Availity Eligibility & Benefits API — Eligibility

naftiko: 1.0.0-alpha2
info:
  label: Availity Eligibility & Benefits API — Eligibility
  description: 'Availity Eligibility & Benefits API — Eligibility. 4 operations. Lead operation: Availity Check Member Eligibility.
    Self-contained Naftiko capability covering one Availity business surface.'
  tags:
  - Availity
  - Eligibility
  created: '2026-05-19'
  modified: '2026-05-19'
binds:
- namespace: env
  keys:
    AVAILITY_API_KEY: AVAILITY_API_KEY
capability:
  consumes:
  - type: http
    namespace: eligibility-eligibility
    baseUri: https://api.availity.com
    description: Availity Eligibility & Benefits API — Eligibility business capability. Self-contained, no shared references.
    resources:
    - name: availity-intelligent-payer-network-v1-eligibilities
      path: /availity/intelligent-payer-network/v1/eligibilities
      operations:
      - name: checkeligibility
        method: POST
        description: Availity Check Member Eligibility
        outputRawFormat: json
        outputParameters:
        - name: result
          type: object
          value: $.
        inputParameters:
        - name: body
          in: body
          type: object
          description: Request body (JSON).
          required: true
      - name: listeligibilities
        method: GET
        description: Availity List Eligibility Inquiries
        outputRawFormat: json
        outputParameters:
        - name: result
          type: object
          value: $.
        inputParameters:
        - name: fromDate
          in: query
          type: string
        - name: toDate
          in: query
          type: string
        - name: payerId
          in: query
          type: string
        - name: limit
          in: query
          type: integer
        - name: offset
          in: query
          type: integer
    - name: availity-intelligent-payer-network-v1-eligibilities-id
      path: /availity/intelligent-payer-network/v1/eligibilities/{id}
      operations:
      - name: geteligibility
        method: GET
        description: Availity Get Eligibility Inquiry by ID
        outputRawFormat: json
        outputParameters:
        - name: result
          type: object
          value: $.
        inputParameters:
        - name: id
          in: path
          type: string
          description: Eligibility transaction ID
          required: true
    - name: availity-intelligent-payer-network-v1-payers
      path: /availity/intelligent-payer-network/v1/payers
      operations:
      - name: listpayers
        method: GET
        description: Availity List Supported Payers
        outputRawFormat: json
        outputParameters:
        - name: result
          type: object
          value: $.
        inputParameters:
        - name: supportedTransaction
          in: query
          type: string
          description: Filter by supported transaction type
        - name: name
          in: query
          type: string
          description: Search payers by name
    authentication:
      type: bearer
      token: '{{env.AVAILITY_API_KEY}}'
  exposes:
  - type: rest
    namespace: eligibility-eligibility-rest
    port: 8080
    description: REST adapter for Availity Eligibility & Benefits API — Eligibility. One Spectral-compliant resource per consumed
      operation, prefixed with /v1.
    resources:
    - path: /v1/availity/intelligent-payer-network/v1/eligibilities
      name: availity-intelligent-payer-network-v1-eligibilities
      description: REST surface for availity-intelligent-payer-network-v1-eligibilities.
      operations:
      - method: POST
        name: checkeligibility
        description: Availity Check Member Eligibility
        call: eligibility-eligibility.checkeligibility
        with:
          body: rest.body
        outputParameters:
        - type: object
          mapping: $.
      - method: GET
        name: listeligibilities
        description: Availity List Eligibility Inquiries
        call: eligibility-eligibility.listeligibilities
        with:
          fromDate: rest.fromDate
          toDate: rest.toDate
          payerId: rest.payerId
          limit: rest.limit
          offset: rest.offset
        outputParameters:
        - type: object
          mapping: $.
    - path: /v1/availity/intelligent-payer-network/v1/eligibilities/{id}
      name: availity-intelligent-payer-network-v1-eligibilities-id
      description: REST surface for availity-intelligent-payer-network-v1-eligibilities-id.
      operations:
      - method: GET
        name: geteligibility
        description: Availity Get Eligibility Inquiry by ID
        call: eligibility-eligibility.geteligibility
        with:
          id: rest.id
        outputParameters:
        - type: object
          mapping: $.
    - path: /v1/availity/intelligent-payer-network/v1/payers
      name: availity-intelligent-payer-network-v1-payers
      description: REST surface for availity-intelligent-payer-network-v1-payers.
      operations:
      - method: GET
        name: listpayers
        description: Availity List Supported Payers
        call: eligibility-eligibility.listpayers
        with:
          supportedTransaction: rest.supportedTransaction
          name: rest.name
        outputParameters:
        - type: object
          mapping: $.
  - type: mcp
    namespace: eligibility-eligibility-mcp
    port: 9090
    transport: http
    description: MCP adapter for Availity Eligibility & Benefits API — Eligibility. One tool per consumed operation, routed
      inline through this capability's consumes block.
    tools:
    - name: availity-check-member-eligibility
      description: Availity Check Member Eligibility
      hints:
        readOnly: true
        destructive: false
        idempotent: false
      call: eligibility-eligibility.checkeligibility
      with:
        body: tools.body
      outputParameters:
      - type: object
        mapping: $.
    - name: availity-list-eligibility-inquiries
      description: Availity List Eligibility Inquiries
      hints:
        readOnly: true
        destructive: false
        idempotent: true
      call: eligibility-eligibility.listeligibilities
      with:
        fromDate: tools.fromDate
        toDate: tools.toDate
        payerId: tools.payerId
        limit: tools.limit
        offset: tools.offset
      outputParameters:
      - type: object
        mapping: $.
    - name: availity-get-eligibility-inquiry-id
      description: Availity Get Eligibility Inquiry by ID
      hints:
        readOnly: true
        destructive: false
        idempotent: true
      call: eligibility-eligibility.geteligibility
      with:
        id: tools.id
      outputParameters:
      - type: object
        mapping: $.
    - name: availity-list-supported-payers
      description: Availity List Supported Payers
      hints:
        readOnly: true
        destructive: false
        idempotent: true
      call: eligibility-eligibility.listpayers
      with:
        supportedTransaction: tools.supportedTransaction
        name: tools.name
      outputParameters:
      - type: object
        mapping: $.