Our Insurance Coverage Discovery API Endpoints

The core business of pVerify is Eligibility.

Insurance Discovery APIs

Championing the highest level of benefits parsing with consumable API endpoints

About Insurance Discovery

pVerify’s Insurance Discovery allows users to find their patient’s insurance coverage to allow prompt claim submission, increase patient payment collection, and drastically decrease Account Receivables. Stop revenue loss due to unknown and missing insurance information.

Before providing service or afterward while prepping the claim, our Insurance Discovery detects valuable coverage for self-pays and incomplete patient files, allowing you to collect thousands of dollars of otherwise lost revenue. 

pVerify’s Insurance Coverage Discovery API Solution is a realtime API Solution offered in Instant, Batch, and API Modes. Our historic and proprietary knowledge powers our ID logic unique to each state of patient residence. One Insurance Discovery Instant Transaction is processed in 30 seconds – 2 minutes.

The Best Healthcare APIs 

pVerify’s robust APIs are available for the following services

Insurance Discovery API

pVerify’s Insurance Discovery allows Hospitals and Providers to find a patient’s insurance coverage to collect potentially millions from insurance companies, allow prompt claim submission, increase patient payment collection, and drastically decrease Account Receivables.

Patient States
To run insurance discovery a patient state is required. As part of the setup, pVerify will work with you to create Patient States).

We will return a new object for Medicare called MedicareInfoSummary which will return Medicare specific information such as Part A/B deductible, pharmacy payer name, MCA payer name, and more information. This object will only be returned for Medicare, for all other payers it is null. Please use this object when sending Medicare patients to retrieve Medicare specific information.

Healthcare Insurance Discovery (ID) Solution:

  • Find Insurance coverage with a patient’s name and DOB
  • Obtain verified benefit details, including subscriber ID.
  • Find Primary, Secondary, and Tertiary Coverage
  • Discovery unknown coverage with our human-enabled ID Wizard

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.

Insurance Coverage Discovery API