aid: pverify
url: https://raw.githubusercontent.com/api-evangelist/pverify/refs/heads/main/apis.yml
name: pVerify
kind: company
description: pVerify provides real-time healthcare insurance eligibility verification
  and revenue-cycle APIs. Its RESTful API at https://api.pverify.com exchanges EDI
  270/271 eligibility transactions, returns plan and benefit summaries, checks claim
  status (276/277), lists supported payers, and estimates patient financial
  responsibility, secured with OAuth2 bearer tokens.
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
tags:
- Healthcare
- Insurance
- Eligibility
- Claims
- EDI
- 270/271
created: '2026-06-21'
modified: '2026-06-21'
specificationVersion: '0.19'
apis:
- aid: pverify:eligibility-inquiry
  name: pVerify Eligibility Inquiry API
  tags:
  - Eligibility
  - 270/271
  - Real Time
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  properties:
  - url: https://docs.pverify.io/
    type: Documentation
  - url: https://www.pverify.com/rest-api/
    type: APIReference
  - url: openapi/pverify-openapi.yml
    type: OpenAPI
  - url: collections/pverify.postman_collection.json
    type: PostmanCollection
  - url: collections/pverify.opencollection.json
    type: OpenCollection
  description: Real-time 270/271 eligibility inquiry that posts a full benefit
    request to a payer and returns the detailed 271 response, with asynchronous
    retrieval (GetEligibilityResponse), pending-queue listing (GetPendingInquiries),
    and transaction cancellation (CancelTransaction).
- aid: pverify:eligibility-summary
  name: pVerify Eligibility Summary API
  tags:
  - Eligibility
  - Benefits
  - Summary
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  properties:
  - url: https://docs.pverify.io/
    type: Documentation
  - url: https://www.pverify.com/rest-api/
    type: APIReference
  - url: openapi/pverify-openapi.yml
    type: OpenAPI
  - url: collections/pverify.postman_collection.json
    type: PostmanCollection
  - url: collections/pverify.opencollection.json
    type: OpenCollection
  description: Posts a single real-time eligibility request and returns a
    condensed, practice-type-specific summary of plan, coverage, copay,
    coinsurance, deductible, and out-of-pocket benefits.
- aid: pverify:batch
  name: pVerify Batch Eligibility API
  tags:
  - Batch
  - Eligibility
  - Async
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  properties:
  - url: https://docs.pverify.io/
    type: Documentation
  - url: openapi/pverify-openapi.yml
    type: OpenAPI
  - url: collections/pverify.postman_collection.json
    type: PostmanCollection
  - url: collections/pverify.opencollection.json
    type: OpenCollection
  description: Submits many eligibility verifications in a single batch for
    asynchronous processing and later retrieval of completed results.
- aid: pverify:claim-status
  name: pVerify Claim Status API
  tags:
  - Claims
  - 276/277
  - Claim Status
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  properties:
  - url: https://docs.pverify.io/
    type: Documentation
  - url: https://www.pverify.com/claim-status/
    type: APIReference
  - url: openapi/pverify-openapi.yml
    type: OpenAPI
  - url: collections/pverify.postman_collection.json
    type: PostmanCollection
  - url: collections/pverify.opencollection.json
    type: OpenCollection
  description: Real-time 276/277 claim status inquiry returning the current
    processing state, dates, and amounts for a submitted claim direct from the
    payer.
- aid: pverify:payers
  name: pVerify Payers API
  tags:
  - Payers
  - Reference Data
  - Catalog
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  properties:
  - url: https://docs.pverify.io/
    type: Documentation
  - url: https://pverify.com/payer-list/
    type: APIReference
  - url: openapi/pverify-openapi.yml
    type: OpenAPI
  - url: collections/pverify.postman_collection.json
    type: PostmanCollection
  - url: collections/pverify.opencollection.json
    type: OpenCollection
  description: Returns the current pVerify payer list with payerCode, payerName,
    and capability flags (isActive, isSupportingEligibility, isSupportingClaims,
    isEDIPayer) for mapping requests to supported insurers.
- aid: pverify:estimation
  name: pVerify Estimation API
  tags:
  - Estimation
  - Price Transparency
  - Patient Responsibility
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  properties:
  - url: https://docs.pverify.io/
    type: Documentation
  - url: https://www.pverify.com/patient-estimator/
    type: APIReference
  - url: openapi/pverify-openapi.yml
    type: OpenAPI
  - url: collections/pverify.postman_collection.json
    type: PostmanCollection
  - url: collections/pverify.opencollection.json
    type: OpenCollection
  description: Patient cost estimation that combines real-time benefits with
    contracted/fee data to estimate patient financial responsibility for planned
    services.
common:
- type: GitHubOrganization
  url: https://github.com/pVerify
- type: LinkedIn
  url: https://www.linkedin.com/company/pverify
- type: Website
  url: https://www.pverify.com
- type: Documentation
  url: https://docs.pverify.io/
- type: Plans
  url: plans/pverify-plans-pricing.yml
- type: RateLimits
  url: rate-limits/pverify-rate-limits.yml
- type: FinOps
  url: finops/pverify-finops.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com