Skip to main content Announcing Tool Policies: AI agent permissions down to the field Read the announcement
Live 27 Actions

Availity MCP Server
for AI Agents

Connect your AI agent to StackOne's Availity MCP server and give it 27 MCP tools out of the box. Auth, tool execution, and security all managed.

Availity logo
Availity MCP Server
Built by StackOne StackOne
DrataGPLocalyzeFlipMindtoolsScreenloop

Coverage

27 Agent Actions

Agents can read, write, delete and run operations in Availity. Extend your agent's capabilities with custom actions.

Authentication

Agent Tool Authentication

Per-user OAuth in one call. Your Availity MCP server gets session-scoped tokens with zero credentials stored on your infra.

Agent Auth →

Security

Agent Protection

Every Availity tool response scanned for prompt injection in milliseconds, with 88.7% accuracy, all running on CPU.

Prompt Injection Defense →

Performance

Max Agent Context. Min Cost.

Free up to 96% of your agent's context window to enhance reasoning and reduce cost, on every Availity call.

Tools Discovery →

What is the Availity MCP Server?

A Availity MCP server lets AI agents read and write Availity data through the Model Context Protocol, Anthropic's open standard for connecting LLMs to external tools. StackOne's Availity MCP server ships with 27 pre-built actions, fully extensible via the Connector Builder, plus managed authentication, prompt injection defense, observability, and agent execution runtime. Connect it from MCP clients like Claude Desktop, Claude Code, Cursor, Goose, and VS Code, or from agent frameworks like OpenAI Agents SDK, LangChain, and Vercel AI SDK.

All Availity MCP Tools

Every StackOne action for Availity, ready for your agent. Read, write, delete and run operations, scoped to exactly what you need.

Prior Authorization Or Referrals

  • Get Prior Authorization Or Referral

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

  • 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.

Other (25)

  • Get Claim Status Result

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

  • List Payer Configurations

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

  • 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.

  • Get Patient Cost Estimate (Institutional 1.0)

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

  • 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.

  • Get Eligibility And Benefits

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

  • 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.

  • 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.

  • Delete Stored Claim Status Result

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

  • Delete Stored Eligibility Result

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

  • Check Claim Status

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

  • 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).

  • 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).

  • 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).

  • Check Eligibility And Benefits

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

  • Submit Dental Claim

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

  • Submit Prior Authorization Or Referral

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

  • Void Prior Authorization Or Referral

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

Set Up Your Availity MCP Server in Minutes

One endpoint. Any framework. Your agent is talking to Availity in under 10 lines of code.

Agent Frameworks

Claude Desktop
{
  "mcpServers": {
    "stackone": {
      "command": "npx",
      "args": [
        "-y",
        "mcp-remote@latest",
        "https://api.stackone.com/mcp?x-account-id=<account_id>",
        "--header",
        "Authorization: Basic <YOUR_BASE64_TOKEN>"
      ]
    }
  }
}

Availity MCP Server FAQ

Does StackOne have a Availity MCP server?
Yes. StackOne offers a managed Availity MCP server with 27 pre-built actions, and every action is tested and QA'd by StackOne. Connect it to Claude, Cursor, and any other MCP client, or to any agent framework through the AI Action SDK. It ships with managed agent authentication, prompt injection defense, and tool discovery with server-side execution that preserve your agent's context window and keep reasoning performance.
Availity MCP server vs direct API integration: what's the difference?
A Availity MCP server and direct API integration serve different use cases. Direct API integration is for software-to-software work, where backend code calls Availity. A Availity MCP server is for AI agents that discover and call Availity at runtime, such as MCP clients like Claude and Cursor, plus framework agents built with OpenAI, LangChain, or Vercel AI. StackOne provides both.
How does Availity authentication work for AI agents?
Availity authentication for AI agents works through a StackOne Connect Session. Create one via the dashboard or the SDK to get an auth link and ready-to-paste config for Claude Desktop, Cursor, and other MCP clients. Your user authenticates their own Availity account; StackOne handles token exchange, storage, and refresh. Credentials never reach the LLM, and each user is isolated via origin_owner_id.
Are Availity MCP tools vulnerable to prompt injection?
Yes. Availity MCP tools can be vulnerable to indirect prompt injection. Any tool that reads user-written content, such as documents, messages, tickets, records, or free-text fields, is a potential vector. StackOne Defender scans every tool response before it enters the agent's context. It runs regex patterns in ~1ms, then a MiniLM classifier in ~4ms. Accuracy is 88.7%, and it runs entirely on CPU.
What is the context bloat of a Availity agent and how do I avoid it?
Context bloat happens when Availity tool schemas and API responses eat your Availity agent's memory, preventing it from reasoning effectively. A single Availity query can return a massive JSON response, and connecting multiple tools compounds the problem. Tools Discovery reduces it by loading only the tools relevant to each query.
Can I limit which actions my Availity agent can access?
Yes. You can limit which actions your Availity agent can access directly from the StackOne dashboard. Toggle actions on or off, or restrict them to specific accounts, with no code changes to your agent. Session tokens can be scoped to exact actions so if one leaks, exposure stays contained.
Can I create custom agent actions for my Availity MCP server?
Yes. You can create custom agent actions for your Availity MCP server using Connector Builder. It's an integration agent your coding assistant (Claude Code, Cursor, or Copilot) can invoke to research Availity's API, generate production-ready connector YAML, test against the live API, and validate before you ship.
When should I NOT use a Availity MCP server?
Skip a Availity MCP server if your integration is purely software-to-software, because direct Availity API integration is simpler when no AI agent is involved. For deterministic, compliance-critical operations (financial transactions, regulatory reporting), direct API gives you predictable behavior without agent-driven decision-making. MCP shines when AI agents need to dynamically discover and call Availity actions at runtime.
What AI frameworks and AI clients does the StackOne Availity MCP server support?
The StackOne Availity MCP server supports both. MCP clients (paste-and-go apps): Claude Desktop, Claude Code, Cursor, VS Code, Goose. Agent frameworks (code SDKs you build with): OpenAI Agents SDK, Anthropic, Vercel AI, Google ADK, CrewAI, Pydantic AI, LangChain, LangGraph, Azure AI Foundry.

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.