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Availity
Largest clearinghouse network in the US, 2,400+ payers
Insurance eligibility checks shouldn’t require a custom integration for every payer your app needs to talk to. Most teams either build brittle point-to-point connections, rely on manual calls, or ship a product that can’t verify coverage at booking, and it shows up as rejected claims downstream.
ConnectHealth connects your healthcare app to payers and clearinghouses through a single X12 270/271 integration layer. You query once; we route to Availity, pVerify, Stedi, or whichever clearinghouse the payer uses and return a structured 271 response your system can act on.
The video walks through how ConnectHealth handles real-time eligibility verification using the Stedi clearinghouse + HL7 feeds, and how AI intake workflows connect to it for instant coverage confirmation at point of scheduling.
ConnectHealth routes 270/271 transactions through the clearinghouses your payer network uses:
Largest clearinghouse network in the US, 2,400+ payers
Eligibility-specialist clearinghouse, strong real-time turnaround
Developer-friendly EDI clearinghouse, REST-first API surface
A structured eligibility inquiry goes out. A normalized benefit response comes back, ready for your application.
ConnectHealth formats the X12 270 and routes it to the payer through the clearinghouse.
Map the response directly to your user interface, appointment-booking workflow or revenue-cycle pre-check.
The eligibility check isn’t a standalone step; it’s part of the intake sequence. #ConnectHealth# wires 270/271 directly into scheduling and intake workflows so coverage confirmation happens automatically when a patient books, not at check-in.
For teams building AI intake (virtual front desk, scheduling assistants, automated intake forms), #ConnectHealth# exposes the eligibility result as structured data the AI workflow can branch on route to human review if coverage is inactive, show copay at booking if active, flag coordination-of-benefits cases for staff.
See the video for a live walkthrough of this pattern with Stedi + HL7 + AI intake combined.
Real-world integration outcomes across care coordination and financial assistance workflows.
Bidirectional data exchange between a care coordination platform and Epic, with eligibility and referral data flowing in both directions without manual steps.
Payer and financial eligibility data is pulled automatically into the financial assistance workflow, using the same connector pattern for pharmacy benefit and financial assistance eligibility.
Verify coverage before confirming the booking. Surface copay estimate to the patient. Flag inactive plans for staff before the appointment.
Feed real-time eligibility results into AI intake workflows. Automate the "check insurance" step that currently requires a human call.
Pre-visit eligibility sweep. Catch coverage changes between booking and arrival. Reduce day-of denials by resolving eligibility issues 24–48 hours out.
Verify plan covers the service type before provisioning. Handle state-to-state plan variation for telehealth.
The 270 and 271 are HIPAA-mandated X12 EDI transaction sets for eligibility inquiries. The 270 is the outbound benefit inquiry your system sends; the 271 is the payer's response with coverage details. All clearinghouses and most payers support them.
Yes. Real-time 270/271 queries return in under 5 seconds for most payer networks. Batch mode is available for pre-visit eligibility sweeps across a day's or week's schedule.
Availity, pVerify, Stedi, and additional networks depending on payer routing. You don't manage clearinghouse accounts ConnectHealth handles the network routing.
No. ConnectHealth's clearinghouse connectivity is included in the platform. You query through our API; we handle the clearinghouse relationship.
Yes. ConnectHealth normalizes 271 responses into a structured JSON format your application can consume directly no EDI parsing required on your end.
Eligibility verification is the front of the revenue cycle. After a confirmed eligibility check, your workflow proceeds to service delivery and claim generation. ConnectHealth also handles 837/835 claims submission the same platform covers both sides.
Yes. ConnectHealth runs in your AWS VPC — PHI doesn't leave your environment. BAA available. HIPAA-compliant architecture by design, not add-on.
From leading hospitals to digital-health companies, Mindbowser powers real-world healthcare transformation.
HIPAA-ready builds with controlled PHI access, secure environments, and disciplined engineering practices. Designed to reduce vendor risk and speed up onboarding.
Independent audit of security controls operating over time.
PHI safeguards built into access, environments, and release workflows.
Data handling built for modern privacy expectations.
Role-based access with controlled PHI exposure.
Code reviews, dependency checks, and security gates.
Secure integrations designed for traceability and reliability.
Encryption in transit and at rest
Role-based access and least privilege
Secure SDLC with code reviews
Pen testing based on scope and riskPartner with us to design, build, and scale digital solutions that drive better outcomes.
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