菜单
Availity Essentials — lets an agent perform real-time eligibility verification, prior authorization initiation and status checks, and payer enrollment management via the Availity clearinghouse REST API.
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基于 SOC 职业分类
| name | availity |
| description | Availity Essentials — lets an agent perform real-time eligibility verification, prior authorization initiation and status checks, and payer enrollment management via the Availity clearinghouse REST API. |
| metadata | {"openclaw":{"requires":{"env":["AVAILITY_CLIENT_ID","AVAILITY_CLIENT_SECRET","AVAILITY_BASE_URL","AVAILITY_ORG_ID"]}},"primaryEnv":"AVAILITY_CLIENT_ID"} |
Availity is the largest healthcare information network in the US, connecting providers to hundreds of payers for eligibility, benefits, and administrative transactions. Availity Essentials (the payer-agnostic portal and API layer) supports X12 270/271 eligibility transactions, X12 278 prior authorization requests and responses, payer-specific PA requirement lookups, and provider enrollment management. Agents use it to automate revenue cycle and PA workflows without manual portal navigation.
This skill authenticates using variables declared in the metadata above. Copy ~/.openclaw/.env.example to ~/.openclaw/.env and fill in real values. Required variables:
AVAILITY_CLIENT_ID - OAuth 2.0 client ID from Availity developer portalAVAILITY_CLIENT_SECRET - OAuth 2.0 client secret for token exchangeAVAILITY_BASE_URL - API base URL (https://api.availity.com/availity/v1)AVAILITY_ORG_ID - Availity organization ID assigned to the provider group/health systemPOST /eligibility-benefit-inquiry — real-time eligibility and benefits check (X12 270/271 equivalent); returns coverage, deductible, OOP max, PA required flagPOST /authorizations — submit prior authorization request (X12 278 equivalent) with diagnosis, procedure, and clinical attachmentGET /authorizations/{authId} — retrieve PA status (approved/denied/pending) and authorization numberGET /payers/{payerId}/pa-requirements?cpt={code} — lookup whether PA is required for a specific CPT by payerGET /providers/{npi}/enrollments — list payer enrollment status by provider NPIPOST /enrollments — submit new payer enrollment transactionpaRequired flag per service category; always surface this to the ordering workflow before scheduling.denyReasonDescription field.sandbox.availity.com) provides test payer simulators for development.Cerner Millennium FHIR R4 API — lets an agent read patient clinical data (demographics, encounters, diagnoses, medications, notes) within a Cerner-hosted health system.
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