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Connect

Connect to everything your agents need, without writing the infrastructure to get there.

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Maximise agent efficiency – faster responses, increased accuracy, fewer tokens used.

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Connectors Availity
Live 27 Actions

Availity Integration for AI Agents

Connect your AI agent to 27 Availity actions via MCP, A2A, or SDK, with agent authentication, tool-calling execution, and security built-in.

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Availity AI Agent Actions

27 production-ready actions for your agent to do more on Availity.

Read the Availity docs
27 Actions
Check Claim Status - Ask the payer where a claim stands (received, pending, denied or paid) with a claim status inquiry (X12 276/277).
Get Claim Status Result - 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 - Delete Availity's stored copy of a claim status inquiry without changing anything at the payer.
List Payer Configurations - Get a health plan's field rules for one transaction, or the payers that support that transaction.
Estimate Patient Cost (Professional 1.0) - Ask a health plan what a patient will likely owe for physician or supplier services when there is no eligibility check from today (Patient Cost Estimator Professional 1.0.0).
Get Patient Cost Estimate (Professional 1.0) - 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) - Ask a health plan what a patient will likely owe for hospital or facility services (Patient Cost Estimator Institutional 1.0.0).
Get Patient Cost Estimate (Institutional 1.0) - Get the payer answer to a facility cost estimate, including what the patient will likely owe.
Estimate Patient Cost (Professional 2.0) - Ask a health plan what a patient will likely owe for physician services, using an eligibility check from today (Patient Cost Estimator Professional 2.0.0).
Get Patient Cost Estimate (Professional 2.0) - 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 - Start an eligibility and benefits check (Availity Coverages) for a patient with their health plan.
Get Eligibility And Benefits - Get the full eligibility and benefits answer for one coverage check.
Delete Stored Eligibility Result - Delete Availity's stored copy of one eligibility and benefits answer (a coverage).
Submit Dental Claim - Submit a dental claim or encounter (X12 837D) to the payer for payment through Availity.
Get Dental Claim - Get a submitted dental claim by id to confirm Availity has processed it.
List Payers - List the health plans (payers) reachable through Availity and the transactions each one supports.
List Payers (AWS Payer List) - List health plans and their supported transactions from the separate AWS Availity Payer List 2.0.0 product.
Search Payer Payments (Checks And EFTs) - Find the checks and EFT payments payers sent in a date range, from their remittance (ERA) data.
Get Payer Payment Details - Get the full remittance for one check or EFT payment, with every claim it pays.
Search Claim Payments - Find whether, when and how much a payer paid on a claim, from the payer's remittance (ERA) data.
Get Claim Payment Details - Get the full payment detail of one claim from the payer's remittance.
Get Payment ERA File (X12 835) - Get the raw X12 835 remittance file for one check or EFT payment.
Submit Prior Authorization Or Referral - Submit a prior authorization or referral request (X12 278) to a health plan through Availity Service Reviews.
Get Prior Authorization Or Referral - Get one prior authorization or referral (an Availity service review) with the payer's decision and authorization number.
Search Prior Authorizations And Referrals - Find existing prior authorizations and referrals (Availity service reviews) at a payer by authorization number, reference number, member, patient, provider, dates or status.
Update Prior Authorization Or Referral - Change an existing prior authorization or referral (an Availity service review) at the payer, such as dates, units or providers.
Void Prior Authorization Or Referral - Void (cancel) a prior authorization or referral (an Availity service review) at the payer.

Do More, Build Less

Connect AI to Availity and control what it can do, down to the field

Multiple Interfaces

Access integrations via API, AI SDKs, MCP & A2A.

Availity MCP server
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Pre-built authentication UI.

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Falcon Engine

Every Availity action runs on Falcon.

Agent Execution Engine
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Availity AI agent integration resources

Agentic Context Engineering: Why AI Agents Kill Their Own Context Windows

AI agents exceed their context windows without knowing it. Six failure patterns and seven survival architectures for agentic context engineering.

15 min

Comparing BM25, TF-IDF, and Hybrid Search for MCP Tool Discovery

Benchmarking BM25, TF-IDF, and hybrid search for MCP tool discovery across 916 tools. The 80/20 TF-IDF/BM25 hybrid hits 21% Top-1 accuracy in under 1ms.

10 min

Put your AI agents to work

Connect AI to every company system and control what it can do in each one, down to the field.

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