pVerify website screenshot

pVerify

pVerify is a US healthcare insurance eligibility and revenue-cycle API company, part of DoseSpot (now Interra Health). Its REST API at https://api.pverify.com exchanges X12 270/271 eligibility transactions and returns parsed, practice-type-specific benefit summaries; runs 276/277 claim status inquiries; discovers unknown active coverage for self-pay patients; looks up Medicare Beneficiary Identifiers; validates patient demographics; publishes a supported-payer catalog with live per-payer up/down status; and estimates patient financial responsibility at the point of service. Authentication is an OAuth2 client-credentials bearer token plus a case-sensitive Client-API-Id header. pVerify publishes no OpenAPI — its machine-readable contract is a public Postman Collection v2.0.0 at https://postman.pverify.com/, from which the OpenAPI documents in this repository were derived operation-for-operation.

pVerify publishes 13 APIs on the APIs.io network, including Authentication API, Eligibility API, Dental Eligibility API, and 10 more. Tagged areas include Healthcare, Insurance, Eligibility, Claims, and EDI.

The pVerify catalog on APIs.io includes 1 event-driven AsyncAPI specification.

pVerify’s developer surface includes documentation, API reference, getting-started guide, support, engineering blog, pricing, authentication, and 30 more developer resources.

🌐 Visit website 📡 Source on GitHub
56.5/100 strong ▬ flat Agent 33/100 agent ready Full breakdown ↓
scored 2026-08-25 · rubric v0.14.0
13 APIs
HealthcareInsuranceEligibilityClaimsEDI270/271276/277Revenue CycleMedicarePayersInsurance DiscoveryPatient EstimationHIPAADental

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-08-25 · rubric v0.14.0
Composite quality — 56.5/100 · strong
Contract Quality 13.3 / 21
Developer Ergonomics 8.4 / 17
Access Clarity 10.5 / 17
Operational Transparency 3.8 / 11
Contract Governance 4.6 / 10
Discoverability 6.3 / 9
Regulatory Posture 4.1 / 15
Agent readiness — 33/100 · agent ready
Machine-Readable Contract 18 / 18
Agentic Access Contract 10 / 10
Documented Reversibility 0 / 6
MCP Server 0 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 9
Stable Error Semantics 8 / 8
Request/Response Examples 7 / 7
Rate-Limit Signaling 7 / 7
Typed Event Surface 6 / 6
Agent Skills 5 / 5
Well-Known Catalog 0 / 4
Consent & Bot Identity 0 / 3
A2A Agent Card 0 / 8
Dry-Run / Simulate Mode 0 / 4
Delegated User Identity 0 / 6
Protected Resource Metadata 0 / 5
Registration Without a Human 0 / 6
Agentic Commerce Surface 0 / 5
Regulatory Posture applies to this provider. Its tags matched the Health regime, so Regulatory Posture carries 15 points of the composite. If this regime is wrong for your business, say so on your provider repo — the applicability map is public and we will correct it.
The six quality facets above are damped to 85 points between them, because the conditional facet above carries the other 15. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 85% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/pverify: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 13

Individual APIs this provider publishes, each with its own machine-readable definition.

pVerify Authentication API

OAuth2 client-credentials token endpoint. POST /Token exchanges Client_Id + Client_Secret for a bearer access_token used on every other pVerify call, alongside the case-sensitiv...

pVerify Eligibility API

Real-time X12 270/271 insurance eligibility verification. Submit an EligibilitySummary inquiry, poll the pending queue, retrieve the parsed benefit summary or the raw 271, pull ...

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 unversion...

pVerify Insurance Discovery API

Find unknown or unreported active insurance coverage for a patient presenting as self-pay, returning candidate payers and member IDs plus a hosted details URL and PDF report.

pVerify MBI Lookup API

Look up a Medicare Beneficiary Identifier for a patient from demographic data, for providers who need the MBI before they can run Medicare eligibility.

pVerify Patient Demographic Validator API

Validate and complete patient demographic data (pDV) — name, date of birth, gender and address — so that downstream eligibility and discovery inquiries match on identity.

pVerify Claim Status API

X12 276/277 claim status inquiry. Ask a payer what happened to a submitted claim and retrieve the 277 response by RequestID. Not every payer supports 276/277 electronically.

pVerify Patient Cost Estimator API

Estimate patient financial responsibility for a planned service from the payer benefit data, for point-of-service collection.

pVerify Payers API

The payer network surface: the full supported-payer catalog, live per-payer up/down status (the only pVerify operation requiring no authentication), and recent per-payer rejecti...

pVerify CGX Widget API

Provision and drive the embeddable eligibility-and-estimates widget. Setup runs against the premium portal host; CGXInquiry returns a combined estimate plus eligibility result f...

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 mar...

pVerify CMN API (discontinued)

Certificate of Medical Necessity lookup. Labelled "(Discontinued)" by pVerify; every operation is marked deprecated in the spec.

pVerify SNF API (discontinued)

Skilled Nursing Facility stay verification. Labelled "(Discontinued)" by pVerify; every operation is marked deprecated in the spec.

Scroll for all 13

Open Collections 8

Open, tool-agnostic API collections (OpenAPI-derived and Bruno).

API Collection

OPEN COLLECTION

pVerify Authentication API

OPEN COLLECTION

pVerify Authentication Batch API

OPEN COLLECTION

pVerify Authentication Claim Status API

OPEN COLLECTION

pVerify Authentication Eligibility API

OPEN COLLECTION

pVerify Authentication Estimation API

OPEN COLLECTION

pVerify Authentication Payers API

OPEN COLLECTION

pVerify API

OPEN COLLECTION

Scroll for all 8

Pricing Plans 1

Published pricing tiers and plan structures.

Pverify Plans Pricing

8 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

Pverify Rate Limits

4 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

Pverify Finops

FINOPS

Event Specifications 1

AsyncAPI definitions for this provider's event-driven and streaming APIs.

Pverify Callbacks

ASYNCAPI

Security Posture 3

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Pverify Authentication

http/apiKey · 3 schemes

SECURITY

Pverify Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Pverify Trust Center

SOC 2 Type II, HIPAA

SECURITY

Agentic Access 1

Recommended x-agentic-access execution contracts for AI agents.

Pverify Agentic Access

10 operations · 7 acting

10 operations · 7 acting

AGENTIC

Resources

Get Started 4

Portal, sign-up, and the first successful call

DeveloperPortal
DeveloperPortal
 GettingStarted
GettingStarted
 Login
Login
 Sandbox
Sandbox

Documentation 2

Reference material describing how the API behaves

Documentation
Documentation
 APIReference
APIReference

Agent Surfaces 3

MCP servers, agent skills, and machine-readable catalogs

AgentSkill
AgentSkill
 LLMsTxt
LLMsTxt
 AgenticAccess
AgenticAccess

Design & Contract 7

Pagination, idempotency, versioning, errors, and events

Conventions
Conventions
 ErrorCatalog
ErrorCatalog
 Lifecycle
Lifecycle
 Conformance
Conformance
 DataModel
DataModel
 Vocabulary
Vocabulary
 Components
Components

Scroll for all 7

Build 5

SDKs, sample code, and the tooling you integrate with

Postman
Postman
 GitHubOrganization
GitHubOrganization
 Packages
Packages
 SDKs
SDKs
 PostmanCollection
PostmanCollection

Access & Security 4

Authentication, authorization, and security posture

TrustCenter
TrustCenter
 Compliance
Compliance
 Authentication
Authentication
 DomainSecurity
DomainSecurity

Operate 4

Status, limits, changes, and where to get help

Support
Support
 StatusPage
StatusPage
 SLA
SLA
 RateLimits
RateLimits

Commercial 5

Pricing, plans, and the legal terms of use

Pricing
Pricing
 TermsOfService
TermsOfService
 PrivacyPolicy
PrivacyPolicy
 Plans
Plans
 FinOps
FinOps

Company 3

The organization behind the API

Website
Website
 Blog
Blog
 LinkedIn
LinkedIn

Source (apis.yml)

apis.yml Raw ↑ 
aid: pverify
url: https://raw.githubusercontent.com/api-evangelist/pverify/refs/heads/main/apis.yml
name: pVerify
kind: company
description: pVerify is a US healthcare insurance eligibility and revenue-cycle API company, part of DoseSpot (now Interra
  Health). Its REST API at https://api.pverify.com exchanges X12 270/271 eligibility transactions and returns parsed, practice-type-specific
  benefit summaries; runs 276/277 claim status inquiries; discovers unknown active coverage for self-pay patients; looks up
  Medicare Beneficiary Identifiers; validates patient demographics; publishes a supported-payer catalog with live per-payer
  up/down status; and estimates patient financial responsibility at the point of service. Authentication is an OAuth2 client-credentials
  bearer token plus a case-sensitive Client-API-Id header. pVerify publishes no OpenAPI — its machine-readable contract is
  a public Postman Collection v2.0.0 at https://postman.pverify.com/, from which the OpenAPI documents in this repository
  were derived operation-for-operation.
accessModel:
  pricing: tiered
  onboarding: sales-led
  trial: false
  try_now: false
  public: false
  label: Tiered subscription · Sales-led onboarding · API is an Enterprise-tier entitlement
  confidence: high
  source:
  - plans
  - authentication
  - pricing-page
  generated: '2026-08-15'
  method: searched
  note: CORRECTED 2026-08-15. https://pverify.com/pricing/ publishes eight named tiers across four products with monthly floor
    prices and included transaction quotas, so this is not an unpriced enterprise API. But the REST API is listed as an ENTERPRISE-tier
    feature, every CTA routes to request-a-demo, and no self-service checkout or free trial exists — so onboarding is sales-led,
    not self-serve.
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/pverify.png
tags:
- Healthcare
- Insurance
- Eligibility
- Claims
- EDI
- 270/271
- 276/277
- Revenue Cycle
- Medicare
- Payers
- Insurance Discovery
- Patient Estimation
- HIPAA
- Dental
created: '2026-06-21'
modified: '2026-08-15'
specificationVersion: '0.23'
apis:
- aid: pverify:pverify-authentication-api
  name: pVerify Authentication API
  description: OAuth2 client-credentials token endpoint. POST /Token exchanges Client_Id + Client_Secret for a bearer access_token
    used on every other pVerify call, alongside the case-sensitive Client-API-Id header.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Authentication
  - Tokens
  tags_raw:
  - Authentication
  - OAuth2
  - Tokens
  properties:
  - type: OpenAPI
    url: openapi/pverify-authentication-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-authentication-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
  - type: PostmanCollection
    url: collections/pverify-authentication-api.postman_collection.json
  - type: OpenCollection
    url: collections/pverify-authentication-api.opencollection.json
- aid: pverify:pverify-eligibility-api
  name: pVerify Eligibility API
  description: Real-time X12 270/271 insurance eligibility verification. Submit an EligibilitySummary inquiry, poll the pending
    queue, retrieve the parsed benefit summary or the raw 271, pull a PDF report, and cancel in-flight transactions.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Eligibility
  - 270/271
  - Benefits
  - EDI
  properties:
  - type: OpenAPI
    url: openapi/pverify-eligibility-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-eligibility-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
  - type: PostmanCollection
    url: collections/pverify-eligibility-api.postman_collection.json
  - type: OpenCollection
    url: collections/pverify-eligibility-api.opencollection.json
- aid: pverify:pverify-dental-eligibility-api
  name: pVerify Dental Eligibility API
  description: Dental insurance eligibility and benefit verification, including the only version-prefixed path in the pVerify
    surface (/api/v2/DentalEligibilitySummary) alongside the unversioned v1 endpoints.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Eligibility
  - Dental
  - 270/271
  - Benefits
  properties:
  - type: OpenAPI
    url: openapi/pverify-dental-eligibility-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-dental-eligibility-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-insurance-discovery-api
  name: pVerify Insurance Discovery API
  description: Find unknown or unreported active insurance coverage for a patient presenting as self-pay, returning candidate
    payers and member IDs plus a hosted details URL and PDF report.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Insurance Discovery
  - Coverage
  - Revenue Cycle
  properties:
  - type: OpenAPI
    url: openapi/pverify-insurance-discovery-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-insurance-discovery-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-mbi-lookup-api
  name: pVerify MBI Lookup API
  description: Look up a Medicare Beneficiary Identifier for a patient from demographic data, for providers who need the MBI
    before they can run Medicare eligibility.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Medicare
  - MBI
  - Identifiers
  properties:
  - type: OpenAPI
    url: openapi/pverify-mbi-lookup-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-mbi-lookup-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-patient-demographic-validator-api
  name: pVerify Patient Demographic Validator API
  description: Validate and complete patient demographic data (pDV) — name, date of birth, gender and address — so that downstream
    eligibility and discovery inquiries match on identity.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Demographics
  - Identity
  - Data Quality
  properties:
  - type: OpenAPI
    url: openapi/pverify-patient-demographic-validator-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-patient-demographic-validator-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-claim-status-api
  name: pVerify Claim Status API
  description: X12 276/277 claim status inquiry. Ask a payer what happened to a submitted claim and retrieve the 277 response
    by RequestID. Not every payer supports 276/277 electronically.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Claim Status
  - 276/277
  - Claims
  - EDI
  properties:
  - type: OpenAPI
    url: openapi/pverify-claim-status-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-claim-status-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
  - type: PostmanCollection
    url: collections/pverify-claim-status-api.postman_collection.json
  - type: OpenCollection
    url: collections/pverify-claim-status-api.opencollection.json
- aid: pverify:pverify-estimation-api
  name: pVerify Patient Cost Estimator API
  description: Estimate patient financial responsibility for a planned service from the payer benefit data, for point-of-service
    collection.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Estimation
  - Patient Responsibility
  - Price Transparency
  properties:
  - type: OpenAPI
    url: openapi/pverify-estimation-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-estimation-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
  - type: PostmanCollection
    url: collections/pverify-estimation-api.postman_collection.json
  - type: OpenCollection
    url: collections/pverify-estimation-api.opencollection.json
- aid: pverify:pverify-payers-api
  name: pVerify Payers API
  description: 'The payer network surface: the full supported-payer catalog, live per-payer up/down status (the only pVerify
    operation requiring no authentication), and recent per-payer rejection statistics.'
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Payers
  - Status
  - Availability
  properties:
  - type: OpenAPI
    url: openapi/pverify-payers-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-payers-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
  - type: PostmanCollection
    url: collections/pverify-payers-api.postman_collection.json
  - type: OpenCollection
    url: collections/pverify-payers-api.opencollection.json
- aid: pverify:pverify-cgx-widget-api
  name: pVerify CGX Widget API
  description: Provision and drive the embeddable eligibility-and-estimates widget. Setup runs against the premium portal
    host; CGXInquiry returns a combined estimate plus eligibility result for the widget to render.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - Widget
  - Embeddable
  - Eligibility
  - Estimation
  properties:
  - type: OpenAPI
    url: openapi/pverify-cgx-widget-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-cgx-widget-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-same-or-similar-api
  name: pVerify Same or Similar API (discontinued)
  description: 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.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - DME
  - Medicare
  - Discontinued
  properties:
  - type: OpenAPI
    url: openapi/pverify-same-or-similar-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-same-or-similar-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-cmn-api
  name: pVerify CMN API (discontinued)
  description: Certificate of Medical Necessity lookup. Labelled "(Discontinued)" by pVerify; every operation is marked deprecated
    in the spec.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - CMN
  - Medicare
  - Discontinued
  properties:
  - type: OpenAPI
    url: openapi/pverify-cmn-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-cmn-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
- aid: pverify:pverify-snf-api
  name: pVerify SNF API (discontinued)
  description: Skilled Nursing Facility stay verification. Labelled "(Discontinued)" by pVerify; every operation is marked
    deprecated in the spec.
  humanURL: https://postman.pverify.com/
  baseURL: https://api.pverify.com
  tags:
  - SNF
  - Medicare
  - Discontinued
  properties:
  - type: OpenAPI
    url: openapi/pverify-snf-api-openapi.yml
  - type: Overlay
    url: overlays/pverify-snf-api-overlay.yaml
  - type: Documentation
    url: https://postman.pverify.com/
  - type: APIReference
    url: https://postman.pverify.com/
common:
- type: Website
  url: https://www.pverify.com
- type: DeveloperPortal
  url: https://pverify.com/api-developers/
- type: Documentation
  url: https://docs.pverify.io/
- type: APIReference
  url: https://postman.pverify.com/
- type: Postman
  url: https://postman.pverify.com/
- type: GettingStarted
  url: https://pverify.com/templates/
- type: Support
  url: https://pverify.com/contact-support/
- type: Blog
  url: https://pverify.com/blog/
- type: GitHubOrganization
  url: https://github.com/pVerify
- type: LinkedIn
  url: https://www.linkedin.com/company/pverify
- type: Login
  url: https://apimgmt.pverify.com/
- type: Pricing
  url: https://pverify.com/pricing/
- type: TermsOfService
  url: https://pverify.com/pverify-legal-documentation/
- type: PrivacyPolicy
  url: https://pverify.com/privacy-policy/
- type: StatusPage
  url: https://status.dosespot.com/posts/dashboard
- type: TrustCenter
  url: security/pverify-trust-center.yml
- type: Compliance
  url: https://trust.dosespot.com/
- type: SLA
  url: https://pverify.com/wp-content/uploads/2025/04/Exhibit-B-SLA.docx
- type: Authentication
  url: authentication/pverify-authentication.yml
- type: Conventions
  url: conventions/pverify-conventions.yml
- type: ErrorCatalog
  url: errors/pverify-error-codes.yml
- type: Lifecycle
  url: lifecycle/pverify-lifecycle.yml
- type: Conformance
  url: conformance/pverify-conformance.yml
- type: DataModel
  url: data-model/pverify-data-model.yml
- type: Vocabulary
  url: vocabulary/pverify-vocabulary.yml
- type: Sandbox
  url: sandbox/pverify-sandbox.yml
- type: Components
  url: components/pverify-components.yml
- type: Packages
  url: packages/pverify-packages.yml
- type: SDKs
  url: packages/pverify-packages.yml
- type: AgentSkill
  url: skills/_index.yml
- type: LLMsTxt
  url: llms/pverify-llms.txt
- type: AgenticAccess
  url: agentic-access/pverify-agentic-access.yml
- type: DomainSecurity
  url: security/pverify-domain-security.yml
- type: Plans
  url: plans/pverify-plans-pricing.yml
- type: RateLimits
  url: rate-limits/pverify-rate-limits.yml
- type: FinOps
  url: finops/pverify-finops.yml
- type: PostmanCollection
  url: collections/pverify-published-postman-collection.json
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
x-enrichment:
  date: '2026-08-15'
  status: enriched
  artifacts_added: 22
  pass: local-v1

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