Company profile

Availity

Healthcare Operations & Administration

Company profile

About Availity

Availity is the nation's largest dual-sided, real-time healthcare intelligence network, serving as the trusted infrastructure that powers more than half of all U.S. healthcare transactions. The company connects payers, providers, and health information technology partners through a comprehensive platform that streamlines administrative and clinical workflows across the healthcare ecosystem. Availity's solutions span the entire revenue cycle, from pre-service eligibility verification and prior authorization to claims processing, payment accuracy, and post-adjudication workflows. For payers, Availity offers network connectivity, multi-payer portal capabilities, intelligent utilization management, payment accuracy solutions, clinical data management, provider lifecycle solutions, and digital correspondence tools. The platform helps payers improve collaboration with provider networks, reduce administrative waste, and ensure compliance with regulatory requirements including CMS-0057-F. For providers, Availity delivers streamlined workflows, reduced denials, and accelerated cash flow through secure connections to payers nationwide. For health IT companies, Availity provides clearinghouse and trading partner network services, along with Availity Extend—a modern developer platform for building and automating healthcare workflows at national scale. The company's AI-enabled platform integrates administrative and clinical data to transform complex payer-provider interactions, reduce friction, and drive behavior change across the healthcare industry. With direct connectivity to major payers, millions of providers, and thousands of B2B partners processing billions in billed claims annually, Availity serves as the neutral third-party infrastructure that enables collaboration and innovation across the healthcare ecosystem.

Company description Availity official website

Primary marketHealthcare Operations & Administration
Commercial modelCommercial information available on request
Company presenceOfficial website
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01 · Operating footprint

Where the Company operates

Company-profile context for clinical focus, customers, deployment, integration, milestones, and partnerships.

Clinical focus

No clinical focus areas are currently listed.

Who it serves

  • Clearinghouses
  • Clinics
  • Health IT Companies
  • Health Systems
  • Payers
  • Providers

Deployment & integration

Api Only · Cloud Saas deployment with recorded integration context.

Recorded integration context: Cerner, clearinghouse systems, EHR systems, Epic, payer systems.

Geographic context

MarketsUnited States
Company sourceOfficial website

Company milestones

Platform expansion

CMS-0057-F Solution Suite launch, Availity Extend platform for developers, expansion of provider lifecycle solutions

Partnerships

Recorded partners

No partners are currently listed.

02 · Flagship portfolio

Products, workflows, and platform capabilities

Selected source-backed Company products and the available commercial context.

Availity Extend

Modern developer experience and agent-ready orchestration layer for building and automating real healthcare workflows

Api · Api OnlyCompany source

Clearinghouse & Trading Partner Network

National-scale transaction processing and trusted connectivity across eligibility, claims, and payments

Platform · Cloud SaaSCompany source

Clinical Data Solutions

Make clinical data work for you by streamlining acquisition, improving quality, and optimizing workflows

Platform · Cloud SaaSCompany source

CMS-0057-F Solution Suite

Operationalize 0057 with compliant FHIR APIs and scalable interoperability on a trusted national network

Platform · Cloud SaaSCompany source

Credentialing Intake

Accelerate provider credentialing

Platform · Cloud SaaSCompany source

Digital Correspondence

Drive cost out of provider communications by digitizing paper correspondence

Platform · Cloud SaaSCompany source

Intelligent Utilization Management

Help ensure the right care at the right time by transforming the prior authorization process

Platform · Cloud SaaSCompany source

Multi-Payer Portal

Improve collaboration with your provider network by automating core workflows

Platform · Cloud SaaSCompany source

Network Connectivity for Payers

Connect to the most providers and HIT partners nationwide

Platform · Cloud SaaSCompany source

03 · Research intelligence

Research Intelligence evidence

Publications, preprints, clinical validation, and regulatory records in Evidence Position order.

Evidence position

Publications, clinical validation, and regulatory records connected to this Company appear here.

Research

Publications & preprints

No linked records are currently available.

Clinical validation

Clinical-trial records

No linked records are currently available.

Regulatory

Regulatory records

No linked records are currently available.

04 · Company-reported outcomes

Outcomes and case studies

Company-reported outcomes and customer stories are distinct from linked Research Intelligence evidence.

Margin and yield improvement

For providers through streamlined workflows

Reduced denials and write-offs

Provider revenue cycle management

Accelerated cash flow

Provider payment processing

Reduced labor burnout

Provider administrative staff

Accelerated digital adoption

Payer-provider collaboration

Improved precision and reduced waste

Administrative processes

Over half of U.S. healthcare transactions

Network transaction volume

05 · Leadership

Leadership team

Leadership profiles and professional links from the current Company record.

No active leadership profiles are currently listed.

06 · Company updates

Updates from Availity

Recent articles published on Availity's official website.

07 · HAIC coverage

Coverage and analysis

Health AI Central reporting that mentions this Company.

No HAIC coverage is currently linked to this Company.

08 · Official presence

Company sources and channels

Curated official destinations from the active Company record.

09 · Market pathway

Additional Companies in this Market

Other active Companies in the same market, selected alphabetically from the HAIC directory.

Market context

Healthcare Operations & Administration

Companies using AI to optimize hospital operations, automate administrative workflows, improve scheduling, manage healthcare resources, coordinate care delivery, or reduce operational inefficiencies. Includes prior authorization automation, credentialing, billing, care coordination, and AI tools that help health systems run more efficiently.

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10 · Pro research

Coming soon

Expanded Company research is in development.

Health AI Central Pro · Coming Soon

Deeper Company research is coming soon.

Pro Research will introduce expanded technical context, linked evidence analysis, and comparative Company research.

ResearchEvidence analysis

Linked research, clinical, and regulatory source pathways.

CompanyTechnical context

Expanded product, deployment, integration, and partnership research.

MethodSource & review record

Record-level provenance and review context.

Coming Soon