Eligible · Pricing Plans

Eligible Plans Pricing

Eligible Plans Pricing is the machine-readable pricing-plan profile for Eligible on the APIs.io network, conforming to the API Commons Plans specification.

It defines 2 plans, covering usage-based tiers, with named plans including Insurance Billing APIs, Patient Clearance APIs.

Tagged areas include Billing, Eligibility, Healthcare, Insurance, and Claims.

2 Plans API Commons Plans
View Source
BillingEligibilityHealthcareInsuranceClaims

Plans

Insurance Billing APIs usage-based

"Access a complete insurance billing platform with simple, pay-as-you-go pricing"

Remittance percentage (dollars_remitted · usage) 1% of dollars remitted USD
Per-claim fee (claim · usage) $0.25 per claim USD
Account minimum (account · month) $1.00 per month USD
Excess real-time payment status and eligibility inquiries (transaction · usage) $0.05 per transaction plus applicable PTFs USD
Payer passthrough fees (PTF) (transaction · usage) per-payer, see passthrough_fees below USD
Patient Clearance APIs usage-based

"Access a complete patient financial clearance platform with automatic contract rate cleanup." Priced additively on top of Insurance Billing APIs.

Per-claim fee (claim · usage) +$0.30 per claim (in addition to the insurance billing cost) USD
Included eligibility / cost-estimation calls (calls_per_claim · usage) 0.00 USD
Excess eligibility inquiries (transaction · usage) $0.05 per transaction plus applicable PTFs USD
Excess cost estimates (transaction · usage) $0.25 per transaction plus applicable PTFs USD

Sources