Our Medicare Endpoints
The preferred API Endpoints for Medicare Solutions.
Medicare DME Same or Similar APIs
DME Same or Similar APIs
pVerify’s consumable API endpoints are a near real-time calls from a client’s own system, sent to pVerify and through to obtain a Medicare patient’s claim history. The API get then returns to pVerify for parsing and then back to the pVerify client, within a matter of seconds.
The Best Healthcare APIs
pVerify’s robust APIs are available for the following services
Same or Similar API
pVerify has two RESTful API end points to give Same or Similar HCPCS(L code) Status information,
This workflow is:
- Get Token via Token call.
- Call SameOrSimilarInquiry and pass the token along with demographic information.
- Call GetSameOrSimilarResponse/{requestId} later to get the results and pass the token.
Note : Same Token can be used in subsequent inquiries.
Examples of Medicare DME Same or Similar API Results
- Full Claim History for Device Categories: A, B, E, K, & L.
- Confirmation if a previous HCPCS claim was approved or if none were found
- Date a specific HCPCS was issue
- Full Claim History in response regardless if all HCPCS are sent in the API Call
- Interpretive Flag to decipher if a similar item was previously issued (prevention flag)
- Optional client-level preference to return only SAME CATEGORY of claims, ie CGM devices if you submit CGM HCPCS, and not wheelchairs.
The Best Healthcare APIs
pVerify’s robust APIs are available for the following services
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
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
Inpatient SNF
Discover if a patient is currently admitted to a Hospital or Skilled Nursing Facility (SNF)
Experts in APIs
With hands-on and responsive Healthcare Eligibility API Support, pVerify assists with designing your Healthcare API workflow, acts as a hand-on guide throughout development, and remains a go-to expert post development.
