Availity · Eligibility, Coverage or Benefit Inquiry

Implementation notes for feeding the 270 transaction to Availity.

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "receiverId": "030240928",
  "versionId": "005010X279A1",
  "gsCode": "HS",
  "usageIndicator": "P"
}

Required fields

NM1/NM109 — Subscriber Member ID (loop 2100C)
DTP/DTP03 — Service date range (qualifier 291)

Fixed values

None.

Endpoint: Availity REST /availity/v1/coverages or batch SFTP