Availity
Eligibility & Benefits
AV

Availity

Automate Availity eligibility and benefits checks

Sarva connects to Availity to run real-time eligibility and benefits verification across hundreds of payers the moment a visit is scheduled, then routes that data straight into claim prep. Front desk and billing staff stop toggling between payer portals to confirm coverage before every appointment.

< 5 min
Setup Time
100%
HIPAA Compliant
99.9%
Uptime SLA
Yes
BAA Included
Overview

Why Availity + Sarva

Sarva connects to Availity to run real-time eligibility and benefits verification across hundreds of payers the moment a visit is scheduled, then routes that data straight into claim prep. Front desk and billing staff stop toggling between payer portals to confirm coverage before every appointment. Availity gives billing teams one clearinghouse to check eligibility across hundreds of payers, but the lookup itself is still a manual task repeated for every patient, every visit. Staff log in, search, then re-key the response into whatever system builds the claim. Sarva's Eligibility agent triggers Availity checks automatically off the schedule, parses the response, and flags coverage gaps or authorization requirements before the patient walks in, so the manual portal step disappears without changing the clearinghouse relationship a practice already has.

Capabilities

What Sarva Automates in Availity

1

Real-Time Eligibility Sweeps

Sarva pulls Availity eligibility and benefits responses for every scheduled visit overnight and again same-day, flagging inactive coverage or plan changes before check-in.

2

Coverage Data Feeding Claim Scrub

Copay, deductible, and coinsurance figures returned by Availity feed directly into Sarva's Claim Scrub agent, so claims go out with the right patient responsibility already calculated.

3

Payer-Specific Rule Matching

Sarva cross-references Availity eligibility responses against payer-specific billing rules, so plans with unusual authorization or referral requirements get flagged instead of denied after submission.

Real Results

How Practices Use Availity + Sarva

Real-Time Eligibility Sweeps

Sarva pulls Availity eligibility and benefits responses for every scheduled visit overnight and again same-day, flagging inactive coverage or plan changes before check-in.

Eligibility-related denials eliminated, coverage gaps caught before visits.

Coverage Data Feeding Claim Scrub

Copay, deductible, and coinsurance figures returned by Availity feed directly into Sarva's Claim Scrub agent, so claims go out with the right patient responsibility already calculated.

First-pass acceptance rate improved, rework cycles reduced.

Payer-Specific Rule Matching

Sarva cross-references Availity eligibility responses against payer-specific billing rules, so plans with unusual authorization or referral requirements get flagged instead of denied after submission.

Reduced manual effort and improved revenue cycle efficiency.
Setup

Connect in Minutes

STEP 01

Connect Your Availity Account

Authenticate Sarva with your Availity instance using secure API credentials. Setup is fully guided and takes under 10 minutes. Your data is encrypted end-to-end throughout the connection process.

STEP 02

Configure Your Workflow Triggers

Choose which Availity events trigger Sarva automations — new appointments, finalized encounters, received denials, or aging AR thresholds. Use pre-built templates or configure custom logic for your practice.

STEP 03

Go Live & Monitor

Sarva begins processing real Availity data immediately. Monitor every automated action, claim status, and workflow outcome from Sarva's unified revenue intelligence dashboard.

Why It Works

Built for Healthcare. Built for Availity.

No custom development or IT resources required for Availity integration
HIPAA Business Associate Agreement (BAA) included with all Sarva plans
Works alongside your existing Availity workflows — nothing gets replaced
Sub-10 minute setup with guided onboarding
Full audit trail of every automated action
Dedicated onboarding support from Sarva's RCM specialists
AV
Availity
Connected to Sarva
Live
Eligibility check triggered
Claim validated — 0 errors
Submitted to payer
Authorization confirmed
FAQ

Common Questions

Does Sarva replace Availity or work alongside it?

Sarva works alongside Availity, calling its eligibility and benefits API rather than replacing the clearinghouse relationship a practice already has. The integration adds automation on top of data Availity already returns.

What happens when Availity returns an inactive or terminated policy?

Sarva flags the visit for staff review before check-in, with the termination date and any secondary coverage on file. That gives front desk staff a chance to collect updated insurance before the appointment instead of after the claim denies.

Can this reduce eligibility-related denials?

Yes. Most eligibility denials come from stale or unchecked coverage, and running the check for every visit automatically closes that gap without adding staff time.

Related Connectors

Ready to Connect Availity to Sarva?

Get set up in under 5 minutes. Our onboarding team handles everything — from authentication to your first automated workflow.