Our Medicare Endpoints
The preferred API Endpoints for Medicare Solutions
Medicare MBI Lookup API
A scalable solution for obtaining a patient’s new Medicare MBI ID
About Medicare MBI Lookup APIs
CMS replaced the SSN-based HICN with a new, randomly generated Medicare Beneficiary Identifier and requires the MBI ID for all Eligibility Verification, Claim Submission, reopening requests, and prior authorization requests.
pVerify offers a new, scalable solution for obtaining the new Medicare MBI ID, your patient’s MBI number, quickly and easily by submitting the patient data including SSN/HICN, DOB and Name.
pVerify’s consumable API endpoints are a real-time calls from a client’s own system, sent to pVerify and through to acquire a patient’s new MBI ID with their name, DOB, and SSN/HICN. The API get then returns to pVerify for parsing and then back to the pVerify client, within a matter of seconds.
Examples of Medicare MBI Look-up API Results
- First/Last Name, DOB plus a patient’s Social Security Number or old HICN.
- MBI Lookup results include Medicare A & B status and dates.
The Best Healthcare APIs
pVerify’s robust APIs are available for the following services
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
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
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.
