pVerify Same or Similar API (discontinued)
Medicare same-or-similar DME history check. pVerify labels this product "(Discontinued)" in its own documentation while continuing to document it in full; every operation is marked deprecated in the spec.
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OpenAPI Specification
openapi: 3.2.0
info:
title: pVerify Same or Similar API
description: Real-time healthcare insurance eligibility and revenue-cycle API. Derived operation-for-operation from the public Postman collection pVerify publishes at https://postman.pverify.com/ (collection 6ceb8797-50ff-42fd-98a3-64beefaa6c94, last updated 03/01/2026). Covers eligibility (270/271), dental eligibility, insurance discovery, MBI lookup, patient demographic validation, claim status (276/277), patient cost estimation, payer lists and the CGX widget.
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: Same or Similar
paths:
/API/SameOrSimilarInquiry:
post:
operationId: sameOrSimilarInquiry
tags:
- Same or Similar
summary: SameOrSimilarInquiry
description: 'Environment |
URL |
Test |
https://testapi.pverify.com/API/SameOrSimilarInquiry |
Production |
https://api.pverify.com/API/SameOrSimilarInquiry |
This endpoint submits a Same/Similar request into our queue.'
deprecated: true
requestBody:
required: true
content:
application/json:
schema:
type: object
properties:
memberId:
type: string
example: '1231234567'
patientFirstName:
type: string
example: Test1
patientLastName:
type: string
example: Test2
patientDOB:
type: string
example: 01/02/2020
patientStateCode:
type: string
example: NJ
hcpcsCodes:
type: string
example: L3960,L3982,L3995
dosStart:
type: string
example: 04/21/2020
dosEnd:
type: string
example: 04/21/2020
location:
type: string
example: location Name
callBackUrl:
type: string
example:
memberId: '1231234567'
patientFirstName: Test1
patientLastName: Test2
patientDOB: 01/02/2020
patientStateCode: NJ
hcpcsCodes: L3960,L3982,L3995
dosStart: 04/21/2020
dosEnd: 04/21/2020
location: location Name
callBackUrl: ''
responses:
'200':
description: OK
security:
- bearerAuth: []
clientApiId: []
/API/GetSameOrSimilarResponse/{requestId}:
get:
operationId: getSameOrSimilarResponse
tags:
- Same or Similar
summary: GetSameOrSimilarResponse
description: 'Get Same or Similar Response Using Unique Request ID
Environment |
URL |
Test |
https://testapi.pverify.com/API/GetSameOrSimilarResponse/125 |
Production |
https://api.pverify.com/API/GetSameOrSimilarResponse/125 |
This call is used to get the transaction result later using a unique request ID.
Note: We purge this data after 90 days
Key |
Value |
URL |
https://api.pverify.com/API/GetSameOrSimilarResponse/125 |
Method |
GET |
Headers |
Description |
Content-Type |
application/json |
Authorization |
Authorization token from above preceded by the String "Bearer" |
Client-API-Id* |
Your pVerify client-api-id |
*Note: The Client-API-Id header is required. Header keys are case sensitive.
Notes
Always check for apiResponseCode property value before processing.
If APIResponseCode is zero then look for ErrorMessage and Claims to process response.
A successful GetSameOrSimilarResponse will have the same format as the SameOrSimilarInquiry response.
API Response Codes
APIResponseCode |
Description |
0 |
Processed |
1 |
Rejected |
2 |
NoFunds (Insufficient Account Balance) |
3 |
Pending (Pending need to get response later) |
4 |
InvalidRequest (Required Data Missing) |
5 |
InvalidFormat (data fields / data format is wrong) |
6 |
LocationError (Location is not configured) |
Field Descriptions
Same or Similar Response Details
Property Name |
Data Type |
Description |
RequestId |
long |
Same or Similar Request ID. |
apiResponseCode |
int |
API transaction response code. Please see apiResponseCodes section. |
apiResponseMessage |
String |
API transaction response message. |
isDataError |
boolean |
True - when invalid patient details (Invalid MBI or Incorrect DOB, Name etc) |
Claims |
List |
|
|
Contains claim status info. |
|
Message |
String |
Contains messages other than error messages (No claims found). |
Status |
String |
Status of transaction. |
Claim.HCPCS |
String |
Contains HCPCS returned in response. |
Claim.Status |
String |
Contains Claim & Code status âAllowed ,Denied or No Claims. For Invalid data request it is Error. |
Claim.DOSStart |
String |
Claim & Code Date of service start date. It is empty for Error or for No Claims. (Expected format: MM/dd/YYYY ie 01/01/2000) |
Claim.DOSEnd |
String |
Claim & Code Date of service end date. It is empty for Jurisdiction A and D inquiries. It is empty for Error or for No Claims. (Expected format: MM/dd/YYYY ie 01/01/2000) |
Claim.Unit |
String |
No of units. |
Claim.SupplierName |
String |
Contains supplier name for all allowed or denied requests. Empty for no claims & error. |
Claim.phone |
String |
Contains supplier phone number for all allowed or denied. Empty for no claims & error. |
Claim.Message |
String |
Contains notes or error message, Ex: No claims found or Invalid MBI or Incorrect DOB or Incorrect name |
DetailsURL |
string |
URL for the full report |'
deprecated: 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: []
/PDFReport/SameorSimilar/{id}:
get:
operationId: getSameOrSimilarReport
tags:
- Same or Similar
summary: Same Or Similar Report
description: 'This returns a PDF report of the Same or Similar request.
Note two things:
The endpoint is premium.pverify.com
Authentication token is not used, instead pass your API ID and Secret.'
deprecated: true
parameters:
- name: id
in: path
required: true
schema:
type: string
description: Unique pVerify transaction / request id returned by the matching inquiry call.
responses:
'200':
description: OK
security:
- clientApiId: []
clientSecret: []
/API/GetSameAndSimilarDetailsURL/{requestId}:
get:
operationId: getSameOrSimilarDetailsUrl
tags:
- Same or Similar
summary: SoS Details URL
description: 'Environment |
URL |
Test |
/API/GetSameAndSimilarDetailsURL/{id} |
Production |
/API/GetSameAndSimilarDetailsURL/{id} |
This GET method will return details URL with Same and Simialr Request ID as a parameter.
GetSameAndSimilarDetailsURL Request
Key |
Value |
URL |
/API/GetSameAndSimilarDetailsURL/{id} |
Method |
GET |
Headers |
Description |
Authorization |
Authorization token from above preceded by the String "Bearer" |
Client-API-Id* |
Your pVerify client-api-id |
Content-Type |
application/json |
*Note: The Client-API-Id header is required. Header keys are case sensitive.
GetSameAndSimilarDetailsURL Resposne
Key |
Value |
isDetailsURLGenerated |
True or false |
url |
string URL |
errorMessage |
Message when isDetailsURLGenerated is false |
JSON Response
{
"isDetailsURLGenerated": true,
"url": "https://premium.pverify.com/Details",
"errorMessage": null
}'
deprecated: 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: []
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.