Our Medicare Endpoints
The preferred API Endpoints for Medicare Solutions
Patient’s Medicare Certificate of Medical Necessity APIs
A timesaver for Medical Equipment Suppliers
Medicare Certificates of Medical Necessity (CMN) APIs
For certain items or services billed to Medicare, the DME supplier must receive a signed CMN from the treating physician before they can submit a claim for the equipment rental.
pVerify’s Medicare Certificate of Medical Necessity API Solution allows users to review a patient’s CMN history for approved certificates along with the initial date approved, revised dates, and last claim date to ensure and existing rental agreement is not already in place.
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 patients Medicare Certificate of Medical Necessity History. The API get then returns to pVerify for parsing and then back to the pVerify client, within a matter of seconds.
Example of Patient’s Medicare Certificate CMN API Results
- Submitted HCPCS
- Approved HCPCS
- Initial Date
- Jurisdiction
- Status of certificates
- Revised Date
- Last Claim Date
- Supplier Name
- Length of Need
- Total Rental Payments
- Checks all 4 jurisdictions for every HCPCS
- Full certificate history
The Best Healthcare APIs
pVerify’s robust APIs are available for the following services
CallShaper
Built directly into your software, an agent can click a button and automate a real-time verification in seconds
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
Zapier
Built to incorporate eligibility into your existing workflow and verify coverage automatically during patient scheduling, during check-in, prior to submitting claims and more
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.
