{ "item": [ { "id": "54849aa1-01c7-47e7-8151-076da98956a0", "name": "Eligibility", "description": { "content": "", "type": "text/plain" }, "item": [ { "id": "0085f489-2acb-4647-b9b9-84e7f92b004d", "name": "Real-time eligibility summary", "request": { "name": "Real-time eligibility summary", "description": { "content": "Posts a single real-time eligibility request to the payer and returns a condensed, practice-type-specific summary of plan, coverage, copay, coinsurance, deductible, and out-of-pocket benefits.", "type": "text/plain" }, "url": { "path": [ "API", "EligibilitySummary" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "auth": null, "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"\",\n \"provider\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"npi\": \"\",\n \"pin\": \"\"\n },\n \"subscriber\": {\n \"firstName\": 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"method": "POST", "auth": null, "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"\",\n \"provider\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"npi\": \"\",\n \"pin\": \"\"\n },\n \"subscriber\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"\",\n \"memberID\": \"\"\n },\n \"payerName\": \"\",\n \"dependent\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"\",\n \"gender\": \"\",\n \"patientRelationship\": \"\"\n },\n \"isSubscriberPatient\": \"\",\n \"doS_StartDate\": \"\",\n \"doS_EndDate\": \"\",\n \"PracticeTypeCode\": \"\",\n \"referenceId\": \"\",\n \"Location\": \"\",\n \"IncludeTextResponse\": \"\",\n \"InternalId\": \"\",\n \"CustomerID\": \"\"\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "b175ae3f-d20b-4725-8f3f-bb7d54b32ab1", "name": "OK", "originalRequest": { "url": { "path": [ "API", "EligibilityInquiry" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "description": { "content": "Added as a part of security scheme: bearer", "type": "text/plain" }, "key": "Authorization", "value": "Bearer " }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"\",\n \"provider\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"npi\": \"\",\n \"pin\": \"\"\n },\n \"subscriber\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"\",\n \"memberID\": \"\"\n },\n \"payerName\": \"\",\n \"dependent\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"\",\n \"gender\": \"\",\n \"patientRelationship\": \"\"\n },\n \"isSubscriberPatient\": \"\",\n \"doS_StartDate\": \"\",\n \"doS_EndDate\": \"\",\n \"PracticeTypeCode\": \"\",\n \"referenceId\": \"\",\n \"Location\": \"\",\n \"IncludeTextResponse\": \"\",\n \"InternalId\": \"\",\n \"CustomerID\": \"\"\n}", "options": { "raw": { "language": "json" } } } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"requestId\": \"string\",\n \"APIResponseCode\": \"string\",\n \"APIResponseMessage\": \"string\",\n \"Status\": \"string\",\n \"EDIResponse\": \"string\",\n \"ServiceDetails\": [\n {\n \"key_0\": 1916,\n \"key_1\": \"string\",\n \"key_2\": 1478\n },\n {\n \"key_0\": 1283\n }\n ]\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "cebfd3d7-58a0-4dd6-ba24-a67e8142c820", "name": "Retrieve a prior eligibility response", "request": { "name": "Retrieve a prior eligibility response", "description": { "content": "Returns the same response produced by an EligibilityInquiry POST using the unique requestId returned in that inquiry's response.", "type": "text/plain" }, "url": { "path": [ "API", "GetEligibilityResponse" ], "host": [ "{{baseUrl}}" ], "query": [ { "disabled": false, "key": "requestId", "value": "", "description": "(Required) " } ], "variable": [] }, "header": [ { "key": "Accept", "value": "application/json" } ], "method": "GET", "auth": null }, "response": [ { "id": "1150c9d2-0f5d-4e79-a7ed-16a07c1e4373", "name": "OK", "originalRequest": { "url": { "path": [ "API", "GetEligibilityResponse" ], "host": [ "{{baseUrl}}" ], "query": [ { "key": "requestId", "value": "" } ], "variable": [] }, "header": [ { "description": { "content": "Added as a part of security scheme: bearer", "type": "text/plain" }, "key": "Authorization", "value": "Bearer " }, { "key": "Accept", "value": "application/json" } ], "method": "GET", "body": {} }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"requestId\": \"string\",\n \"APIResponseCode\": \"string\",\n \"APIResponseMessage\": \"string\",\n \"Status\": \"string\",\n \"EDIResponse\": \"string\",\n \"ServiceDetails\": [\n {\n \"key_0\": 2027.5514731057842,\n \"key_1\": false\n },\n {\n \"key_0\": \"string\",\n \"key_1\": true\n }\n ]\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "8b1ca6fd-2ddf-4022-8f29-deb437a5f445", "name": "List pending inquiries", "request": { "name": "List pending inquiries", "description": { "content": "Returns the list of eligibility inquiries still in a Pending state.", "type": "text/plain" }, "url": { "path": [ "API", "GetPendingInquiries" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Accept", "value": "application/json" } ], "method": "GET", "auth": null }, "response": [ { "id": "6a7449f3-db17-45ce-a0ac-bec4586e2585", "name": "OK", "originalRequest": { "url": { "path": [ "API", "GetPendingInquiries" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "description": { "content": "Added as a part of security scheme: bearer", "type": "text/plain" }, "key": "Authorization", "value": "Bearer " }, { "key": "Accept", "value": "application/json" } ], "method": "GET", "body": {} }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "[\n {\n \"requestId\": \"string\",\n \"status\": \"string\",\n \"submittedDate\": \"string\",\n \"payerCode\": \"string\"\n },\n {\n \"requestId\": \"string\",\n \"status\": \"string\",\n \"submittedDate\": \"string\",\n \"payerCode\": \"string\"\n }\n]", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "b47a1c1c-b444-44f4-9d69-4ddd62ea402b", "name": "Cancel a pending transaction", "request": { "name": "Cancel a pending transaction", "description": { "content": "Sets a pending inquiry's state to Cancel and removes it from the processing queue.", "type": "text/plain" }, "url": { "path": [ "API", "CancelTransaction" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "auth": null, "body": { "mode": "raw", "raw": "{\n \"requestId\": \"\"\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "eb8e893f-a767-43da-ae74-6f04afa41938", "name": "OK", "originalRequest": { "url": { "path": [ "API", "CancelTransaction" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "description": { "content": "Added as a part of security scheme: bearer", "type": "text/plain" }, "key": "Authorization", "value": "Bearer " }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"requestId\": \"\"\n}", "options": { "raw": { "language": "json" } } } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"APIResponseCode\": \"string\",\n \"APIResponseMessage\": \"string\",\n \"Status\": \"string\"\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] } ], "event": [], "variable": [ { "type": "string", "value": "https://api.pverify.com", "key": "baseUrl" } ], "auth": { "type": "bearer", "bearer": [ { "key": "token", "value": "{{bearerToken}}" } ] }, "info": { "_postman_id": "2a652b0f-c447-4896-be5b-c095a626e671", "name": "pVerify Authentication Eligibility API", "schema": "https://schema.getpostman.com/json/collection/v2.1.0/collection.json", "description": { "content": "Real-time healthcare insurance eligibility and revenue-cycle API. pVerify exchanges EDI 270/271 eligibility transactions, returns plan and benefit summaries, checks 276/277 claim status, lists supported payers, and estimates patient financial responsibility. All API calls require an OAuth2 bearer token obtained from the /Token endpoint and a Client-API-Id header.\n\nContact Support:\n Name: pVerify Support", "type": "text/plain" } } }