Our Eligibility Endpoints
Realtime Healthcare Claim Status API
About Realtime Healthcare Claim Status API
One of the difficult hurdles in payment collection and account reconciliation is the time lost between submitting claims, receiving responses from payers, resubmitting a claim, and waiting to discover if you will get paid. pVerify’s Claim Status lessens the waiting game and allows billers to check in on claims before the payer has taken action to request more information.
Obtain details on current claims to make actionable decisions. Paid Alerts return the amount and check number. Pending shares status code. Settle A/R faster with pVerify’s Claim Status.
Why Claim Status Matters
- Check on the status of a claim to learn what the status is
- See if payment has been sent, including Check Number and Amount
- Find out if more information is needed without having to wait for payer communication
- Learn important details such as Status Code, Description, Remittance Date and MORE
Claim Status Response Includes:
- Effective Date
- Payment Amount
- Check Number
- Unit #
- Category Description
- Patient Account Number
- Charge Amount
- Adjudication Finalized Date
- Procedure Code
- Service Date Range
- Status Code
- Billing Type
- Remittance Date
- Payment Amount
- Category Code
- Status Description
- Payer’s Claim Number
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
Inpatient SNF
Discover if a patient is currently admitted to a Hospital or Skilled Nursing Facility (SNF)
Drop-In UI
pVerify’s Drop-in UI offers a pre-built low code solution that allows for easy integration of our Advanced Eligibility and other pVerify Solutions
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.
