Mindbowser’s healthcare engineering team connects your product or health system to Availity’s payer network, so eligibility, prior authorization, claims, claim status and remittance run inside the systems your teams already use. We build it as a custom integration, on our ConnectHealth platform, or both, depending on what gets you live fastest.
Checked at scheduling and intake.
Submitted and tracked from the EHR.
Built from charge data and routed to payers.
Pulled and surfaced to billing.
Mapped into payment posting.
Available where supported.
ConnectHealth acts as the integration and orchestration layer between your healthcare application, EHR, billing system, and Availity-connected payer workflows.
It helps teams connect Availity eligibility verification, claims submission, remittance, claim status, and prior authorization workflows directly into the systems where patient access, clinical, and revenue cycle teams already work.
Availity integration connects an EHR, billing system or healthcare application to Availity's payer network, so eligibility checks, claims, remittance, claim status and prior authorization run automatically inside your own workflows instead of through manual portal lookups.
Availity describes itself as the nation's largest real-time health information network, connecting more than 3.4 million providers and directly connecting more than 95% of US health plans. That reach is why so many provider organizations and health tech companies need to exchange data with it. The hard part is not the network; it is getting each transaction into and out of your own systems reliably, in the right format, with the right payer rules applied. That is the work Mindbowser does.
The transactions are the same; the goal is different. Digital health companies need Availity inside their product. Providers need it inside their EHR and revenue cycle.
For virtual care, RPM, AI intake, care management and RCM software companies that need payer data in their own app.
For registration, authorization and billing teams who switch between the Availity portal and the EHR all day.
Mindbowser is a healthcare technology company with an engineering team trained in HIPAA, FHIR and HL7. You get the team and, where it helps, the platform.
Our engineers scope, build, test and support the integration inside your application or systems: API and X12 mapping, payer rules, EHR write-back, work queues and UI.
Mindbowser's healthcare integration platform, deployed in your own cloud. Prebuilt EHR connectors and workflows replace months of plumbing work.
Help with Availity access, payer enrollment and testing, then monitoring and changes as payers, rules and your volumes change.
Availity gives you access to payers. It does not wire that access into your EHR, scheduling, billing or AI workflows. That last mile is where most of the engineering time goes.
Front-desk staff check coverage in the Availity portal, then retype plan details into the EHR. Errors at this step become denials weeks later.
Requests, clinical documentation and status checks move between portals, EHR screens, fax and phone. Status updates rarely reach the clinician who needs them.
837 claims and 835 remittances need exact loop and segment mapping, payer-specific edits and code sets. Small mapping errors create rejections and manual reconciliation.
A 271 inactive-coverage response or a 277 rejection is only useful if it routes to the right queue. Many teams still rely on someone checking.
OAuth tokens expire within minutes, rate limits apply, and some responses arrive asynchronously. Every team rebuilds the same polling, retry and logging code.
Payer coverage differs by transaction and clearinghouse. Hard-wiring one network into your product makes adding a second one a new project.
One integration layer between your systems and Availity solves all six.
Each Availity transaction is handled end to end: request built from your source data, sent through the right Availity channel, response parsed, normalized and delivered to the system that acts on it.
Builds the inquiry from patient and appointment data, calls Availity, and normalizes coverage, copay, deductible and plan details.
Submits requests with order and diagnosis data, tracks status, and routes decisions and pended requests. FHIR where payers support it.
Maps charges to 837 loops and segments, validates required fields, and routes claims to payers through Availity.
Polls status on a schedule, flags rejected and pended claims, and tracks acknowledgements.
Parses payments and adjustment reason codes into structured data your finance team can use.
Pulls clinical documents from the EHR and sends them with the claim or authorization request.
Connects to payer FHIR endpoints for prior authorization and data exchange as payers enable them, so today's X12 workflows carry forward without a rebuild.
Ready for the CMS interoperability & prior authorization ruleAvaility's developer portal lists HIPAA Transaction APIs, a Claim Attachments API and a Remittance Data API. Transaction availability varies by payer.
Whether we build it custom or on ConnectHealth, the same pattern applies: your system makes one consistent call, and the integration layer handles everything specific to Availity and to each payer.
Workflows are assembled in ConnectHealth's zero-code builder from 150+ prebuilt healthcare nodes, or generated from a plain-English description by Helix, ConnectHealth's AI integration assistant. Our engineers configure them with your team.
The same workflow can route through Availity, Stedi or pVerify depending on the payer. Adding a second clearinghouse is a configuration change, not a rebuild.
Whether you are building a product or running a provider organization, tell us which transactions, EHR and payers you work with. In a 30-minute call our team will:
No commitment. Your information is used only to respond to your request.
Projects we take on for digital health companies and provider organizations.
Verify coverage before a telehealth visit or program enrollment, show patients their cost share, and stop onboarding uninsured or inactive members, without building payer connectivity yourself.
Submit 837 claims, track 277 status and post 835 remittances through one integration layer, and give your customers broad payer reach through Availity alongside other clearinghouses.
Bring eligibility and prior authorization into Epic, Oracle Health or MEDITECH workflows, so registration and clinical staff stop switching to the payer portal.
Give AI agents a structured eligibility result they can act on: confirm coverage, quote a copay, or hand off to a human when coverage is inactive.
Automate high-volume benefit checks and authorization tracking for services where payer rules change often and denials are costly.
Check eligibility before enrollment in RPM, CCM or APCM programs and keep billing data clean for monthly claims.
Payer data only helps when it reaches the chart and the work queue. ConnectHealth writes Availity results back to the EHR through FHIR and HL7 connectors, so staff see coverage, authorization status and remittance where they already work.
FHIR R4 and HL7 v2 connectivity. Mindbowser is part of Epic's Vendor Services program.
Epic Integration →
FHIR APIs and HL7 interfaces for registration, orders and results.
Cerner Integration →
Prebuilt adapters, including Veradigm, Elation, Healthie, AdvancedMD and OpenDental
All integrations →Most of the calendar time in an Availity project is access, enrollment and testing, not code. Here is the usual path and where we help.
Choose transactions, payers and the systems results must reach.
Register on Availity's developer portal and test against demo responses.
Complete Availity's commercial and trading partner requirements for live data.
Enroll with payers where required (for example ERA) and test with real payer responses.
Switch to production, monitor responses and expand to more transactions.
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requires impacted payers to shorten prior authorization decision times and to stand up FHIR-based APIs, including a Prior Authorization API, with the main API requirements due from January 2027. Availity is building FHIR-based authorization capabilities to help health plans meet these mandates.
For providers and health tech companies, the practical step now is to move authorization requests and status tracking out of portals and into the EHR workflow. ConnectHealth supports X12 278 today and connects to FHIR prior authorization endpoints as payers enable them, so the same workflow carries forward.
Not sure which route fits? We'll recommend custom build, ConnectHealth or a mix on the first call.
Compare options with our teamEverything we build runs in your environment. ConnectHealth deploys inside your AWS, Google Cloud or Azure account, so PHI never leaves it except where your own workflows send it.
Deployed in your cloud account and region with your encryption keys. Available from AWS Marketplace.
AES-256 at rest, TLS 1.3 in transit, and an audit trail of every PHI access: who, what, when and outcome.
Business Associate Agreement provided. Mindbowser is SOC 2 Type II audited and builds HIPAA-ready by default.
Both. Mindbowser is a healthcare technology company, and our engineers build custom Availity integrations inside your product or systems, or deliver them on ConnectHealth when a ready platform is faster. Many projects combine the two: ConnectHealth for the integration layer, custom engineering for your workflows and UI.
Both. For digital health and healthcare SaaS companies we build Availity connectivity into the product. For hospitals, health systems and provider groups we connect Availity to Epic, Oracle Health, athenahealth and other EHRs so registration, authorization and billing teams work from one screen.
Availity integration connects an EHR, billing system or healthcare application to Availity's payer network so eligibility checks, claims, remittance, claim status and prior authorization run automatically inside your own workflows instead of through manual portal work.
Yes. Availity's developer portal offers REST APIs for HIPAA X12 transactions such as eligibility (coverages), claim status and service reviews, plus a Claim Attachments API and a Remittance Data API. Access uses OAuth 2.0 client credentials, and access tokens are short-lived, so integrations must refresh them automatically.
Developers start with a sandbox or demo plan that returns test responses. Live payer data requires an agreement with Availity, payer enrollment where the transaction needs it, and testing before go-live. Mindbowser helps teams plan and complete these steps.
Yes. ConnectHealth connects Availity payer workflows with Epic, Oracle Health (Cerner), athenahealth, eClinicalWorks, MEDITECH and 20+ other EHRs, so eligibility, authorization and remittance data can be written back to the systems your staff already use.
No. Availity provides payer connectivity and clearinghouse services. ConnectHealth is the integration and workflow layer that connects Availity transactions to your EHR, RCM platform or application.
Many teams use both. Availity offers very broad payer reach and a strong prior authorization footprint; Stedi offers a developer-first, JSON-based clearinghouse API. ConnectHealth can route transactions to either, so you are not locked into one network.
With ConnectHealth, a sandbox connection is typically running within the first week. Production timelines depend on the transactions in scope, payer enrollment, testing and your EHR. Eligibility-only projects go live faster than projects that add claims, remittance and prior authorization.
ConnectHealth runs inside your own AWS, Google Cloud or Azure account, so PHI stays in your environment. Data is encrypted in transit and at rest, every access is audit-logged, and a Business Associate Agreement is provided. Mindbowser is SOC 2 Type II audited.
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) pushes payers toward FHIR-based prior authorization APIs and faster decisions. Integrating Availity prior authorization into your EHR workflow lets providers submit and track requests electronically today and adopt FHIR-based options as payers enable them.
ConnectHealth uses flat pricing by organization: an annual platform fee plus a monthly subscription that begins only after your live connection is established. There is no per-transaction or per-message metering.
ConnectHealth is Mindbowser’s AI-first healthcare integration engine. Connect to Epic, Cerner, Athena, and 20+ EHRs, deployed inside your own cloud so PHI never leaves your environment. Helix AI generates production-ready FHIR and HL7 workflows from plain English. No custom code. Predictable pricing. Sandbox in minutes.
Partner with us to design, build, and scale digital solutions that drive better outcomes.
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