Availity Healthcare Revenue Cycle Management
Unified workflow for revenue cycle management combining eligibility verification, claim status tracking, and prior authorization. Used by billing departments and revenue cycle teams to streamline patient encounter workflows.
What You Can Do
MCP Tools
verify-member-eligibility
Verify patient insurance eligibility and benefits before service delivery
list-eligibility-history
List previous eligibility inquiries for audit and follow-up
lookup-supported-payers
Find health plan payers available for transactions
submit-claim-status-inquiry
Submit a claim status inquiry to check adjudication status
search-claims-summary
Search claims by service date or member ID for revenue tracking
get-claim-detail
Get detailed claim information including adjudication and payment amounts
check-prior-auth-required
Determine if a payer requires prior authorization before service delivery
submit-prior-authorization
Submit a prior authorization request for a scheduled procedure
track-authorization-status
Track the status of a submitted prior authorization request