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.
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OpenAPI Specification
openapi: 3.2.0
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 | \nFirst 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 | \nObject | \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: {}
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 | \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 | \nFirst 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\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\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\nDentalInfo | \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: {}
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 | \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 | \nFirst 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 | \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 | \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: {}
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\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 | \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 | \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 | \nPracticeTypeSummary | \nIt contains Dental Prosthodontics Summary specific values | \n\nDentalRestorativeSummary | \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 / requ
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# Full source: https://raw.githubusercontent.com/api-evangelist/pverify/refs/heads/main/openapi/pverify-dental-eligibility-api-openapi.yml