availity

availity is a skill for Claude Code, Codex from iblai/medical-healthcare-agents. It costs 37 tokens per session (692 once invoked), scanned A, original, MIT.

A connection to Availity, a US healthcare network that links medical providers with insurance companies for administrative transactions.

In plain words
What is it for?
Use it to verify benefits and patient cost details, check whether a procedure needs approval, submit and track approval requests, and manage provider enrollment with insurers.
Why use it?
It removes repeated manual checks in insurer portals when confirming coverage or handling prior authorizations, which are requests for insurer approval before some treatments.

Skill for Claude CodeCodex

Which agent this was written for is unclear — built for openclaw. Also seen: built for openclaw.

Good fit Use it to verify benefits and patient cost details, check whether a procedure needs approval, submit and track approval requests, and manage provider enrollment with insurers.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/iblai/medical-healthcare-agents/availity
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add iblai/medical-healthcare-agents --skill availity
Clone the repo
git clone --depth 1 https://github.com/iblai/medical-healthcare-agents

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for availity

README.md
[![agentmods](https://agentmods.dev/badge/skills/iblai/medical-healthcare-agents/availity/github.svg)](https://agentmods.dev/skills/iblai/medical-healthcare-agents/availity)
Your own site
<a href="https://agentmods.dev/skills/iblai/medical-healthcare-agents/availity"><img src="https://agentmods.dev/badge/skills/iblai/medical-healthcare-agents/availity/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for availity

Your own site · 80×15
<a href="https://agentmods.dev/skills/iblai/medical-healthcare-agents/availity"><img src="https://agentmods.dev/badge/skills/iblai/medical-healthcare-agents/availity.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 37 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 692 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00037 $0.00692
Opus 5 $0.00018 $0.00346
Sonnet 5 $0.00007 $0.00138
Haiku 4.5 $0.00004 $0.00069

Measured 12d ago against content hash e2668d7015eb, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

availity scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 12d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

skills/availity/SKILL.md · 40 lines

How it starts

The opening of the file, as written. The whole thing — 40 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Availity Essentials

What it is

Availity is the largest healthcare information network in the US, connecting providers to hundreds of payers for eligibility, benefits, and administrative transactions. Availity Essentials (the payer-agnostic portal and API layer) supports X12 270/271 eligibility transactions, X12 278 prior authorization requests and responses, payer-specific PA requirement lookups, and provider enrollment management. Agents use it to automate revenue cycle and PA workflows without manual portal navigation.

When to use this skill

  • Verify a patient's insurance coverage, deductible status, and copay/coinsurance before a procedure
  • Check whether a specific CPT/HCPCS code requires prior authorization for a given payer
  • Submit a PA request (X12 278) and retrieve authorization number or denial with reason codes
  • Check the status of a pending prior authorization
  • Manage provider enrollment status and roster submissions across multiple payers

Credentials

This skill authenticates using variables declared in the metadata above. Copy ~/.openclaw/.env.example to ~/.openclaw/.env and fill in real values. Required variables:

  • AVAILITY_CLIENT_ID - OAuth 2.0 client ID from Availity developer portal
  • AVAILITY_CLIENT_SECRET - OAuth 2.0 client secret for token exchange
  • AVAILITY_BASE_URL - API base URL (https://api.availity.com/availity/v1)
  • AVAILITY_ORG_ID - Availity organization ID assigned to the provider group/health system

Key operations

  • POST /eligibility-benefit-inquiry — real-time eligibility and benefits check (X12 270/271 equivalent); returns coverage, deductible, OOP max, PA required flag
  • POST /authorizations — submit prior authorization request (X12 278 equivalent) with diagnosis, procedure, and clinical attachment
  • GET /authorizations/{authId} — retrieve PA status (approved/denied/pending) and authorization number
  • GET /payers/{payerId}/pa-requirements?cpt={code} — lookup whether PA is required for a specific CPT by payer
  • GET /providers/{npi}/enrollments — list payer enrollment status by provider NPI
  • POST /enrollments — submit new payer enrollment transaction

Read the full file on GitHub · 40 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 12d ago First seen · 40 lines · 37 tokens per session scan A e2668d7015eb

Subscribe to this mod's changes

availity is a skill published in the GitHub repository iblai/medical-healthcare-agents (10 stars, last pushed 3mo ago), licensed MIT. It adds 37 tokens to every session and 692 once invoked, about $0.0002 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.