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.

Patient's Medicare Certificate of Medical Necessity API

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

 

Coming Soon - Verify a Medicare Advantage Payer from a Medicare transaction, using our proprietary methods to obtain the MA 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.

Realtime Healthcare API Eligibility API