pVerify Dental Eligibility API
Dental insurance eligibility and benefit verification, including the only version-prefixed path in the pVerify surface (/api/v2/DentalEligibilitySummary) alongside the unversioned v1 endpoints.
Work with this as data
Every API here is available over the APIs.io API and to AI agents over MCP.
MCP server
One button, every client — Claude, Cursor, VS Code and the rest.
https://apis.io/mcp
Tools for apis
7 MCP tools reach this
find_apisBrowse and filter every API in the catalog.get_api_artifactsOne API's artifacts, grouped by type.get_openapiThe primary OpenAPI for this API.find_similar_apisAPIs that look like this one.apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.resolveTurn a domain, URL or GitHub org into the provider it belongs to.find_cohortsEvery scored population of providers in the catalog.
Call it yourself
curl for this page
This API
curl "https://apis.io/api/v1/apis/pverify-dental-eligibility-api"
All apis
curl "https://apis.io/api/v1/apis?limit=25"Discovery needs no key. Ratings and market analysis are Pro.
OpenAPI Specification
# 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\
# --- truncated at 32 KB (35 KB total) ---
# Full source: https://raw.githubusercontent.com/api-evangelist/pverify/refs/heads/main/openapi/pverify-dental-eligibility-api-openapi.yml