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 API contracts indexed 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 and 1 Spectral governance ruleset.

pVerify’s developer surface includes documentation, API reference, getting-started guide, support, engineering blog, pricing, authentication, and 33 more developer resources.

🌐 Visit website 📡 Profile data on GitHub

54.5/100 strong ▬ flat Agent 36/100 agent ready Front door AI 1/6 silent Heartbeat 0/100 dormant saas Full breakdown ↓
scored 2026-11-13 · rubric v0.28.0 · Show this score on your site →

1 published contract 5 Agent Skills

Healthcare Insurance Eligibility Claims EDI270/271276/277Revenue Cycle Medicare Payers Insurance DiscoveryPatient EstimationHIPAA Dental Health Insurance

What this lets a business do 2

Business capabilities this provider's published APIs can perform, derived from its own contracts. Browse all capabilities →

Patient Access Management

BC-2800

CGX WidgetDental EligibilityEligibilityEstimationInsurance Discovery

POST /api/EligibilitySummary GET /API/GetEligibility271/{requestId} POST /api/DentalEligibilityBenefitSummary POST /api/EstimateCalculation

Healthcare Revenue Cycle Management

BC-2870

Claim Status

POST /API/ClaimStatusInquiry

Kin Score

Kin Score How this is scored →
scored 2026-11-13 · rubric v0.28.0

Composite quality — 54.5/100 · strong

Contract Quality 10.6 / 19

Developer Ergonomics 7.4 / 15

Access Clarity 9.6 / 15

Operational Transparency 4.4 / 10

Contract Governance 4.2 / 9

Discoverability 5.5 / 8

Regulatory Posture 2.1 / 15

Create-or-Update Ergonomics 0.0 / 10

Agent readiness — 36/100 · agent ready

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

Documented Reversibility 6 / 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 Well-Known Document 0 / 5

Pagination 5 / 5

Distinct Operations 3 / 3

MCP Tool Quality 6 / 6

Regulatory Posture applies to this provider. Its tags matched the Insurance 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.

Create-or-Update Ergonomics applies to this provider. This API accepts writes, so it carries 10 points of the composite. It is scored from the published contracts themselves: whether a caller can create-or-update in one call, whether the write accepts a key the caller already holds, and whether the response says which branch ran. Without that, every write needs a search-and-branch in front of it, and the first time that check is skipped a duplicate record is created. Scored against the observed mean rather than raw — a provider at the catalog average is unchanged by this facet, not penalised by it.

The six quality facets above are damped to 75 points between them, because the conditional facet above carries the other 25. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 75% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.

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Agent readiness — checks not met, largest first (exact, from this profile):

MCP Server +12 pts — deployment.mode + probe verdict on the mcp/ manifest, not the pointer; an unprobed slug falls back to authorship Ask about this →
Idempotency +9 pts — OpenAPI mutating operations declare an idempotency key — a header, a request-body property, or a named de-duplication token whose own description says so (verified); else common[].type matches /idempoten/i (documented) Ask about this →
A2A Agent Card +8 pts — a2a/-a2a.yml manifest, graded on conformance.grade against A2A 1.0.0 Ask about this →
Registration Without a Human +6 pts — a `registration_endpoint` in the served RFC 8414 / OIDC discovery document Ask about this →
Delegated User Identity +6 pts — a served discovery document listing authorization_code in grant_types_supported (served), else an oauth2 authorizationCode flow or openIdConnect declared in an OpenAPI (documented) Ask about this →
Protected Resource Metadata +5 pts — a served /.well-known/oauth-protected-resource carrying `resource` (documented), and naming its authorization_servers (verified) Ask about this →

4 more unmet checks in the Agent Readiness table above.

Kin Score — facets with the most composite points still available (weight × headroom):

Contract Quality scores 56.4 — up to +10.9 composite points Ask about this →
Developer Ergonomics scores 49.4 — up to +10.1 composite points Ask about this →
Access Clarity scores 63.8 — up to +7.2 composite points Ask about this →

Each check links to what satisfies it. Publish the artifact, or tell us where it already lives, and the score moves on the next scoring run.

Not sure how this applies to your stack? Ask about any one item. Kin Lane reads every question, looks at your profile and your situation, and replies with what a fix would take — scoped to that one area, priced up front, yours whether you ship it or not. Ask a question →

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. Every facet and dimension name above is a link: it opens that measurement's own page — what it means, the exact checks that feed it, how the whole catalog distributes on it, and the providers at the top of it. This rating is computed from the provider profile at artifacts.apis.io/pverify/apis.yml: open an issue on github.com/api-evangelist/pverify to ask a question or point us at an artifact you publish. Submit an artifact on GitHub — free → Manage your own listing — the Influence plan, $499/mo →

Markets this provider is in provisional

The Kin Score Market layer reads a provider inside its market: its position, and how deep its integrations go. Depth is only comparable within a position. Provisional and unweighted: not part of the Kin Score or agent readiness.

Market	Position	Depth	Registered MCP server	Declares compatibility
Payer Interoperability (CAQH CORE, X12, Da Vinci, WEDI)	standard	19.1 (thin)	-	-

Registered MCP server and declares compatibility are report only — not weighted. Undeclared means we found nothing we can read, so there is no number: we never infer integrations.

Standards implemented 1

Standards this provider implements or carries. De facto ones are profiled and measured by the API Commons; formal ones come from the standards directory and are linked by the provider's own tags. The evidence column says how each claim was established — not that it was made.

OpenAPI

measured — observed by APIs.io (published)

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.

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Open Collections 7

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

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

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Agent Skills 5

Packaged agent skills for driving this provider's APIs from an AI assistant.

Check claim status with pVerify

AGENT SKILL

Discover unknown insurance coverage with pVerify

AGENT SKILL

Estimate patient financial responsibility with pVerify

AGENT SKILL

Monitor payer health before spending pVerify transactions

AGENT SKILL

Verify patient insurance eligibility with pVerify

AGENT SKILL

pVerify API pricing

Prices published by pVerify, read 2026-10-28 from pverify.com/pricing/.

Plan	Price
Advanced Eligibility – Standard	Starting at $125/month Includes: Up to 500 transactions a month on a 1 year-term
Advanced Eligibility – Enterprise	Starting at $395/month Includes: Up to 1500 transactions a month on a 1 year-term
Insurance Discovery – Standard	Starting at $120/month Includes: Up to 80 transactions a month on a 1 year-term
Insurance Discovery – Enterprise	Starting at $390/month Includes: Up to 200 transactions a month on a 1 year-term
MBI Lookup – Standard	Starting at $50/month Includes: Up to 75 transactions a month on a 1 year-term
MBI Lookup – Enterprise	Starting at $200/month Includes: Up to 200 transactions a month on a 1 year-term
Claim Status – Standard	Starting at $40/month Includes: Up to 150 transactions a month on a 1 year-term
Claim Status – Enterprise	Starting at $70/month Includes: Up to 250 transactions a month on a 1 year-term

All 10 plans, limits and sources →

Rate limits

Real-Time Requests: requests
Concurrency: concurrent requests
Batch Eligibility: transactions

All 4 limits →

Billed by: transactions · FinOps profile →

Pricing Plans 2

Published pricing tiers and plan structures.

pVerify Plans Pricing

10 plans

PLANS

pVerify Price Estimates

0 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

pVerify Rate Limits

4 limits

RATE LIMITS

Service Levels 1

Uptime the provider promises or reports, as SLA4OAI. Read from its own pages; APIs.io runs no monitors.

pVerify

SLA

Privacy & Data 1

Its role, the data it processes, retention and transfers, quoted from its own privacy page.

pVerify

15 quoted statements, read from pVerify's own page on 2026-11-10.

PRIVACY

Compliance 1

Attestations the provider states (SOC 2, ISO 27001 and others), quoted from its own trust page. APIs.io verifies none of them.

pVerify

4 quoted statements, read from pVerify's own page on 2026-11-10.

COMPLIANCE

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

Spectral Rules 1

Spectral governance rulesets for linting and validating these APIs. Counts are the severity each rule declares, not results of running them.

pVerify API Rules

57 rules · 50 error-severity 5 warn-severity 2 info-severity

SPECTRAL

OpenAPI Overlays 13

Overlays applied on top of this provider's contracts. Each card says who wrote it: a document the provider publishes, or one API Evangelist derived or generated.

pVerify Authentication Api Overlay

2 actions · update · pverify-authentication-api-openapi.yml

DERIVED

pVerify Cgx Widget Api Overlay

2 actions · update · pverify-cgx-widget-api-openapi.yml

DERIVED

pVerify Claim Status Api Overlay

2 actions · update · pverify-claim-status-api-openapi.yml

DERIVED

pVerify Cmn Api Overlay

3 actions · update · pverify-cmn-api-openapi.yml

DERIVED

pVerify Dental Eligibility Api Overlay

2 actions · update · pverify-dental-eligibility-api-openapi.yml

DERIVED

pVerify Eligibility Api Overlay

2 actions · update · pverify-eligibility-api-openapi.yml

DERIVED

pVerify Estimation Api Overlay

2 actions · update · pverify-estimation-api-openapi.yml

DERIVED

pVerify Insurance Discovery Api Overlay

2 actions · update · pverify-insurance-discovery-api-openapi.yml

DERIVED

pVerify Mbi Lookup Api Overlay

2 actions · update · pverify-mbi-lookup-api-openapi.yml

DERIVED

pVerify Patient Demographic Validator Api Overlay

2 actions · update · pverify-patient-demographic-validator-api-openapi.yml

DERIVED

pVerify Payers Api Overlay

2 actions · update · pverify-payers-api-openapi.yml

DERIVED

pVerify Same Or Similar Api Overlay

3 actions · update · pverify-same-or-similar-api-openapi.yml

DERIVED

pVerify Snf Api Overlay

3 actions · update · pverify-snf-api-openapi.yml

DERIVED

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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 (API Evangelist recommendations) 1

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

pVerify Agentic Access

39 operations · 17 acting

AGENTIC

Resources

Get Started 4

Portal, sign-up, and the first successful call

DeveloperPortal

DeveloperPortal

GettingStarted

GettingStarted

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

ErrorCatalog

Lifecycle

Conformance

DataModel

Vocabulary

Components

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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

Compliance

Authentication

DomainSecurity

Operate 4

Status, limits, changes, and where to get help

Support

StatusPage

SLA

RateLimits

Commercial 5

Pricing, plans, and the legal terms of use

Pricing

TermsOfService

PrivacyPolicy

Plans

FinOps

Company 3

The organization behind the API

Website

Website

Blog

Blog

LinkedIn

Other 3

Properties that don't map to a standard resource type

CapabilityMap

CapabilityMap

DataProcessing

DataProcessing

Attestations

Attestations

Source (apis.yml)

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.
deliveryModel:
  model: saas
  open_source: false
  commercial: true
  callable_host: true
  label: Hosted service · you call their endpoint
  confidence: high
  source:
  - openapi
  - pricing
  generated: '2026-08-28'
  method: derived
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
x-docs-platform: postman
x-docs-platform-confidence: high
x-docs-platform-checked: 2026-10-04
tags:
- Healthcare
- Insurance
- Eligibility
- Claims
- EDI
- 270/271
- 276/277
- Revenue Cycle
- Medicare
- Payers
- Insurance Discovery
- Patient Estimation
- HIPAA
- Dental
- Health Insurance
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
  - OAuth
  - 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:
  - Widgets
  - Embeddable
  - Eligibility
  - Estimation
  tags_raw:
  - 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: CapabilityMap
  url: capabilities/pverify-capability-edges.yml
  name: pVerify Business Capability Map
- 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
- type: DataProcessing
  url: privacy/pverify-privacy-policy.yml
- type: Attestations
  url: compliance/pverify-compliance.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
x-enrichment:
  date: '2026-08-15'
  status: enriched
  artifacts_added: 22
  pass: local-v1

pVerify API — frequently asked questions

Does pVerify have an API?

Yes. APIs.io lists 13 APIs from pVerify, including pVerify Authentication API, pVerify Eligibility API and pVerify Dental Eligibility API, and 10 more.

Is there an OpenAPI specification for the pVerify API?

Yes. APIs.io indexes 13 OpenAPI specifications for pVerify, each linked for download from this page.

How do I authenticate with the pVerify API?

pVerify uses bearer-token authentication (http/apiKey · 3 schemes). The details are profiled on APIs.io as pVerify Authentication.

How much does the pVerify API cost?

pVerify publishes its prices; its Advanced Eligibility – Standard plan is Starting at $125/month as of 2026-10-28. APIs.io lists 10 pricing plans for pVerify, with each plan's price, limits and inclusions under Pricing on this page.

Is the pVerify API ready for AI agents?

pVerify has a Kin Score of 54.5 out of 100 (strong) and an Agent Readiness score of 36.0 (agent-ready), scored by API Evangelist on 2026-11-13.

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