Availity API Integration: Eligibility, Service Reviews and Auth
Availity is one of the largest health information networks, widely used for eligibility, coverage and authorization service reviews. MedXFlow uses connections like Availity to automate the front end of the revenue cycle.
What it powers
- Real-time eligibility and benefits (270/271) across many payers from one connection.
- Coverage and service reviews used for prior authorization workflows.
- Claim status checks to keep follow-up moving.
Where it fits, and where it does not
Network connections like Availity cover a lot of payers, but not every payer or every service supports every transaction, and some authorizations still route through payer portals. MedXFlow uses the network where it works and AI agents to handle the payer-portal exceptions where it does not, so coverage is complete.
Frequently asked questions
What is Availity used for in RCM?
Availity is a health information network used for real-time eligibility and benefits, coverage and authorization service reviews, and claim status across many payers. MedXFlow uses connections like it to automate the front end of the revenue cycle.