com/interoperability/",
"https://www.availity.com/case-studies/transforming-clinical-data-into-actionable-patient-summaries/",
"https://www.availity.com/locations/",
"https://www.availity.com/news/availity-and-connective-healths-collaboration-transforms-clinical-data-into-actionable-patient-summaries/",
"https://elion.health/products/availity-fusion",
"https://quantiphi.com/media-releases/quantiphi-and-availity-partner-to-launch-availity-fusiontm-solution-to-google-cloud",
"https://www.oit.va.gov/services/trm/ToolPage.aspx?tid=15989"
],
"summary": "Availity Fusion is an API-based clinical data transformation engine that aggregates, normalizes, deduplicates and converts multi-format clinical data into high-quality FHIR resources in near real-time.",
"description": "Availity Fusion ingests clinical data from EHRs, HIEs, labs and other sources, semantically normalizes and enriches the data (Upcycles Data™), deduplicates records, and exposes the result via FHIR APIs and FHIR streaming to power analytics, care management, population health, Payer-to-Payer exchanges and other downstream workflows.",
"target_users": [
"payers",
"health plans",
"providers",
"health IT developers",
"clinical informaticists",
"data engineers",
"population health teams",
"care management teams",
"integration architects"
],
"specialties": [
"population health",
"care management",
"health information exchange",
"clinical data management",
"analytics"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, deployment tiers, and trial/pilot options.",
"license": "proprietary (commercial)",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"API-based clinical data ingestion",
"Multi-source connectivity (EHRs, HIEs, registries, record retrieval vendors, payers)",
"Parsing and extraction of clinical data",
"Semantic normalization to standards",
"Data enrichment with metadata/classifications",
"Deduplication and re‑organization of clinical entries",
"Real-time transformation and FHIR conversion",
"Clinical trading partner network connectivity",
"Direct clinical connections management",
"Payer-to-payer data exchange support",
"Clinical data quality optimization (parse/normalize/enrich/reorganize/deduplicate)",
"Activation into downstream workflows (HEDIS/Stars, utilization management, claims editing)"
],
"optional_modules": [
"Payer-to-Payer Hub",
"Interoperability services / FHIR conversion",
"Clinical connectivity onboarding"
],
"integrations": [
"Clinical trading partner network (wide HIT vendor connectivity)",
"Availity administrative network (claims/authorizations sources)"
],
"data_standards": [
"FHIR",
"C-CDA",
"HEDIS value sets"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"CMS interoperability/mandate support (CMS-0057)",
"NCQA/HEDIS alignment"
],
"certifications": [],
"security_features": [
"Secure API-based data exchange",
"Connectivity and access controls",
"Audit logging (platform level)"
],
"privacy_features": [
"Support for regulatory-compliant data handling (privacy policy / regulatory compliance resources)",
"Enterprise-level data governance for activation"
],
"data_residency": "US (nationwide connectivity and hosting for US payers)",
"customers": [
"Connective Health",
"Health Care Service Corporation (HCSC)",
"CareShare / Connected Care Exchange"
],
"user_reviews": [
"Availity sucks as a Clearinghouse. You are better off with Office Ally or Claim Logic.",
"I find Availity difficult to use. Customer service is almost non-existent within Availity.",
"I've been trying to bill for my private practice and Availity is killing me! I keep submitting claims the same way and they fail.",
"When it comes to claim inquiries, Availity chat and the payer phone lines are completely useless — chat often never connects to an agent."
],
"ratings": [],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"customer_support_portal"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"training_and_education"
],
"release_year": "",
"integration_partners": [
"Connective Health",
"Amazon Web Services (AWS)",
"Caylent"
],
"id": "P0177",
"slug": "availity-fusion",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/availity-fusion.json"
}
}