availity · FinOps Profile

Availity Finops

FOCUS-aligned FinOps for Availity: two-sided market with payer-funded provider portal (zero cost to provider) plus per-transaction clearinghouse fees and subscription RCM/Pro tiers billed to trading partners.

Availity Finops is the FinOps profile for availity on the APIs.io network, aligned with the FinOps Foundation Framework.

It defines 6 billable meters, billed in USD, on a monthly cycle, and pricing category subscription + per-transaction.

The profile maps 6 FOCUS columns for cost-allocation reporting.

Tagged areas include FinOps, FOCUS, Healthcare, HIPAA, and X12 EDI.

Category: Healthcare Network / Clearinghouse Pricing: Subscription + Per-Transaction Billing: Monthly FOCUS v1.3
FinOpsFOCUSHealthcareHIPAAX12 EDIClearinghouse

Framework Alignment

Framework
Data Spec

Charge Categories

PurchaseUsageAdjustmentTaxCredit

FOCUS Columns

BillingCurrency
USD
InvoiceIssuerName
Availity, LLC
ProviderName
Availity
PublisherName
Availity, LLC
ServiceCategory
Healthcare Network / Clearinghouse
ServiceName
Availity

Meters

x12_transactions
Unit: transaction
eligibility_lookups
Unit: lookup
claim_submissions
Unit: claim
era_records
Unit: record
essentials_pro_seats
Unit: seat
rcm_subscription
Unit: month

Sources