# Derived from pVerify's published Postman collection: https://postman.pverify.com/
# method: derived  generated: 2026-08-14
openapi: 3.0.3
info:
  title: pVerify Dental Eligibility API
  description: pVerify Dental Eligibility API, derived operation-for-operation from the public Postman
    collection pVerify publishes at https://postman.pverify.com/ (last updated 03/01/2026). All calls
    require an OAuth2 bearer token from POST /Token plus the Client-API-Id header.
  version: '1.0'
  termsOfService: https://pverify.com/privacy-policy/
  contact:
    name: pVerify Support
    email: support@pverify.com
    url: https://pverify.com/contact-support/
servers:
- url: https://api.pverify.com
  description: Production
- url: https://testapi.pverify.com
  description: Test environment published by pVerify
tags:
- name: Dental Eligibility
paths:
  /api/DentalEligibilitySummary:
    post:
      operationId: dentalEligibilitySummary
      tags:
      - Dental Eligibility
      summary: DentalEligibilitySummary
      description: "There two type of verifications Self and Dependent.\n\nDentalEligibilitySummary Request\
        \ Details\n\nProperty Name | \nData Type | \nUsage | \nDescription | \n\nPayerCode | \nString\
        \ | \nRequired | \npVerify payer Code or Client payer map code (i.e. Delta Dental of WH-DE0171)\
        \ | \n\nPayerName | \nString | \nOptional | \nPayer Name | \n\nProvider.FirstName | \nString |\
        \ \nOptional | \nProvider first name | \n\nProvider.LastName | \nString | \nRequired | \nProvider\
        \ last name | \n\nProvider.NPI | \nString | \nRequired | \n10-digit NPI value | \n\nProvider.TaxId\
        \ | \nString | \nRequired | \nTax Id | \n\nSubscriber.FirstName | \nString | \nConditional | \n\
        First Name of subscriber required for self-inquiry | \n\nSubscriber.LastName | \nString | \nConditional\
        \ | \nLast Name of subscriber required for self-inquiry | \n\nSubscriber.MemberId | \nString |\
        \ \nRequired | \nMember Id required for both type inquiries (self, dependent) | \n\nSubscriber.DOB\
        \ | \nString | \nConditional | \nRequired for self-inquiry for better matching result Format is\
        \ MM/dd/yyyy | \n\nSubscriber.SSN | \nString | \nOptional | \nSSN of subscriber | \n\nisSubscriberPatient\
        \ | \nString | \nRequired | \nTrue for self and False for Dependent inquiry | \n\ndoS_StartDate\
        \ | \nString | \nRequired | \nDate of service start date in MM/dd/yyyy format | \n\ndoS_EndDate\
        \ | \nString | \nRequired | \nDate of service end date in MM/dd/yyyy format | \n\nPracticeTypeCode\
        \ | \nNumber | \nOptional | \nDefault practice type is 86 | \n\nLocation | \nString | \nOptional\
        \ | \nDefault is clients default location. | \n\nReferenceId | \nString | \nOptional | \nAny refence\
        \ Id,for ex: Patient MRN | \n\nIncludeHTMLResponse | \nBoolean | \nOptional | \nDefault is false,\
        \ if true then Entire response will be returned as formatted text in Response Test along with\
        \ Summary details. | \n\nDependent | \nObject | \nConditional | \nRequired for dependent inquiry\
        \ | \n\nDependent.Patient.FirstName | \nString | \nConditional | \nFirst Name of dependent required\
        \ for dependent inquiry | \n\nDependent.Patient.LastName | \nString | \nConditional | \nLast Name\
        \ of dependent required for dependent inquiry | \n\nDependent.Patient.DOB | \nString | \nConditional\
        \ | \nRequired for dependent inquiry for better matching result Format is MM/dd/yyyy | \n\nDCodes\
        \ | \nObject | \nConditional | \nDental Diagnosis Codes to get coinsurance and Deductible values\
        \ | \n\nDentalEligibilitySummary Response details\n\nKey | \nType | \nDescription | \n\nRequestID\
        \ | \nInteger | \nEligibility Transaction ID | \n\nAPIResponseCode | \nString | \n0-Processed,1-Rejected,3-Pending\
        \ | \n\nAPIResponseMessage | \nString | \nMessage about the transaction | \n\nVerificationType\
        \ | \nString | \nVerification Type –Subscriber or dependent | \n\nDOS | \nString | \nDate of service\
        \ start date – DOS end date | \n\nIs HMO Plan | \nBoolean | \nIf true then Patient has HMO plan\
        \ | \n\nExceptionNotes | \nString | \n\"Exception Notes if any . If response demographic info\
        \ is not matched with that of Request\" | \n\nAdditionalInformation | \nString | \nIf there is\
        \ any other info | \n\nDemographicInfo | \nObject | \nIt contains the subscriber info or dependent\
        \ info . | \n\nServiceDetails | \nObject | \n\"It contains all Service type details info\" | \n\
        \nPreventiveServices | \nObject | \nContains Preventive codes details | \n\nOtherPayerInfo | \n\
        Object | \nIt contains Other Payer info. It is null then there is no payer change. | \n\nPlanCoverageSummary\
        \ | \nobject | \nIt contains Plan related info. | \n\nDentalInfo | \nObject | \nIt contains response\
        \ as formatted HTML response when IncludeHTMLResponse of request is true. | \n\nResponseText |\
        \ \nString | \n | \n\nDCodes | \nObject | \nIt contains the dental diagnosis codes used for deductible\
        \ and coinsurance values |"
      requestBody:
        required: true
        content:
          application/json:
            schema:
              type: object
              properties:
                payerCode:
                  type: string
                  example: DE0171
                payerName:
                  type: string
                  example: Delta Dental of Washington
                provider:
                  type: object
                  properties:
                    firstName:
                      type: string
                    middleName:
                      type: string
                    lastName:
                      type: string
                      example: ' test name'
                    npi:
                      type: string
                      example: '1427006147'
                    TaxId:
                      type: string
                      example: '123456789'
                subscriber:
                  type: object
                  properties:
                    firstName:
                      type: string
                    dob:
                      type: string
                      example: 01/01/1950
                    lastName:
                      type: string
                    memberID:
                      type: string
                      example: '1234567890'
                dependent:
                  nullable: true
                isSubscriberPatient:
                  type: string
                  example: 'True'
                doS_StartDate:
                  type: string
                  example: 02/02/2021
                doS_EndDate:
                  type: string
                  example: 02/02/2021
                PracticeTypeCode:
                  type: string
                  example: '86'
                referenceId:
                  type: string
                  example: Pat MRN
                Location:
                  type: string
                  example: Any location Name
                IncludeHtmlResponse:
                  type: boolean
                  example: false
                dCodes:
                  type: array
                  items:
                    type: string
                    example: D0120
            example:
              payerCode: DE0171
              payerName: Delta Dental of Washington
              provider:
                firstName: ''
                middleName: ''
                lastName: ' test name'
                npi: '1427006147'
                TaxId: '123456789'
              subscriber:
                firstName: ''
                dob: 01/01/1950
                lastName: ''
                memberID: '1234567890'
              dependent: null
              isSubscriberPatient: 'True'
              doS_StartDate: 02/02/2021
              doS_EndDate: 02/02/2021
              PracticeTypeCode: '86'
              referenceId: Pat MRN
              Location: Any location Name
              IncludeHtmlResponse: false
              dCodes:
              - D0120
              - D0145
      responses:
        '200':
          description: OK
      security:
      - bearerAuth: []
        clientApiId: []
  /api/DentalEligibilityBenefitSummary:
    post:
      operationId: dentalEligibilityBenefitSummary
      tags:
      - Dental Eligibility
      summary: DentalEligibilityBenefitSummary
      description: "There two type of verifications Self and Dependent.\n\nDentalEligibilityBenefitSummary\
        \ Request Details\n\nProperty Name | \nData Type | \nUsage | \nDescription | \n\nPayerCode | \n\
        String | \nRequired | \npVerify payer Code or Client payer map code (i.e. Delta Dental of WH-DE0171)\
        \ | \n\nPayerName | \nString | \nOptional | \nPayer Name | \n\nProvider.FirstName | \nString |\
        \ \nOptional | \nProvider first name | \n\nProvider.LastName | \nString | \nRequired | \nProvider\
        \ last name | \n\nProvider.NPI | \nString | \nRequired | \n10-digit NPI value | \n\nProvider.TaxId\
        \ | \nString | \nRequired | \nTax Id | \n\nSubscriber.FirstName | \nString | \nConditional | \n\
        First Name of subscriber required for self-inquiry | \n\nSubscriber.LastName | \nString | \nConditional\
        \ | \nLast Name of subscriber required for self-inquiry | \n\nSubscriber.MemberId | \nString |\
        \ \nRequired | \nMember Id required for both type inquiries (self, dependent) | \n\nSubscriber.DOB\
        \ | \nString | \nConditional | \nRequired for self-inquiry for better matching result Format is\
        \ MM/dd/yyyy | \n\nSubscriber.SSN | \nString | \nOptional | \nSSN of subscriber | \n\nisSubscriberPatient\
        \ | \nString | \nRequired | \nTrue for self and False for Dependent inquiry | \n\ndoS_StartDate\
        \ | \nString | \nRequired | \nDate of service start date in MM/dd/yyyy format | \n\ndoS_EndDate\
        \ | \nString | \nRequired | \nDate of service end date in MM/dd/yyyy format | \n\nPracticeTypeCode\
        \ | \nNumber | \nOptional | \nDefault practice type is 86 | \n\nLocation | \nString | \nOptional\
        \ | \nDefault is clients default location. | \n\nReferenceId | \nString | \nOptional | \nAny refence\
        \ Id,for ex: Patient MRN | \n\nIncludeHTMLResponse | \nBoolean | \nOptional | \nDefault is false,\
        \ if true then Entire response will be returned as formatted text in Response Test along with\
        \ Summary details. | \n\nDependent | \nObject | \nConditional | \nRequired for dependent inquiry\
        \ | \n\nDependent.Patient.FirstName | \nString | \nConditional | \nFirst Name of dependent required\
        \ for dependent inquiry | \n\nDependent.Patient.LastName | \nString | \nConditional | \nLast Name\
        \ of dependent required for dependent inquiry | \n\nDependent.Patient.DOB | \nString | \nConditional\
        \ | \nRequired for dependent inquiry for better matching result Format is MM/dd/yyyy | \n\nDentalEligibilityBenefitSummary\
        \ Response details\n\nKey | \nType | \nDescription | \n\nRequestID | \nInteger | \nEligibility\
        \ Transaction ID | \n\nAPIResponseCode | \nString | \n0-Processed,1-Rejected,3-Pending | \n\n\
        APIResponseMessage | \nString | \nMessage about the transaction | \n\nVerificationType | \nString\
        \ | \nVerification Type –Subscriber or dependent | \n\nDOS | \nString | \nDate of service start\
        \ date – DOS end date | \n\nIs HMO Plan | \nBoolean | \nIf true then Patient has HMO plan | \n\
        \nExceptionNotes | \nString | \n\"Exception Notes if any . If response demographic info is not\
        \ matched with that of Request\" | \n\nAdditionalInformation | \nString | \nIf there is any other\
        \ info | \n\nDemographicInfo | \nObject | \nIt contains the subscriber info or dependent info\
        \ . | \n\nBenefitDetails | \nObject | \nIt contains all details info group by Benefit type. Ex\
        \ ; Dedcutible, Co-pay. | \n\nPreventiveServices | \nObject | \nContains Preventive codes details\
        \ | \n\nOtherPayerInfo | \nObject | \nIt contains Other Payer info. It is null then there is no\
        \ payer change. | \n\nPlanCoverageSummary | \nobject | \nIt contains Plan related info. | \n\n\
        DentalInfo | \nObject | \nIt contains response as formatted HTML response when IncludeHTMLResponse\
        \ of request is true. | \n\nResponseText | \nString | \n |"
      requestBody:
        required: true
        content:
          application/json:
            schema:
              type: object
              properties:
                payerCode:
                  type: string
                  example: DE0171
                payerName:
                  type: string
                  example: Delta Dental of Washington
                provider:
                  type: object
                  properties:
                    firstName:
                      type: string
                    middleName:
                      type: string
                    lastName:
                      type: string
                      example: ' test name'
                    npi:
                      type: string
                      example: '1427006147'
                    TaxId:
                      type: string
                      example: '123456789'
                subscriber:
                  type: object
                  properties:
                    firstName:
                      type: string
                    dob:
                      type: string
                      example: 01/01/1950
                    lastName:
                      type: string
                    memberID:
                      type: string
                      example: '1234567890'
                dependent:
                  nullable: true
                isSubscriberPatient:
                  type: string
                  example: 'True'
                doS_StartDate:
                  type: string
                  example: 02/02/2021
                doS_EndDate:
                  type: string
                  example: 02/02/2021
                PracticeTypeCode:
                  type: string
                  example: '86'
                referenceId:
                  type: string
                  example: Pat MRN
                Location:
                  type: string
                  example: Any location Name
                IncludeHtmlResponse:
                  type: boolean
                  example: false
            example:
              payerCode: DE0171
              payerName: Delta Dental of Washington
              provider:
                firstName: ''
                middleName: ''
                lastName: ' test name'
                npi: '1427006147'
                TaxId: '123456789'
              subscriber:
                firstName: ''
                dob: 01/01/1950
                lastName: ''
                memberID: '1234567890'
              dependent: null
              isSubscriberPatient: 'True'
              doS_StartDate: 02/02/2021
              doS_EndDate: 02/02/2021
              PracticeTypeCode: '86'
              referenceId: Pat MRN
              Location: Any location Name
              IncludeHtmlResponse: false
      responses:
        '200':
          description: OK
      security:
      - bearerAuth: []
        clientApiId: []
  /API/GetEligibilitySummary/{requestId}:
    get:
      operationId: getEligibilitySummary
      tags:
      - Dental Eligibility
      summary: GetEligibilitySummary
      description: "Environment | \nURL | \n\nTest | \nhttps://testapi.pverify.com/API/GetEligibilitySummary\
        \ | \n\nProduction | \nhttps://api.pverify.com/API/GetEligibilitySummary | \n\nGetEligibilitySummary\
        \ returns the response from the EligibilitySummary POST call using a unique request id provided\
        \ in the EligibilitySummary response. EligibilitySummary is not supported for back office payers.\n\
        \nHeaders\n\nKey | \nValue | \n\nURL | \nhttps://api.pverify.com/API/GetEligibilitySummary | \n\
        \nMethod | \nGET | \n\nHeaders | \nDescription | \n\nAuthorization | \nAuthorization token from\
        \ above preceded by the String \"Bearer\" | \n\nClient-API-Id* | \nYour pVerify client-api-id\
        \ | \n\nClient-API-Id | \nAPI ID provided by pVerify | \n\nContent-Type | \napplication/json |\
        \ \n\nURL Parameters | \nRequestId returned in EligibilitySummary response | \n\n*Note: The Client-API-Id\
        \ header is required. Header keys are case sensitive.\n\nGetEligibilitySummary Response Fields\n\
        \nKey | \nType | \nDescription | \n\nRequestID | \nInteger | \nEligibility Transaction ID | \n\
        \nAPIResponseCode | \nInteger | \n0-Processed,1-Rejected | \n\nAPIResponseMessage | \nString |\
        \ \nMessage about the transaction | \n\nVerificationType | \nString | \nVerification Type –Subscriber\
        \ or dependent | \n\nVerificationStatus | \nString | \nEligibility Transaction Status- Values\
        \ : Processed, Pending, Rejected | \n\nDOS | \nString | \nDate of service start date – DOS end\
        \ date | \n\nIs HMO Plan | \nBoolean | \nIf true then Patient has HMO plan | \n\nExceptionNotes\
        \ | \nString | \nException Notes if any. If response demographic info is not matched with that\
        \ of Request | \n\nAddtionalInformation | \nString | \nIf there is any other info | \n\nDemographicInfo\
        \ | \nObject | \nIt contains the subscriber info or dependent info | \n\nServiceDetails | \nObject\
        \ | \nIt contains all Service type details info | \n\nOtherPayerInfo | \nObject | \nIt contains\
        \ Other Payer info. It is null then there is no payer change. | \n\nPlanCoverageSummary | \nobject\
        \ | \nIt contains Plan realted info. | \n\nDentalInfo | \nObject | \nIt contains response as formatted\
        \ HTML response when IncludeHTMLResponse of request is true. |"
      parameters:
      - name: requestId
        in: path
        required: true
        schema:
          type: string
        description: Unique pVerify transaction / request id returned by the matching inquiry call.
      responses:
        '200':
          description: OK
      security:
      - bearerAuth: []
        clientApiId: []
  /api/v2/DentalEligibilitySummary:
    post:
      operationId: dentalEligibilitySummaryV2
      tags:
      - Dental Eligibility
      summary: V2 DentalEligibilitySummary
      description: "There two type of verifications Self and Dependent.\n\nV2 DentalEligibilitySummary\
        \ Request Details\n\nProperty Name | \nData Type | \nUsage | \nDescription | \n\nPayerCode | \n\
        String | \nRequired | \npVerify payer Code or Client payer map code (i.e. Delta Dental of WH-DE0171)\
        \ | \n\nPayerName | \nString | \nOptional | \nPayer Name | \n\nProvider.FirstName | \nString |\
        \ \nOptional | \nProvider first name | \n\nProvider.LastName | \nString | \nRequired | \nProvider\
        \ last name | \n\nProvider.NPI | \nString | \nRequired | \n10-digit NPI value | \n\nProvider.TaxId\
        \ | \nString | \nRequired | \nTax Id | \n\nSubscriber.FirstName | \nString | \nConditional | \n\
        First Name of subscriber required for self-inquiry | \n\nSubscriber.LastName | \nString | \nConditional\
        \ | \nLast Name of subscriber required for self-inquiry | \n\nSubscriber.MemberId | \nString |\
        \ \nRequired | \nMember Id required for both type inquiries (self, dependent) | \n\nSubscriber.DOB\
        \ | \nString | \nConditional | \nRequired for self-inquiry for better matching result Format is\
        \ MM/dd/yyyy | \n\nSubscriber.SSN | \nString | \nOptional | \nSSN of subscriber | \n\nisSubscriberPatient\
        \ | \nString | \nRequired | \nTrue for self and False for Dependent inquiry | \n\ndoS_StartDate\
        \ | \nString | \nRequired | \nDate of service start date in MM/dd/yyyy format | \n\ndoS_EndDate\
        \ | \nString | \nRequired | \nDate of service end date in MM/dd/yyyy format | \n\nPracticeTypeCode\
        \ | \nNumber | \nOptional | \nDefault practice type is 86 | \n\nLocation | \nString | \nOptional\
        \ | \nDefault is clients default location. | \n\nReferenceId | \nString | \nOptional | \nAny refence\
        \ Id,for ex: Patient MRN | \n\nIncludeHTMLResponse | \nBoolean | \nOptional | \nDefault is false,\
        \ if true then Entire response will be returned as formatted text in Response Test along with\
        \ Summary details. | \n\nDependent | \nObject | \nConditional | \nRequired for dependent inquiry\
        \ | \n\nDependent.Patient.FirstName | \nString | \nConditional | \nFirst Name of dependent required\
        \ for dependent inquiry | \n\nDependent.Patient.LastName | \nString | \nConditional | \nLast Name\
        \ of dependent required for dependent inquiry | \n\nDependent.Patient.DOB | \nString | \nConditional\
        \ | \nRequired for dependent inquiry for better matching result Format is MM/dd/yyyy | \n\nDCodes\
        \ | \nObject | \nConditional | \nDental Diagnosis Codes to get coinsurance and Deductible values\
        \ | \n\nDentalEligibilitySummary Response details\n\nKey | \nType | \nDescription | \n\nRequestID\
        \ | \nlong | \nEligibility Transaction ID | \n\nAPIResponseCode | \nString | \n0-Processed,1-Rejected,3-Pending\
        \ | \n\nAPIResponseMessage | \nString | \nMessage about the transaction | \n\nEDIErrorMessage\
        \ | \nString | \nEDI error messages if any | \n\nFollowUpAction | \nString | \nActions to be taken\
        \ based on payer response | \n\nPossibleResolution | \nString | \nPossible solutions if any |\
        \ \n\nProcessedWithError | \nBoolean | \nIf transaction verified with error, the value will be\
        \ false | \n\nErrorCode | \nString | \nTransaction Error Code | \n\nErrorDescription | \nString\
        \ | \nTransaction Error Description | \n\nPverifyPayerCode | \nString | \nPverify Payer Code |\
        \ \n\nPayerName | \nString | \nPverify Payer Name | \n\nClientPayerName | \nString | \nClient\
        \ Payer Name if any | \n\nVerificationType | \nString | \nVerification Type –Subscriber or dependent\
        \ | \n\nDOS | \nString | \nDate of service start date – DOS end date | \n\nIs HMO Plan | \nBoolean\
        \ | \nIf true then Patient has HMO plan | \n\nExceptionNotes | \nString | \n\"Exception Notes\
        \ if any . If response demographic info is not matched with that of Request\" | \n\nAdditionalInformation\
        \ | \nString | \nIf there is any other info | \n\nLocation | \nString | \nClient Location | \n\
        \nReferenceId | \nString | \nReference Id of Practice | \n\nInternalId | \nString | \nInternal\
        \ Id of Practice | \n\nCustomerId | \nString | \nCustomer Id in request | \n\nNotes | \nString\
        \ | \nNotes if there are any in the response | \n\nResultPracticeType | \nString | \nPractice\
        \ Type which is processed by payer | \n\nAreAllSTCsProcessed | \nBoolean | \nProcessed by | \n\
        \nSTCsStatusMessage | \nString | \nService Codes status messages if any | \n\nIsProviderInNetwork\
        \ | \nBoolean | \nIf provider is in with in network, it will return true | \n\nIsSkipped | \n\
        Boolean | \nif transaction get skipped(same transaction if we verify multiple time, transaction\
        \ will be skipped and return last successful verified response), it will be true | \n\nDetailsURL\
        \ | \nString | \nDetails URL for view transaction results | \n\nIsPriorAuthRequired | \nString\
        \ | \nIf any service require pre approval | \n\nDemographicInfo | \nObject | \nIt contains the\
        \ subscriber info or dependent info . | \n\nServiceDetails | \nObject | \n\"It contains all Service\
        \ type details info\" | \n\nOtherPayerInfo | \nObject | \nIt contains Other Payer info. It is\
        \ null then there is no payer change. | \n\nPlanCoverageSummary | \nobject | \nIt contains Plan\
        \ related info. | \n\nHBPC_Deductible_OOP_Summary | \nobject | \nIt contains HBPC related info.\
        \ | \n\nMiscellaneousInfoSummary | \nobject | \nMiscellaneousInfoSummary | \n\nDentalSummary |\
        \ \nPracticeTypeSummary | \nIt contains Dental Care Summary specific info | \n\nDentalAdjunctiveServiceSummary\
        \ | \nPracticeTypeSummary | \nIt contains Dental Adjunctive Service Summary specific info | \n\
        \nDentalAnesthesiaSummary | \nPracticeTypeSummary | \nIt contains Dental Anesthesia Summary specific\
        \ info | \n\nDentalCrownSummary | \nPracticeTypeSummary | \nIt contains the Dental Crown Summary\
        \ specific values | \n\nDentalDiagnosticSummary | \nPracticeTypeSummary | \nIt contains Dental\
        \ Diagnostic Summary specific values | \n\nDentalDiagnosticXRaySummary | \nPracticeTypeSummary\
        \ | \nIt contains Dental Diagnostic X-Ray Summary specific values | \n\nDentalEndodonticSummary\
        \ | \nPracticeTypeSummary | \nIt contains Dental Endodontics Summary specific values | \n\nDentalMaxillofacialProstheticSummary\
        \ | \nPracticeTypeSummary | \nIt contains Dental Maxillofacial Prosthetic Summary specific values\
        \ | \n\nDentalOrthodonticSummary | \nPracticeTypeSummary | \nIt contains Dental Orthodontics Summary\
        \ specific values | \n\nDentalPeriodonticSummary | \nPracticeTypeSummary | \nIt contains Dental\
        \ Periodontics Summary specific values | \n\nDentalProsthodonticSummary | \nPr"
      requestBody:
        required: true
        content:
          application/json:
            schema:
              type: object
              properties:
                payerCode:
                  type: string
                  example: DE0171
                payerName:
                  type: string
                  example: Delta Dental of Washington
                provider:
                  type: object
                  properties:
                    firstName:
                      type: string
                    middleName:
                      type: string
                    lastName:
                      type: string
                      example: ' test name'
                    npi:
                      type: string
                      example: '1234567890'
                    TaxId:
                      type: string
                      example: '123456789'
                subscriber:
                  type: object
                  properties:
                    firstName:
                      type: string
                      example: firstname
                    dob:
                      type: string
                      example: 12/31/1967
                    lastName:
                      type: string
                      example: lastname
                    memberID:
                      type: string
                      example: 123456789A
                dependent:
                  nullable: true
                isSubscriberPatient:
                  type: string
                  example: 'True'
                doS_StartDate:
                  type: string
                  example: 05/20/2026
                doS_EndDate:
                  type: string
                  example: 05/20/2026
                PracticeTypeCode:
                  type: string
                  example: '211'
                referenceId:
                  type: string
                  example: MRN001
                Location:
                  type: string
                  example: TestLocation01
                dCodes:
                  type: array
                  items:
                    type: string
                    example: D0140
            example:
              payerCode: DE0171
              payerName: Delta Dental of Washington
              provider:
                firstName: ''
                middleName: ''
                lastName: ' test name'
                npi: '1234567890'
                TaxId: '123456789'
              subscriber:
                firstName: firstname
                dob: 12/31/1967
                lastName: lastname
                memberID: 123456789A
              dependent: null
              isSubscriberPatient: 'True'
              doS_StartDate: 05/20/2026
              doS_EndDate: 05/20/2026
              PracticeTypeCode: '211'
              referenceId: MRN001
              Location: TestLocation01
              dCodes:
              - D0140
              - D0150
              - D0170
      responses:
        '200':
          description: OK
      security:
      - bearerAuth: []
        clientApiId: []
  /API/GetDentalEligibilitySummary/{requestId}:
    get:
      operationId: getDentalEligibilitySummary
      tags:
      - Dental Eligibility
      summary: GetDentalEligibilitySummary
      description: "Environment | \nURL | \n\nTest | \nhttps://testapi.pverify.com/API/V2/GetDentalEligibilitySummary\
        \ | \n\nProduction | \nhttps://api.pverify.com/API/V2/GetDentalEligibilitySummary | \n\nGetEligibilitySummary\
        \ returns the response from the EligibilitySummary POST call using a unique request id provided\
        \ in the EligibilitySummary response. EligibilitySummary is not supported for back office payers.\n\
        \nHeaders\n\nKey | \nValue | \n\nURL | \nhttps://api.pverify.com/Test/API/V2/DentalEligibilitySummary\
        \ | \n\nMethod | \nGET | \n\nHeaders | \nDescription | \n\nAuthorization | \nAuthorization token\
        \ from above preceded by the String \"Bearer\" | \n\nClient-API-Id* | \nYour pVerify client-api-id\
        \ | \n\nClient-API-Id | \nAPI ID provided by pVerify | \n\nContent-Type | \napplication/json |\
        \ \n\nURL Parameters | \nRequestId returned in Dental EligibilitySummary response | \n\n*Note:\
        \ The Client-API-Id header is required. Header keys are case sensitive.\n\nV2 GetDentalEligibilitySummary\
        \ Response Fields\n\nKey | \nType | \nDescription | \n\nRequestID | \nlong | \nEligibility Transaction\
        \ ID | \n\nAPIResponseCode | \nString | \n0-Processed,1-Rejected,3-Pending | \n\nAPIResponseMessage\
        \ | \nString | \nMessage about the transaction | \n\nEDIErrorMessage | \nString | \nEDI error\
        \ messages if any | \n\nFollowUpAction | \nString | \nActions to be taken based on payer response\
        \ | \n\nPossibleResolution | \nString | \nPossible solutions if any | \n\nProcessedWithError |\
        \ \nBoolean | \nIf transaction verified with error, the value will be false | \n\nErrorCode |\
        \ \nString | \nTransaction Error Code | \n\nErrorDescription | \nString | \nTransaction Error\
        \ Description | \n\nPverifyPayerCode | \nString | \nPverify Payer Code | \n\nPayerName | \nString\
        \ | \nPverify Payer Name | \n\nClientPayerName | \nString | \nClient Payer Name if any | \n\n\
        VerificationType | \nString | \nVerification Type –Subscriber or dependent | \n\nDOS | \nString\
        \ | \nDate of service start date – DOS end date | \n\nIs HMO Plan | \nBoolean | \nIf true then\
        \ Patient has HMO plan | \n\nExceptionNotes | \nString | \n\"Exception Notes if any . If response\
        \ demographic info is not matched with that of Request\" | \n\nAdditionalInformation | \nString\
        \ | \nIf there is any other info | \n\nLocation | \nString | \nClient Location | \n\nReferenceId\
        \ | \nString | \nReference Id of Practice | \n\nInternalId | \nString | \nInternal Id of Practice\
        \ | \n\nCustomerId | \nString | \nCustomer Id in request | \n\nNotes | \nString | \nNotes if there\
        \ are any in the response | \n\nResultPracticeType | \nString | \nPractice Type which is processed\
        \ by payer | \n\nAreAllSTCsProcessed | \nBoolean | \nProcessed by | \n\nSTCsStatusMessage | \n\
        String | \nService Codes status messages if any | \n\nIsProviderInNetwork | \nBoolean | \nIf provider\
        \ is in with in network, it will return true | \n\nIsSkipped | \nBoolean | \nif transaction get\
        \ skipped(same transaction if we verify multiple time, transaction will be skipped and return\
        \ last successful verified response), it will be true | \n\nDetailsURL | \nString | \nDetails\
        \ URL for view transaction results | \n\nIsPriorAuthRequired | \nString | \nIf any service require\
        \ pre approval | \n\nDemographicInfo | \nObject | \nIt contains the subscriber info or dependent\
        \ info . | \n\nServiceDetails | \nObject | \n\"It contains all Service type details info\" | \n\
        \nOtherPayerInfo | \nObject | \nIt contains Other Payer info. It is null then there is no payer\
        \ change. | \n\nPlanCoverageSummary | \nobject | \nIt contains Plan related info. | \n\nHBPC_Deductible_OOP_Summary\
        \ | \nobject | \nIt contains HBPC related info. | \n\nMiscellaneousInfoSummary | \nobject | \n\
        MiscellaneousInfoSummary | \n\nDentalSummary | \nPracticeTypeSummary | \nIt contains Dental Care\
        \ Summary specific info | \n\nDentalAdjunctiveServiceSummary | \nPracticeTypeSummary | \nIt contains\
        \ Dental Adjunctive Service Summary specific info | \n\nDentalAnesthesiaSummary | \nPracticeTypeSummary\
        \ | \nIt contains Dental Anesthesia Summary specific info | \n\nDentalCrownSummary | \nPracticeTypeSummary\
        \ | \nIt contains the Dental Crown Summary specific values | \n\nDentalDiagnosticSummary | \n\
        PracticeTypeSummary | \nIt contains Dental Diagnostic Summary specific values | \n\nDentalDiagnosticXRaySummary\
        \ | \nPracticeTypeSummary | \nIt contains Dental Diagnostic X-Ray Summary specific values | \n\
        \nDentalEndodonticSummary | \nPracticeTypeSummary | \nIt contains Dental Endodontics Summary specific\
        \ values | \n\nDentalMaxillofacialProstheticSummary | \nPracticeTypeSummary | \nIt contains Dental\
        \ Maxillofacial Prosthetic Summary specific values | \n\nDentalOrthodonticSummary | \nPracticeTypeSummary\
        \ | \nIt contains Dental Orthodontics Summary specific values | \n\nDentalPeriodonticSummary |\
        \ \nPracticeTypeSummary | \nIt contains Dental Periodontics Summary specific values | \n\nDentalProsthodonticSummary\
        \ | \nPracticeTypeSummary | \nIt contains Dental Prosthodontics Summary specific values | \n\n\
        DentalRestorativeSummary | \nPracticeTypeSummary | \nIt contains Dental Restorative Summary specific\
        \ values | \n\nDentalRoutineSummary | \nPracticeTypeSummary | \nIt contains Dental Routine Summary\
        \ specific values | \n\nDCodeBenefitsSummary | \nList | \nPer-D-code benefits summary, populated\
        \ when D-codes are requested. | \n\nDCodesDetails | \nList | \nD-code-specific benefit details\
        \ (populated by GetDCodesDetails(PboDentalEligibilityResponseSummary, List) when DCodes is provided).\
        \ |"
      parameters:
      - name: requestId
        in: path
        required: true
        schema:
          type: string
        description: Unique pVerify transaction / request id returned by the matching inquiry call.
      responses:
        '200':
          description: OK
      security:
      - bearerAuth: []
        clientApiId: []
components:
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      description: 'OAuth2 access token returned by POST /Token, sent as `Authorization: Bearer <token>`.'
    clientApiId:
      type: apiKey
      in: header
      name: Client-API-Id
      description: Client API identifier issued by pVerify. Required on every call; header keys are case
        sensitive.
    clientSecret:
      type: apiKey
      in: header
      name: Client-Secret
      description: Client secret issued by pVerify, used by the one-step (no-token) endpoints and the
        premium report endpoints.