> ## Documentation Index
> Fetch the complete documentation index at: https://docs.stackone.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Availity

> How to set up the Availity connector, plus the actions that are available.

![Availity](https://stackone-logos.com/api/availity/filled/svg)

Previewv0.1.0[See changelog](https://docs.stackone.com/connectors/availity/changelog.md)

[27 actions](#actions) · 1 auth method

Healthcare
Billing

## Getting Started

**1. Create or Select a Project**

Set up a new project or select an existing one. See [Organizations & Projects](https://docs.stackone.com/gateway/concepts/organizations-and-projects.md).

**2. Configure the Connector**

Enable the connector and create a Connector Profile in your project. See [Setup Connector Profile](https://docs.stackone.com/gateway/quickstart.md#setup-connector-profile).

> [card] [OAuth 2.0 · Connector Profile](https://docs.stackone.com/connectors/availity/guides/connector-profile/oauth-2-0.md)
>
> Connects as your organization's own app on the Availity Developer Portal, not as a signed-in user. Each approved product...

**3. Link an Account**

Link an account [from the dashboard](https://docs.stackone.com/connect/managing-connectors/linking-accounts.md#link-from-the-dashboard) (or via [StackOne Hub](https://docs.stackone.com/embed/account-linking/overview)).

See the guide for the authentication type chosen in the Connector Profile:

> [card] [OAuth 2.0 · Link Account](https://docs.stackone.com/connectors/availity/guides/link-account/oauth-2-0.md)

**4. Use Actions**

Connect an AI platform to the linked account's actions. See [AI Platforms](https://docs.stackone.com/connect/ai-platforms/overview.md).

Other ways to call actions are listed in [Protocols & SDKs](https://docs.stackone.com/connect/protocols-and-sdks.md).

## Actions

27 actions

ActionDescription

Check Claim Status`availity_search_claim_statuses`

Ask the payer where a claim stands (received, pending, denied or paid) with a claim status inquiry (X12 276/277).

Get Claim Status Result`availity_get_claim_status`

Get the payer's full answer for one claim status inquiry, with paid amount, check number and line-level status.

Delete Stored Claim Status Result`availity_delete_claim_status`

Delete Availity's stored copy of a claim status inquiry without changing anything at the payer.

List Payer Configurations`availity_list_configurations`

Get a health plan's field rules for one transaction, or the payers that support that transaction.

Estimate Patient Cost (Professional 1.0)`availity_create_professional_cost_estimate`

Ask a health plan what a patient will likely owe for physician or supplier services when there is no eligibility check f...

Get Patient Cost Estimate (Professional 1.0)`availity_get_professional_cost_estimate`

Get the payer answer to a professional cost estimate, including what the patient will likely owe per service line.

Estimate Patient Cost (Institutional 1.0)`availity_create_institutional_cost_estimate`

Ask a health plan what a patient will likely owe for hospital or facility services (Patient Cost Estimator Institutional...

Get Patient Cost Estimate (Institutional 1.0)`availity_get_institutional_cost_estimate`

Get the payer answer to a facility cost estimate, including what the patient will likely owe.

Estimate Patient Cost (Professional 2.0)`availity_create_professional_cost_estimate_v2`

Ask a health plan what a patient will likely owe for physician services, using an eligibility check from today (Patient...

Get Patient Cost Estimate (Professional 2.0)`availity_get_professional_cost_estimate_v2`

Get the payer answer to a 2.0.0 professional cost estimate, including what the patient will likely owe per service line.

Check Eligibility And Benefits`availity_create_coverage`

Start an eligibility and benefits check (Availity Coverages) for a patient with their health plan.

Get Eligibility And Benefits`availity_get_coverage`

Get the full eligibility and benefits answer for one coverage check.

Delete Stored Eligibility Result`availity_delete_coverage`

Delete Availity's stored copy of one eligibility and benefits answer (a coverage).

Submit Dental Claim`availity_create_dental_claim`

Submit a dental claim or encounter (X12 837D) to the payer for payment through Availity.

Get Dental Claim`availity_get_dental_claim`

Get a submitted dental claim by id to confirm Availity has processed it.

List Payers`availity_list_payers`

List the health plans (payers) reachable through Availity and the transactions each one supports.

List Payers (AWS Payer List)`availity_list_payers_v2`

List health plans and their supported transactions from the separate AWS Availity Payer List 2.0.0 product.

Search Payer Payments (Checks And EFTs)`availity_search_remittance_checks`

Find the checks and EFT payments payers sent in a date range, from their remittance (ERA) data.

Get Payer Payment Details`availity_get_remittance_check_details`

Get the full remittance for one check or EFT payment, with every claim it pays.

Search Claim Payments`availity_search_remittance_claims`

Find whether, when and how much a payer paid on a claim, from the payer's remittance (ERA) data.

Get Claim Payment Details`availity_get_remittance_claim_details`

Get the full payment detail of one claim from the payer's remittance.

Get Payment ERA File (X12 835)`availity_get_remittance_check_x12`

Get the raw X12 835 remittance file for one check or EFT payment.

Submit Prior Authorization Or Referral`availity_create_service_review`

Submit a prior authorization or referral request (X12 278) to a health plan through Availity Service Reviews.

Get Prior Authorization Or Referral`availity_get_service_review`

Get one prior authorization or referral (an Availity service review) with the payer's decision and authorization number.

Search Prior Authorizations And Referrals`availity_search_service_reviews`

Find existing prior authorizations and referrals (Availity service reviews) at a payer by authorization number, referenc...

Update Prior Authorization Or Referral`availity_update_service_review`

Change an existing prior authorization or referral (an Availity service review) at the payer, such as dates, units or pr...

Void Prior Authorization Or Referral`availity_delete_service_review`

Void (cancel) a prior authorization or referral (an Availity service review) at the payer.


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