Vendor Analysis
published on Mar 12, 2025
Report Overview:
This NelsonHall vendor assessment analyzes Availity's offerings and capabilities in Revenue Cycle Management (RCM)
Who is this Report for:
NelsonHall’s Strategic Insights in Revenue Cycle Management (RCM) profile on Availity is a comprehensive assessment of Availity's offerings and capabilities, designed for:
- Sourcing managers monitoring the capabilities of existing suppliers of Availity and identifying vendor suitability for end-to-end revenue cycle management BPS outsourcing RFPs
- Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
- Financial analysts and investors specializing in the end-to-end revenue cycle management sector.
Scope of this Report:
The report provides a comprehensive and objective analysis of Availity’s Strategic Insights in Revenue Cycle Management (RCM) offerings, capabilities, and market and financial strengths, including:
- Identification of the company’s strategy, emphasis, and new developments
- Analysis of the company’s strengths, challenges, and outlook
- Revenue estimates
- Analysis of the profile of the company’s customer base, including the company’s targeting strategy and examples of current contracts
- Analysis of the company’s offerings and key service components
- Analysis of the company’s delivery organization, including the location of delivery centers.
Key Findings & Highlights:
Founded in 2001 as a joint venture between a national and regional Florida-based health plan, Availity is a health information network designed to connect healthcare providers, health plans, and technology partners to streamline the exchange of clinical, administrative, and financial data. Availity’s corporate headquarters is in Jacksonville, FL, U.S., with ~1,900 employees globally. Its overall revenue cycle management business offers real-time solutions to enhance claims processing, eligibility verification, and payment accuracy to help streamline healthcare providers' and payers' administrative workflows, reduce denials, and improve reimbursements. Availity offers front and back-end solutions to its revenue cycle management clients.
NelsonHall estimates Availity’s revenue cycle management business globally accounts for ~15%-~20% of Availity’s total revenue.