Healthcare Eligibility and Medical APIs
pVerify’s enhanced Healthcare Eligibility and Medical APIs endpoint’s advanced configuration features allows Developers to get the data they want without wading through complex objects for 10 unique Healthcare API Solutions.
Build pVerify directly into your workflow
- Advanced Eligibility
- Insurance Discovery
- Dental Eligibility
- MBI Lookup
- Vision Eligibility
- Patient Estimator
- Same or Similar
- Inpatient SNF
- Claim Status
- Medicare ACO – Preventative Care
API pricing starts at $500 per month, with a lower cost per transaction based on volume commitment
EHR/EMRs utilize EDI 270/271 but do not parse the data, often leading to front-office staff confusion. By adding the pVerify AI based parsed data engine on top of the standard EDI 271 result with ANSI X12, pVerify is allowing traditional EMR vendors to utilize parsed data with minimal coding efforts, to return co-pay and other crucial benefit information that can be buried in the eligibility report.
A snapshot of pVerify’s Healthcare Eligibility and Medical API options
The Best Healthcare APIs
Streamlining enhanced Healthcare Eligibility and Medical API Endpoints with over 50 years combined knowledge parsing and coding Medical Benefit Data to provide front-end patient insurance eligibility and benefit verification processes which will improve the patient collections and reduce back office denials.
With hands-on and responsive 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.
Healthcare Eligibility and Medical API
Eligibility APIs
- HIPAA Compliant & Scalable up to 4 billion transactions annually
- Vision Payers (available via hybrid API/Batch Solution)
- Largest Payer List (Medical, Dental, and Vision)
- Rest API, FHIR, 270/271 Response, HL7 and MORE!
A Consumer-facing Solution that Integrates Eligibility directly into your website
Eligibility Widget
The Eligibility Widget allows a patient to enter their demographics and insurance information initiating an automatic verification of their benefits. Our Eligibility Widget will return standard information including Copays, Coinsurance, Out of Pocket and Deductible Remaining.
This consumer facing solution increases lead generation by capturing a patient’s insurance details and realtime eligibility benefits at the first point of contact. Built into and embedded directly into your website, pVerify provides email notification, webhooks, and can integrate directly into your CRM.
A Consumer Facing Solution that Integrates Eligibility and Estimation Directly into your Website
Estimator Widget
The Estimator Widget allows a patient to enter their demographics and insurance information initiating an automatic verification of their benefits that updates to display their co-pay for a specific service. Our Estimator Widget will return standard information including Copays, Coinsurance, Out of Pocket and Deductible Remaining.
This consumer facing solution increases lead generation by capturing a patient’s insurance details and realtime eligibility benefits at the first point of contact. Built into and embedded directly into your website, pVerify provides email notification, webhooks, and can integrate directly into your CRM.
A Low Code Solution to Integrate Easily and Efficiently
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 Same or Similar Solutions into existing platforms.
Built to be added directly into JavaScript, incorporate eligibility into your existing workflow. Verify coverage automatically during patient scheduling, during check-in, prior to submitting claims – the opportunities are endless.
Easily integrate pVerify’s REST API with external applications
Zapier
pVerify’s Zapier connection uses our one-stop solution for complete verification of patient eligibility, estimation of financial responsibility, and facilitation of payment.
Built to incorporate eligibility into your existing workflow. Verify coverage automatically during patient scheduling, during check-in, prior to submitting claims and more!
Easily verify insurance without leaving your software
Callshaper
pVerify’s Callshaper is a telemarketing platform that can be used to do outbound sales efforts.
Built directly into your software, an agent can click a button and automate a verification within pVerify to get the Medicare eligibility status, HMO/POO, QMB / Medicare Advantage information in seconds. Written back into the agent’s script, the agent never needs to leave their current page to find all the Medicare Eligibility information they are looking for.
