pVerify Eligibility APIs
API Rest | Patient ELIGIBILITY verification
The core business of pVerify is eligibility. For 12 years we have successfully helped a wide variety of customers with their API eligibility needs. Our customer types include:
- Physical Therapy
- Ophthalmology / Optometry
The main features of our eligibility endpoints are:
- Support for EDI and Non EDI payers.
- Quick parsing of complex data such as copay, coinsurance, PT data, payer change, and more.
- Excellent support for Medicare eligibility
- A variety of eligibility endpoints from simple to complex, designed to suite your needs.
Click here to view our Eligibility API documentation
View complete information from the payer for any service code.
Tailored to Your Needs
Custom endpoints for specialties such as Chiro, PT, and DME.
API support for non EDI payers via our “Back office” team.
Easily see payer change information and other key data.
The Eligibility API works this way:
Start by making a call to the token eligibility call. This will then be used as a parameter to be passed to other eligibility calls.