pVerify

pVerify provides real-time healthcare insurance eligibility verification and revenue-cycle APIs. Its RESTful API at https://api.pverify.com exchanges EDI 270/271 eligibility transactions, returns plan and benefit summaries, checks claim status (276/277), lists supported payers, and estimates patient financial responsibility, secured with OAuth2 bearer tokens.

pVerify publishes 6 APIs on the APIs.io network, including Authentication API, Batch API, Claim Status API, and 3 more. Tagged areas include Healthcare, Insurance, Eligibility, Claims, and EDI.

pVerify’s developer surface includes authentication, documentation, engineering blog, and 8 more developer resources.

🌐 Visit website 📡 Source on GitHub

34.6/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-08-05 · rubric v0.9.1

AccessEnterpriseSelf serve

6 APIs

HealthcareInsuranceEligibilityClaimsEDI270/271

Kin Score

Kin Score How this is scored →
scored 2026-08-05 · rubric v0.9.1

Composite quality — 34.6/100 · thin

Contract Quality 15.1 / 25

Developer Ergonomics 4.3 / 20

Commercial Clarity 5.8 / 20

Operational Transparency 4.8 / 13

Governance 0.0 / 12

Discoverability 7.4 / 10

Agent readiness — 31/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

MCP Server 0 / 12

Machine-Readable Auth 10 / 10

Idempotency 0 / 9

Stable Error Semantics 0 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 7 / 7

Typed Event Surface 0 / 6

Agent Skills 0 / 5

Well-Known Catalog 0 / 4

Consent & Bot Identity 0 / 3

A2A Agent Card 0 / 8

Dry-Run / Simulate Mode 0 / 4

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 6

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

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.

Documentation 1

Reference material describing how the API behaves

Documentation

Documentation

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Access & Security 2

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

Operate 1

Status, limits, changes, and where to get help

RateLimits

RateLimits

Commercial 2

Pricing, plans, and the legal terms of use

Plans

Plans

FinOps

FinOps

Company 3

The organization behind the API

LinkedIn

Website

Website

Blog

Blog

Source (apis.yml)

aid: pverify
url: https://raw.githubusercontent.com/api-evangelist/pverify/refs/heads/main/apis.yml
name: pVerify
kind: company
description: pVerify provides real-time healthcare insurance eligibility verification and revenue-cycle APIs. Its RESTful
  API at https://api.pverify.com exchanges EDI 270/271 eligibility transactions, returns plan and benefit summaries, checks
  claim status (276/277), lists supported payers, and estimates patient financial responsibility, secured with OAuth2 bearer
  tokens.
accessModel:
  pricing: enterprise
  onboarding: self-serve
  trial: false
  try_now: false
  public: false
  label: Enterprise · Self-serve signup
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/pverify.png
tags:
- Healthcare
- Insurance
- Eligibility
- Claims
- EDI
- 270/271
created: '2026-06-21'
modified: '2026-06-21'
specificationVersion: '0.19'
apis:
- aid: pverify:pverify-authentication-api
  name: pVerify Authentication API
  description: The Authentication API from pVerify — 1 operation(s) for authentication.
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  tags:
  - Authentication
  properties:
  - type: OpenAPI
    url: openapi/pverify-authentication-api-openapi.yml
  - type: Documentation
    url: https://docs.pverify.io/
  - type: APIReference
    url: https://www.pverify.com/rest-api/
  - type: PostmanCollection
    url: collections/pverify.postman_collection.json
  - type: OpenCollection
    url: collections/pverify.opencollection.json
  - type: APIReference
    url: https://www.pverify.com/claim-status/
  - type: APIReference
    url: https://pverify.com/payer-list/
  - type: APIReference
    url: https://www.pverify.com/patient-estimator/
- aid: pverify:pverify-batch-api
  name: pVerify Batch API
  description: The Batch API from pVerify — 1 operation(s) for batch.
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  tags:
  - Batch
  properties:
  - type: OpenAPI
    url: openapi/pverify-batch-api-openapi.yml
  - type: Documentation
    url: https://docs.pverify.io/
  - type: APIReference
    url: https://www.pverify.com/rest-api/
  - type: PostmanCollection
    url: collections/pverify.postman_collection.json
  - type: OpenCollection
    url: collections/pverify.opencollection.json
  - type: APIReference
    url: https://www.pverify.com/claim-status/
  - type: APIReference
    url: https://pverify.com/payer-list/
  - type: APIReference
    url: https://www.pverify.com/patient-estimator/
- aid: pverify:pverify-claim-status-api
  name: pVerify Claim Status API
  description: The Claim Status API from pVerify — 1 operation(s) for claim status.
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  tags:
  - Claim Status
  properties:
  - type: OpenAPI
    url: openapi/pverify-claim-status-api-openapi.yml
  - type: Documentation
    url: https://docs.pverify.io/
  - type: APIReference
    url: https://www.pverify.com/rest-api/
  - type: PostmanCollection
    url: collections/pverify.postman_collection.json
  - type: OpenCollection
    url: collections/pverify.opencollection.json
  - type: APIReference
    url: https://www.pverify.com/claim-status/
  - type: APIReference
    url: https://pverify.com/payer-list/
  - type: APIReference
    url: https://www.pverify.com/patient-estimator/
- aid: pverify:pverify-eligibility-api
  name: pVerify Eligibility API
  description: The Eligibility API from pVerify — 5 operation(s) for eligibility.
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  tags:
  - Eligibility
  properties:
  - type: OpenAPI
    url: openapi/pverify-eligibility-api-openapi.yml
  - type: Documentation
    url: https://docs.pverify.io/
  - type: APIReference
    url: https://www.pverify.com/rest-api/
  - type: PostmanCollection
    url: collections/pverify.postman_collection.json
  - type: OpenCollection
    url: collections/pverify.opencollection.json
  - type: APIReference
    url: https://www.pverify.com/claim-status/
  - type: APIReference
    url: https://pverify.com/payer-list/
  - type: APIReference
    url: https://www.pverify.com/patient-estimator/
- aid: pverify:pverify-estimation-api
  name: pVerify Estimation API
  description: The Estimation API from pVerify — 1 operation(s) for estimation.
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  tags:
  - Estimation
  properties:
  - type: OpenAPI
    url: openapi/pverify-estimation-api-openapi.yml
  - type: Documentation
    url: https://docs.pverify.io/
  - type: APIReference
    url: https://www.pverify.com/rest-api/
  - type: PostmanCollection
    url: collections/pverify.postman_collection.json
  - type: OpenCollection
    url: collections/pverify.opencollection.json
  - type: APIReference
    url: https://www.pverify.com/claim-status/
  - type: APIReference
    url: https://pverify.com/payer-list/
  - type: APIReference
    url: https://www.pverify.com/patient-estimator/
- aid: pverify:pverify-payers-api
  name: pVerify Payers API
  description: The Payers API from pVerify — 1 operation(s) for payers.
  humanURL: https://docs.pverify.io/
  baseURL: https://api.pverify.com
  tags:
  - Payers
  properties:
  - type: OpenAPI
    url: openapi/pverify-payers-api-openapi.yml
  - type: Documentation
    url: https://docs.pverify.io/
  - type: APIReference
    url: https://www.pverify.com/rest-api/
  - type: PostmanCollection
    url: collections/pverify.postman_collection.json
  - type: OpenCollection
    url: collections/pverify.opencollection.json
  - type: APIReference
    url: https://www.pverify.com/claim-status/
  - type: APIReference
    url: https://pverify.com/payer-list/
  - type: APIReference
    url: https://www.pverify.com/patient-estimator/
common:
- type: AgenticAccess
  url: agentic-access/pverify-agentic-access.yml
- type: DomainSecurity
  url: security/pverify-domain-security.yml
- type: Authentication
  url: authentication/pverify-authentication.yml
- type: GitHubOrganization
  url: https://github.com/pVerify
- type: LinkedIn
  url: https://www.linkedin.com/company/pverify
- type: Website
  url: https://www.pverify.com
- type: Documentation
  url: https://docs.pverify.io/
- 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: Blog
  url: https://pverify.com/blog/
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com

pVerify

Kin Score

APIs 6

pVerify Authentication API

pVerify Batch API

pVerify Claim Status API

pVerify Eligibility API

pVerify Estimation API

pVerify Payers API

Open Collections 1

pVerify API

Pricing Plans 1

Pverify Plans Pricing

Rate Limits 1

Pverify Rate Limits

FinOps 1

Pverify Finops

Security Posture 2

Pverify Authentication

Pverify Domain Security

Agentic Access 1

Pverify Agentic Access

Resources