Our Eligibility Endpoints

The core business of pVerify is Eligibility.

The Best Realtime Healthcare API Solutions

pVerify’s robust APIs are available for the following services

Best Realtime Healthcare API Solution

Patient Eligibility 

An Eligibility API Call will verify a patient in real-time with unique parsing of benefits

Recursive Medicare Advantage


Coming Soon - Verify a Medicare Advantage Payer from a Medicare transaction, using our proprietary methods to obtain the MA Subscriber ID and coverage details

Medicare MBI Lookup

Find a Medicare patient's new MBI ID with their name, DOB, and SSN/HICN

Claim Status Alert

Claim Status Inquiry Call  provides actionable details on a claims current status to improve Accounts Receivable Cycles

Same or Similar

Quickly gives you access to Same/Similar claim history across all 4 Medicare jurisdictions, including A, B, E, K, & L codes

Inpatient SNF

Discover if a patient is currently admitted to a Hospital or Skilled Nursing Facility (SNF)

Insurance Discovery


Coming Soon - Submit patients with Name and DOB information to discover if any Medical Insurance Coverage Exists

Dental Eligibility

An Eligibility call specifically to verify Dental Coverage with copay, co-insurance, max allowed, and met amount details

Patient Estimator

A patient-facing solution that provides an estimated copay or co-insurance details

Medicare CMN

Review a patient’s Certificate of approved Medical Necessity History

Eligibility Widget

Consumer facing best realtime Healthcare API Solution put on your website for lead generation by capturing a patient’s insurance details and real-time eligibility benefits at the first point of contact

Estimator Widget

Patient-facing solution to enter their insurance information in order to receive an estimate of their co-pay for a specific service

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


Built to incorporate eligibility into your existing workflow and verify coverage automatically during patient scheduling, during check-in, prior to submitting claims and more


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.

Best Realtime Healthcare API Solution