Waystar

Waystar Eligibility Verification API

Real-time and batch insurance eligibility and benefits verification, exchanging X12 270 inquiries and 271 responses to confirm coverage, plan details, copays, deductibles, and service-type benefits before a visit. Endpoints are modeled from Waystar's Eligibility product and the 270/271 transaction set; concrete paths are provisioned through the partner program.

GitHub

Documentation

📖
Documentation
https://developer.waystar.com/

Other Resources

🔗
SignUp
https://www.waystar.com/our-platform/financial-clearance/eligibility-verification/
🔗
APIsJSON
https://raw.githubusercontent.com/api-evangelist/waystar/refs/heads/main/apis.yml

API entry from apis.yml

apis.yml Raw ↑ 
aid: waystar:waystar-eligibility-verification-api
name: Waystar Eligibility Verification API
tags:
- Eligibility
- Benefits
- X12 270/271
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
humanURL: https://www.waystar.com/our-platform/financial-clearance/eligibility-verification/
properties:
- url: https://developer.waystar.com/
  type: Documentation
- url: https://www.waystar.com/our-platform/financial-clearance/eligibility-verification/
  type: SignUp
description: Real-time and batch insurance eligibility and benefits verification, exchanging X12 270 inquiries
  and 271 responses to confirm coverage, plan details, copays, deductibles, and service-type benefits
  before a visit. Endpoints are modeled from Waystar's Eligibility product and the 270/271 transaction
  set; concrete paths are provisioned through the partner program.