Seamless Insurance APIs for Health Technology Vendors
Enhanced Integration Capabilities
50+ API Endpoints for Real-Time Data Exchange
pVerify offers hands-on API support from workflow design to post-launch guidance. Our real-time data exchange APIs enable seamless connectivity across health systems, improving accuracy and reducing integration complexity.
Automated Workflows for Payer Verification
Eliminate manual entry errors and reduce processing time. pVerify’s automated payer verification workflows deliver real-time, accurate eligibility results, improving efficiency for developers and healthcare organizations.
Customizable Integration Options
pVerify supports batch, portal, and direct API connectivity, offering RESTful API, ANSI X12, 270/271, HL7, FHIR, and SOAP API. Our flexible integration options help health tech teams optimize eligibility, insurance discovery, and claim status.
Who We Serve, and What We Solve.
Tailored Solutions for Technology Providers and Developers
Health IT Companies
Health tech firms need seamless, real-time data integration to improve operational efficiency. pVerify’s APIs enhance patient eligibility verification, demographic validation, and claims tracking.
EHR/EMR Vendors
With 50+ API endpoints, pVerify provides EHR and practice management software vendors with tailored, automated eligibility verification and claims management solutions, ensuring accurate payer data and reduced claim rejections.Explore pVerify’s Healthcare Eligibility & Medical API Solutions
The Best Healthcare APIs
Our team has 50+ years combined experience parsing and coding medical benefit data and streamlining healthcare eligibility/medical API endpoints. The result: patient insurance eligibility and benefit verification processes that improve patient collections and reduce back-office denials.
With hands-on and responsive API support, pVerify helps design your healthcare API workflow, provide hands-on guidance throughout development, and go-to expertise post development.
Our Eligibility APIs Are:
- 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!
Eligibility Widget: Consumer-facing. Direct Integration.
Real-time Eligibility API
Our eligibility widget allows patients to enter their demographics and insurance information, initiating an automatic verification of copays, coinsurance, out-of-pocket costs, and any remaining deductibles.
Embedded directly into your website, the widget increases lead generation by capturing a patient’s insurance details and real-time eligibility benefits at the first point of contact. It provides email notification, webhooks, and can integrate directly into your CRM.
Drop-in UI: Low Code, Efficient Integration.
Healthcare Eligibility & Medical API
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.
Added directly into JavaScript, Drop-in UI incorporates eligibility into your current workflow. Automatically verify coverage during patient scheduling and check-in, prior to submitting claims—the opportunities are endless.
Zapier: The All-In-One Eligibility & Medical API
Easily integrate pVerify’s REST API with external applications
pVerify’s Zapier connection uses our one-stop solution for complete patient eligibility verification, financial responsibility estimation, and payment facilitation, all incorporated in your existing workflow.
Automatically verify coverage during patient scheduling, and check-in, prior to submitting claims, and more!
Callshaper: Easy Verification for Telemarketers
Easily verify insurance without leaving your software
pVerify’s Callshaper is a telemarketing platform ideal for outbound sales efforts.
Built directly into your software, it enables an agent to click a button in their existing workflow to determine comprehensive Medicare eligibility status, including HMO/POO, QMB / Medicare Advantage, in seconds.