# Eligible Coverage API

**Canonical:** https://apis.io/apis/eligible/coverage/  
**Provider:** Eligible — https://apis.io/providers/eligible/  
**Base URL:** https://gds.eligibleapi.com/v1.5  
**Documentation:** https://eligible.com/

Eligible Coverage API is one of 5 APIs that [Eligible](https://apis.io/providers/eligible/) publishes on the [APIs.io](https://apis.io/) network. Tagged areas include Coverage, Eligibility, Healthcare, and Insurance. The published artifact set on APIs.io includes API documentation.

The Coverage API performs real-time insurance eligibility and benefits verification for a patient against a payer. Clients submit provider NPI, payer ID, and member identity information and receive structured benefit details including plan status, copays, coinsurance, deductibles, and out-of-pocket maximums.

## Machine-readable artifacts (2)

- **Documentation** — https://eligible.com/docs
- **APIsJSON** — https://raw.githubusercontent.com/api-evangelist/eligible/refs/heads/main/apis.yml

## Other Eligible APIs (4)

- [Eligible Claims API](https://apis.io/apis/eligible/claims/)
- [Eligible Payment Estimation API](https://apis.io/apis/eligible/payment-estimation/)
- [Eligible Enrollment API](https://apis.io/apis/eligible/enrollment/)
- [Eligible Payers API](https://apis.io/apis/eligible/payers/)

## Tags

Coverage, Eligibility, Healthcare, Insurance

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/apis/eligible/coverage/). The API's provider profile, Kin Score and agent-readiness rating are at https://apis.io/providers/eligible/.