Availity Plans Pricing
Availity is a healthcare network connecting providers, health plans, and trading partners. Availity Essentials (provider portal) is free to providers — paid for by participating health plans. Premium offerings (Essentials Pro, Clearinghouse / Trading Partner Network, Revenue Cycle Management, Extend orchestration) are subscription / per-transaction priced and quote-based.
Plans
Free multi-payer provider portal. Providers access eligibility, claim status, ERA, and authorizations across participating payers. Cost is borne by the payers, not the provider.
- Eligibility & Benefits (270/271)
- Claim Status (276/277)
- Electronic Remittance Advice (835)
- Authorizations
- Multi-Payer Reporting
Paid upgrade to Essentials with deeper RCM workflows, expanded reporting, and value-add tools for provider organizations. Quote-based pricing.
- Advanced Claim Status workflows
- Coverage Discovery
- Worklist Management
- Enhanced Reporting
National-scale X12 transaction processing for trading partners. Per-transaction or volume-tier pricing under bilateral agreement.
- 270/271 Eligibility
- 276/277 Claim Status
- 278 Authorization
- 835 ERA
- 837 Claim Submission
Pre-service, post-service, and post-adjudication RCM tooling. Quote-based pricing.
- Pre-service eligibility & estimation
- Claim editing & submission
- Denial management
- Post-adjudication reconciliation
Orchestration layer for building automated healthcare workflows on top of the Availity network. Enterprise pricing.
- Workflow orchestration
- Real-time API integration
- Event-driven automation