{ "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000001", "name": "Authentication", "description": { "content": "OAuth2 token generation for the pVerify API.", "type": "text/plain" }, "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000002", "name": "Generate an OAuth2 access token", "request": { "name": "Generate an OAuth2 access token", "description": { "content": "Exchanges Client_Id and Client_Secret for an OAuth2 bearer access token using the client_credentials grant.", "type": "text/plain" }, "url": { "path": [ "Token" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/x-www-form-urlencoded" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "auth": null, "body": { "mode": "urlencoded", "urlencoded": [ { "key": "Client_Id", "value": "" }, { "key": "Client_Secret", "value": "" }, { "key": "grant_type", "value": "client_credentials" } ] } }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000003", "name": "OK", "originalRequest": { "url": { "path": [ "Token" ], "host": [ "{{baseUrl}}" ] }, "method": "POST", "body": { "mode": "urlencoded", "urlencoded": [] } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"access_token\": \"string\",\n \"token_type\": \"bearer\",\n \"expires_in\": 3600\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] }, { "id": "9f3a1d10-1111-4a01-8a01-000000000010", "name": "Eligibility", "description": { "content": "Real-time 270/271 eligibility verification and queue management.", "type": "text/plain" }, "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000011", "name": "Real-time eligibility summary", "request": { "name": "Real-time eligibility summary", "description": { "content": "Posts a single real-time eligibility request and returns a condensed benefit summary.", "type": "text/plain" }, "url": { "path": [ "API", "EligibilitySummary" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"00001\",\n \"payerName\": \"AETNA\",\n \"provider\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"npi\": \"\",\n \"pin\": \"\"\n },\n \"subscriber\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"01/01/1980\",\n \"memberID\": \"\"\n },\n \"isSubscriberPatient\": \"True\",\n \"doS_StartDate\": \"06/21/2026\",\n \"doS_EndDate\": \"06/21/2026\",\n \"PracticeTypeCode\": \"1\",\n \"referenceId\": \"\",\n \"Location\": \"\",\n \"IncludeTextResponse\": false,\n \"InternalId\": \"\",\n \"CustomerID\": \"\"\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000012", "name": "OK", "originalRequest": { "url": { "path": [ "API", "EligibilitySummary" ], "host": [ "{{baseUrl}}" ] }, "method": "POST", "body": { "mode": "raw" } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"requestId\": \"string\",\n \"APIResponseCode\": \"0\",\n \"APIResponseMessage\": \"Processed\",\n \"PayerName\": \"AETNA\",\n \"PlanCoverageSummary\": {},\n \"HBPC_Deductible_OOP_Summary\": {},\n \"DemographicInfo\": {}\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "9f3a1d10-1111-4a01-8a01-000000000013", "name": "Real-time 270/271 eligibility inquiry", "request": { "name": "Real-time 270/271 eligibility inquiry", "description": { "content": "Posts a full 270 request and returns the detailed 271 response with a unique requestId.", "type": "text/plain" }, "url": { "path": [ "API", "EligibilityInquiry" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"00001\",\n \"provider\": {\n \"npi\": \"\"\n },\n \"subscriber\": {\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"01/01/1980\",\n \"memberID\": \"\"\n },\n \"isSubscriberPatient\": \"True\",\n \"doS_StartDate\": \"06/21/2026\",\n \"doS_EndDate\": \"06/21/2026\",\n \"PracticeTypeCode\": \"1\",\n \"IncludeTextResponse\": true\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000014", "name": "OK", "originalRequest": { "url": { "path": [ "API", "EligibilityInquiry" ], "host": [ "{{baseUrl}}" ] }, "method": "POST", "body": { "mode": "raw" } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"requestId\": \"string\",\n \"APIResponseCode\": \"0\",\n \"APIResponseMessage\": \"Processed\",\n \"Status\": \"Processed\",\n \"EDIResponse\": \"string\",\n \"ServiceDetails\": []\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "9f3a1d10-1111-4a01-8a01-000000000015", "name": "Retrieve a prior eligibility response", "request": { "name": "Retrieve a prior eligibility response", "description": { "content": "Returns the EligibilityInquiry response for a given requestId.", "type": "text/plain" }, "url": { "path": [ "API", "GetEligibilityResponse" ], "host": [ "{{baseUrl}}" ], "query": [ { "key": "requestId", "value": "" } ], "variable": [] }, "header": [ { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "GET", "body": {} }, "response": [], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "9f3a1d10-1111-4a01-8a01-000000000016", "name": "List pending inquiries", "request": { "name": "List pending inquiries", "description": { "content": "Returns eligibility inquiries still in a Pending state.", "type": "text/plain" }, "url": { "path": [ "API", "GetPendingInquiries" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "GET", "body": {} }, "response": [], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } }, { "id": "9f3a1d10-1111-4a01-8a01-000000000017", "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 queue.", "type": "text/plain" }, "url": { "path": [ "API", "CancelTransaction" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"requestId\": \"\"\n}", "options": { "raw": { "language": "json" } } } }, "response": [], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] }, { "id": "9f3a1d10-1111-4a01-8a01-000000000020", "name": "Batch", "description": { "content": "Asynchronous high-volume eligibility verification.", "type": "text/plain" }, "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000021", "name": "Submit a batch of eligibility verifications", "request": { "name": "Submit a batch of eligibility verifications", "description": { "content": "Submits multiple eligibility verifications for asynchronous processing.", "type": "text/plain" }, "url": { "path": [ "API", "BatchEligibility" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"batchReferenceId\": \"\",\n \"requests\": [\n {\n \"payerCode\": \"00001\",\n \"provider\": {\n \"npi\": \"\"\n },\n \"subscriber\": {\n \"memberID\": \"\",\n \"dob\": \"01/01/1980\"\n },\n \"doS_StartDate\": \"06/21/2026\"\n }\n ]\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000022", "name": "OK", "originalRequest": { "url": { "path": [ "API", "BatchEligibility" ], "host": [ "{{baseUrl}}" ] }, "method": "POST", "body": { "mode": "raw" } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"batchId\": \"string\",\n \"accepted\": 1,\n \"status\": \"Queued\"\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] }, { "id": "9f3a1d10-1111-4a01-8a01-000000000030", "name": "Claim Status", "description": { "content": "Real-time 276/277 claim status inquiry.", "type": "text/plain" }, "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000031", "name": "Real-time 276/277 claim status", "request": { "name": "Real-time 276/277 claim status", "description": { "content": "Posts a 276 claim status inquiry and returns the current 277 state for a claim.", "type": "text/plain" }, "url": { "path": [ "API", "ClaimStatus" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"00001\",\n \"provider\": {\n \"npi\": \"\"\n },\n \"subscriber\": {\n \"memberID\": \"\",\n \"firstName\": \"\",\n \"lastName\": \"\",\n \"dob\": \"01/01/1980\"\n },\n \"claimNumber\": \"\",\n \"claimChargeAmount\": \"100.00\",\n \"serviceStartDate\": \"05/01/2026\",\n \"serviceEndDate\": \"05/01/2026\"\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000032", "name": "OK", "originalRequest": { "url": { "path": [ "API", "ClaimStatus" ], "host": [ "{{baseUrl}}" ] }, "method": "POST", "body": { "mode": "raw" } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"requestId\": \"string\",\n \"APIResponseCode\": \"0\",\n \"APIResponseMessage\": \"Processed\",\n \"claimStatusCategoryCode\": \"F1\",\n \"claimStatusCode\": \"1\",\n \"claimStatusDescription\": \"Processed\",\n \"totalClaimChargeAmount\": \"100.00\",\n \"claimPaymentAmount\": \"80.00\"\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] }, { "id": "9f3a1d10-1111-4a01-8a01-000000000040", "name": "Payers", "description": { "content": "Supported payer reference data.", "type": "text/plain" }, "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000041", "name": "List supported payers", "request": { "name": "List supported payers", "description": { "content": "Returns the current pVerify payer list with codes, names, and capability flags.", "type": "text/plain" }, "url": { "path": [ "API", "Payers" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "GET", "body": {} }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000042", "name": "OK", "originalRequest": { "url": { "path": [ "API", "Payers" ], "host": [ "{{baseUrl}}" ] }, "method": "GET" }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "[\n {\n \"payerCode\": \"00001\",\n \"payerName\": \"AETNA\",\n \"isActive\": true,\n \"isSupportingEligibility\": true,\n \"isSupportingClaims\": true,\n \"isEDIPayer\": true\n }\n]", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] }, { "id": "9f3a1d10-1111-4a01-8a01-000000000050", "name": "Estimation", "description": { "content": "Patient cost / financial responsibility estimation.", "type": "text/plain" }, "item": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000051", "name": "Patient cost estimation", "request": { "name": "Patient cost estimation", "description": { "content": "Estimates patient financial responsibility for a planned service.", "type": "text/plain" }, "url": { "path": [ "API", "EstimationInquiry" ], "host": [ "{{baseUrl}}" ], "query": [], "variable": [] }, "header": [ { "key": "Content-Type", "value": "application/json" }, { "key": "Client-API-Id", "value": "{{clientApiId}}" }, { "key": "Accept", "value": "application/json" } ], "method": "POST", "body": { "mode": "raw", "raw": "{\n \"payerCode\": \"00001\",\n \"provider\": {\n \"npi\": \"\"\n },\n \"subscriber\": {\n \"memberID\": \"\",\n \"dob\": \"01/01/1980\"\n },\n \"serviceCptCodes\": [\n \"99213\"\n ],\n \"placeOfService\": \"11\",\n \"contractedAmount\": \"150.00\",\n \"dateOfService\": \"06/21/2026\"\n}", "options": { "raw": { "language": "json" } } } }, "response": [ { "id": "9f3a1d10-1111-4a01-8a01-000000000052", "name": "OK", "originalRequest": { "url": { "path": [ "API", "EstimationInquiry" ], "host": [ "{{baseUrl}}" ] }, "method": "POST", "body": { "mode": "raw" } }, "status": "OK", "code": 200, "header": [ { "key": "Content-Type", "value": "application/json" } ], "body": "{\n \"requestId\": \"string\",\n \"APIResponseCode\": \"0\",\n \"APIResponseMessage\": \"Processed\",\n \"estimatedPatientResponsibility\": \"45.00\",\n \"estimatedInsurancePayment\": \"105.00\",\n \"deductibleApplied\": \"0.00\",\n \"coinsuranceApplied\": \"45.00\",\n \"copayApplied\": \"0.00\"\n}", "cookie": [], "_postman_previewlanguage": "json" } ], "event": [], "protocolProfileBehavior": { "disableBodyPruning": true } } ], "event": [] } ], "event": [], "variable": [ { "type": "string", "value": "https://api.pverify.com", "key": "baseUrl" }, { "type": "string", "value": "{{clientApiId}}", "key": "clientApiId" } ], "auth": { "type": "bearer", "bearer": [ { "key": "token", "value": "{{bearerToken}}" } ] }, "info": { "_postman_id": "9f3a1d10-1111-4a01-8a01-000000000000", "name": "pVerify API", "schema": "https://schema.getpostman.com/json/collection/v2.1.0/collection.json", "description": { "content": "Real-time healthcare insurance eligibility, claim status, payer, and estimation API. OAuth2 bearer token from POST /Token plus a Client-API-Id header are required on all API calls.\n\nContact Support:\n Name: pVerify Support\n URL: https://pverify.com/contact-support/", "type": "text/plain" } } }