pVerify Claim Status APIs
API REST | PATIENT Claim Status
pVerify Claim Status quickly gives you access to patient claim status via API.
No more uncertainties! Now physicians and providers can check the status of the billed claims – it’s easy to glance at which claims are paid, pending, and which ones are denied.
Allows easy submission for claim status, claim # not needed
You can capture at a glance in discrete fields the key claim information such as status.
Description: ClaimStatusInquiry call takes in subscriber or dependent demographic information, along with the authorization token, and returns the claim status among other information.
Request: Request includes payer, provider, claim and subscriber information (additionally, dependent information may be included if necessary).
Response: The response contains information on the claim status of the requested subscriber and/or dependent.
Description: This GET method is used to obtain the transaction result later using a unique request ID. Note: the data is deleted after 90 days.
Request: A URL parameter containing a unique claim status transaction id.
Response: A successful GetClaimStatusResponse call will have the same format as the ClaimStatusInquiry response.