latestSwagger 2.02026-08-10422755.5 KB

9e1d4f09d0b2

InsuranceDiscovery

pVerify’s Insurance Discovery allows Hospitals and Providers to find a patient’s insurance coverage to collect potentially millions from insurance companies, allow prompt claim submission, increase patient payment collection, and drastically decrease Account Receivables.

Patient States To run insurance discovery a patient state or patient state ID is required. As part of the setup, pVerify will work with you to create Patient States.

Medicare We will return a new object for Medicare called MedicareInfoSummary which will return Medicare specific information such as Part A/B deductible, pharmacy payer name, MCA payer name, and more information. This object will only be returned for Medicare, for all other payers it is null. Please use this object when sending Medicare patients to retrieve Medicare specific information.

post/API/InsuranceDiscovery

Headers

Authorizationstring required

The authorization token required for the request. Provide the token in the format Bearer { token}, where { token} is your actual authentication token.

Client-Api-Idstring required

Client Id (Accepts valid GUID)

Request body

PatientStateIdinteger
PatientStatestring
DOS_StartDatestring
DOS_EndDatestring
PatientFirstNamestring
PatientLastNamestring
PatientSSNstring
PatientDOBstring
Notesstring
Locationstring
PatientGenderstring
VerifyMedicareboolean
PatientHasDisabilityboolean

Response

OK

object required