Our Eligibility Endpoints
The Best Realtime Healthcare API Solutions
pVerify’s robust APIs are available for the following services
Advanced Eligibility
An Eligibility API Call will verify a patient in real-time with unique parsing of benefits.
Supporting ANSI X12 for consumption of detailed Summary Endpoint
Insurance Discovery
Discover over 50% of unknown coverage.
Submit patients with Name and DOB information to discover if any Medical Insurance Coverage exists.
MBI Lookup
Find a Medicare patient's new MBI ID with their name and SSN/HICN
Recursive Medicare Advantage
Verify a Medicare Advantage Payer automatically from a Medicare transaction, using our proprietary methods, and obtain the MA Plan Subscriber ID and coverage details
Same or Similar
Quickly gives you access to Same/Similar claim history across all 4 Medicare jurisdictions, including A, B, E, K, & L codes
Patient Estimator
A patient-facing solution that provides an estimated copay or co-insurance details, powered by Eligibility and Custom Fee Schedules
Claim Status Alert
Claim Status Inquiry Call provides actionable details on a claims current status to improve Accounts Receivable Cycles
Dental Eligibility
An Eligibility call specifically to verify Dental Coverage with copay, co-insurance, max allowed, and met amount details
Inpatient SNF
Discover if a patient is currently admitted to a Hospital or Skilled Nursing Facility (SNF)
Drop-In UI
pVerify’s Drop-in UI offers a pre-built low code solution that allows for easy integration of our Advanced Eligibility and other pVerify Solutions
Zapier
Built to incorporate eligibility into your existing workflow and verify coverage automatically during patient scheduling, during check-in, prior to submitting claims and more
CallShaper
Built directly into your software, an agent can click a button and automate a real-time verification in seconds
Meet with one of our API Specialists
pVerify’s hands-on and responsive API Support, pVerify assists with designing your API workflow, acts as a hand-on guide throughout development, and remains a go-to expert post development for our best realtime Healthcare API Solution.
