# Availity MCP Server & Agent Skill

> Source: https://ibl.ai/developer/connectors/availity

Connector · Payer-provider health information network

Last updated: October 20, 2026

**ibl.ai publishes a free Availity agent skill: a SKILL.md that teaches an AI agent to read and write Availity data and expose it as an MCP tool. Download it, connect your own Availity credentials, and run the agent on ibl.ai Agentic OS, where you own all the code and the data.**

Availity connects healthcare providers with health plans for administrative transactions: eligibility and benefits, claim status, prior authorization (service reviews), claim attachments and remittance data.

## What is the Availity API, and what can an agent read from it?

REST versions of X12 transactions: Coverages (270/271), Claim Statuses (276/277) and Service Reviews (278), plus payer list and payer configuration lookups. Requests are asynchronous: poll the returned location until complete.

- API: Availity APIs (HIPAA Transaction APIs, Claim Attachments API, Remittance Data API beta) (REST)
- Access: Partner or license program
- Base URL: https://api.availity.com/availity/v1/
- Authentication: OAuth 2.0 client credentials

Create a Dev Portal account and an app, then subscribe to the Demo plan (auto-approved, canned responses). Live data needs a contract through an Availity Trading Partner Manager to move to the Standard plan.

POST https://api.availity.com/availity/v1/token with grant_type client_credentials and scope hipaa. Tokens last 5 minutes. Send them as Authorization: Bearer on each call.

### What can an agent read from Availity?

- **Eligibility and benefits** — GET /v1/coverages/{id} returns a coverage (270/271) result; status 0 is in progress, 4 is complete.
- **Claim status** — GET /v1/claim-statuses starts or checks a 276/277 inquiry; GET /v1/claim-statuses/{id} returns the full result.
- **Service reviews** — GET /v2/service-reviews searches prior authorizations; GET /v2/service-reviews/{id} returns one.
- **Payer list** — GET /availity-payer-list returns payers and the transactions they support.
- **Payer configurations** — GET /v1/configurations returns a payer's field and validation rules.
- **Attachment status** — GET /medical-attachments/ma/external/rest/status/{requestId} checks a submitted attachment.

### What can an agent write to Availity?

- **Eligibility inquiry** — POST /v1/coverages sends an eligibility and benefits request to the payer.
- **Prior authorization** — POST /v2/service-reviews submits a 278 service review to the health plan. Confirm with the user first.
- **Update or void review** — PUT /v2/service-reviews updates a review; DELETE /v2/service-reviews/{id} voids it. Confirm with the user first.
- **Claim attachments** — POST /medical-attachments/ma/external/rest/response submits an attachment to a claim. Confirm with the user first.

Limits: Demo plan: 5 transactions per second and 500 per day. Standard plan: 100 per second and 100,000 per day. HTTP 429 means retry after 1 second, or after midnight UTC for the daily cap.

Member eligibility, claim and authorization data is HIPAA protected health information (PHI), exchanged as HIPAA-standard X12 transactions between providers and health plans.

## How do I connect Availity to an AI agent over MCP?

As of October 2026 we found no MCP server published by Availity itself.

The practical path is to host a small MCP server that wraps the Availity APIs (HIPAA Transaction APIs, Claim Attachments API, Remittance Data API beta), or to give the agent the calls directly with the SKILL.md below.

On ibl.ai an MCP connection is three records, and a working integration always needs all three:

1. **Register the server** — `POST …/mcp-servers/` with its URL, a transport (`sse`, `websocket` or `streamable_http`) and an `auth_type` of `none`, `token` or `oauth2`.
2. **Create a connection** that holds the credential, scoped to the whole organization (`platform`), to a single agent, or to each user (`user`).
3. **Enable it on the agent** — `mcp-tool` in `tool_slugs` and the server id in `mcp_servers`. Both lists are replaced, not merged, so read the settings first.

For an API key or a service credential, one `token` connection at `platform` scope serves the whole organization; scope a connection to a single agent when that agent needs narrower access than the rest.

The field reference is in [MCP server connections](https://ibl.ai/developer/platform/mcp/mcp-connections), and the [/iblai-api-agent-mcp](https://ibl.ai/developer/skills/iblai-api-agent-mcp) skill runs all three steps from a coding agent.

## What does the Availity agent skill do?

The Availity skill is one SKILL.md file named `iblai-connect-availity`. It gives an agent the auth conventions, what to read, which writes need a person's confirmation, the ibl.ai MCP wiring, example prompts and guardrails.

[Download the Availity SKILL.md](https://ibl.ai/developer/connectors/availity/SKILL.md)

Save it as `.claude/skills/iblai-connect-availity/SKILL.md`, or in your agent's skills folder. The ibl.ai platform skills it calls come from one install:

```
npx skills add iblai/vibe --all
```

This connector skill is a starting point maintained on ibl.ai, not part of the iblai/vibe repository.

It was checked against Availity's documentation on October 20, 2026. Test it against your own Availity setup before you rely on it.

### What can I ask an Availity agent to do?

- “Check eligibility and benefits for this member with Florida Blue for an office visit today.”
- “What is the status of the claim we sent for this patient on March 3?”
- “Look up whether the prior authorization for this MRI has been approved.”
- “List payers in Availity that support electronic claim status.”

## How do I run an Availity agent on ibl.ai?

[Agentic OS](https://ibl.ai/product/agentic-os) is where the agent runs on ibl.ai: it holds the Availity MCP connection, the model the agent uses, its instructions and its conversation history.

On ibl.ai you own all the code and the data, run it model-agnostic across any LLM, and pay with no per-seat pricing — so you can deploy anywhere, from your own cloud to a fully air-gapped network.

- [AI agents for Healthcare](https://ibl.ai/solutions/medical-healthcare) — what ibl.ai deploys in this sector

### Which ibl.ai agents work with Availity data?

- [Prior Authorization](https://ibl.ai/solutions/medical-healthcare/agent/prior-authorization-agent) — Healthcare
- [Medical Coding](https://ibl.ai/solutions/medical-healthcare/agent/medical-coding-agent) — Healthcare

### Which ibl.ai platform skills does an Availity agent use?

- [/iblai-api-agent-mcp](https://ibl.ai/developer/skills/iblai-api-agent-mcp) — MCP connectors for ibl.ai agents, end to end
- [/iblai-vibe-agent-mcp](https://ibl.ai/developer/skills/iblai-vibe-agent-mcp) — Add the agent MCP tab (Model Context Protocol connector management with featured connectors, custom connectors, OAuth,…
- [/iblai-api-agent-tool](https://ibl.ai/developer/skills/iblai-api-agent-tool) — Enable or disable an ibl.ai agent's tools via the platform API

## What else should I know before connecting Availity to an AI agent?

### Is there an official Availity MCP server?

Not that we found as of October 20, 2026: Availity documents the Availity APIs (HIPAA Transaction APIs, Claim Attachments API, Remittance Data API beta), not an MCP server of its own.

The SKILL.md on this page gives an agent the integration directly, and any MCP server you host can be registered on ibl.ai.

### Who can get Availity API credentials?

Create a Dev Portal account and an app, then subscribe to the Demo plan (auto-approved, canned responses). Live data needs a contract through an Availity Trading Partner Manager to move to the Standard plan.

### Does Availity data leave my infrastructure when an ibl.ai agent uses it?

On ibl.ai, you own all the code and the data. Self-hosted in your cloud or data center, the agent, its MCP connections and its conversation logs stay inside your perimeter.

Because the platform is model-agnostic, you can point the agent at a model you host, so Availity records need not reach a third-party model provider.

### Is the Availity agent skill free to use?

Yes. The SKILL.md is a free download with no sign-up. It assumes you already have Availity credentials, and your agreement with Availity still governs how you use its API.

## Which other data sources can an AI agent connect to alongside Availity?

### Which other Healthcare systems have a connector?

- [athenahealth](https://ibl.ai/developer/connectors/athenahealth) — Cloud EHR and practice management
- [Epic](https://ibl.ai/developer/connectors/epic) — Electronic health record (EHR)
- [HL7 FHIR](https://ibl.ai/developer/connectors/fhir) — Healthcare data exchange standard
- [MEDITECH Expanse](https://ibl.ai/developer/connectors/meditech) — Electronic health record (EHR)
- [Oracle Health (Cerner)](https://ibl.ai/developer/connectors/oracle-health-cerner) — Electronic health record (EHR)
- [Veradigm](https://ibl.ai/developer/connectors/veradigm) — Electronic health record (EHR)

Every connector, grouped by sector, is on the [connectors hub](https://ibl.ai/developer/connectors).
