Pverify Vocabulary
The controlled vocabularies a caller must use to talk to pVerify. Service Type Codes are the ASC X12 EB03 set pVerify accepts on the 1st-generation EligibilityInquiry endpoint; Practice Type Codes are pVerify's own bundles of those service types, used on the 2nd-generation EligibilitySummary endpoints, and they differ between the production and test environments. Both are published by pVerify as HTML tables inside its Postman collection and are extracted here verbatim.
pVerify Vocabulary is a controlled vocabulary published by pVerify on the APIs.io network, defining 6 terms.
The terms are organized into 2 groups — vocabularies and external_lists.
Defined terms include Service Type Codes (STC), Practice Type Codes — Production, Practice Type Codes — Test, API Response Codes, and Payer Status values.
A controlled vocabulary pins the words an API’s schemas, parameters and documentation use to one agreed definition each — the shared language a human or an agent needs to read the API the same way its authors do.
Term Groups
Terms
Controlled Vocabulary
generated: '2026-08-14'
method: searched
source: https://postman.pverify.com/ — the "Tables" section of pVerify's published Postman collection
description: The controlled vocabularies a caller must use to talk to pVerify. Service Type Codes are
the ASC X12 EB03 set pVerify accepts on the 1st-generation EligibilityInquiry endpoint; Practice Type
Codes are pVerify's own bundles of those service types, used on the 2nd-generation EligibilitySummary
endpoints, and they differ between the production and test environments. Both are published by pVerify
as HTML tables inside its Postman collection and are extracted here verbatim.
vocabularies:
- id: service-type-codes
name: Service Type Codes (STC)
standard: ASC X12 EB03 service type code set
used_by:
- eligibilityInquiry
note: 'pVerify: "please use the service type code (first column) in your eligibility queries. Common
eligibility information is in service type code 30, Health Benefit Plan Coverage." Used only for the
EligibilityInquiry endpoint.'
count: 187
terms:
- code: '1'
name: Medical Care
- code: '2'
name: Surgical
- code: '3'
name: Consultation
- code: '4'
name: Diagnostic X-Ray
- code: '5'
name: Diagnostic Lab
- code: '6'
name: Radiation Therapy
- code: '7'
name: Anesthesia
- code: '8'
name: Surgical Assistance
- code: '9'
name: Other Medical
- code: '10'
name: Blood Charges
- code: '11'
name: Used Durable Medical Equipment
- code: '12'
name: Durable Medical Equipment Purchase
- code: '13'
name: Ambulatory Service Center Facility
- code: '14'
name: Renal Supplies in the Home
- code: '15'
name: Alternate Method Dialysis
- code: '16'
name: Chronic Renal Disease (CRD) Equipment
- code: '17'
name: Pre-Admission Testing
- code: '18'
name: Durable Medical Equipment Rental
- code: '19'
name: Pneumonia Vaccine
- code: '20'
name: Second Surgical Opinion
- code: '21'
name: Third Surgical Opinion
- code: '22'
name: Social Work
- code: '23'
name: Diagnostic Dental
- code: '24'
name: Periodontics
- code: '25'
name: Restorative
- code: '26'
name: Endodontics
- code: '27'
name: Maxillofacial Prosthetics
- code: '28'
name: Adjunctive Dental Services
- code: '30'
name: Health Benefit Plan Coverage
- code: '32'
name: Plan Waiting Period
- code: '33'
name: Chiropractic
- code: '34'
name: Chiropractic Office Visits
- code: '35'
name: Dental Care
- code: '36'
name: Dental Crowns
- code: '37'
name: Dental Accident
- code: '38'
name: Orthodontics
- code: '39'
name: Prosthodontics
- code: '40'
name: Oral Surgery
- code: '41'
name: Routine (Preventive) Dental
- code: '42'
name: Home Health Care
- code: '43'
name: Home Health Prescriptions
- code: '44'
name: Home Health Visits
- code: '45'
name: Hospice
- code: '46'
name: Respite Care
- code: '47'
name: Hospital
- code: '48'
name: Hospital - Inpatient
- code: '49'
name: Hospital - Room and Board
- code: '50'
name: Hospital - Outpatient
- code: '51'
name: Hospital - Emergency Accident
- code: '52'
name: Hospital - Emergency Medical
- code: '53'
name: Hospital - Ambulatory Surgical
- code: '54'
name: Long Term Care
- code: '55'
name: Major Medical
- code: '56'
name: Medically Related Transportation
- code: '57'
name: Air Transportation
- code: '58'
name: Cabulance
- code: '59'
name: Licensed Ambulance Licensed Ambulance
- code: '60'
name: General Benefits
- code: '61'
name: In-vitro Fertilization
- code: '62'
name: MRI/CAT Scan
- code: '63'
name: Donor Procedures
- code: '64'
name: Acupuncture
- code: '65'
name: Newborn Care
- code: '66'
name: Pathology
- code: '67'
name: Smoking Cessation
- code: '68'
name: Well Baby Care
- code: '69'
name: Maternity
- code: '70'
name: Transplants
- code: '71'
name: Audiology Exam
- code: '72'
name: Inhalation Therapy
- code: '73'
name: Diagnostic Medical
- code: '74'
name: Private Duty Nursing
- code: '75'
name: Prosthetic Device
- code: '76'
name: Dialysis
- code: '77'
name: Otological Exam
- code: '78'
name: Chemotherapy
- code: '79'
name: Allergy Testing
- code: '80'
name: Immunizations
- code: '81'
name: Routine Physical
- code: '82'
name: Family Planning
- code: '83'
name: Infertility
- code: '84'
name: Abortion
- code: '85'
name: AIDS
- code: '86'
name: Emergency Services
- code: '87'
name: Cancer
- code: '88'
name: Pharmacy
- code: '89'
name: Free Standing Prescription Drug
- code: '90'
name: Mail Order Prescription Drug
- code: '91'
name: Brand Name Prescription Drug
- code: '92'
name: Generic Prescription Drug
- code: '93'
name: Podiatry
- code: '94'
name: Podiatry - Office Visits
- code: '95'
name: Podiatry - Nursing Home Visits
- code: '96'
name: Professional (Physician)
- code: '97'
name: Anesthesiologist
- code: '98'
name: Professional (Physician) Visit - Office
- code: '99'
name: Professional (Physician) Visit - Inpatient
- code: A0
name: Professional (Physician) Visit - Outpatient
- code: A1
name: Professional (Physician) Visit - Nursing Home
- code: A2
name: Professional (Physician) Visit - Skilled Nursing Facility
- code: A3
name: Professional (Physician) Visit - Home
- code: A4
name: Psychiatric
- code: A5
name: Psychiatric - Room and Board
- code: A6
name: Psychotherapy
- code: A7
name: Psychiatric - Inpatient
- code: A8
name: Psychiatric - Outpatient
- code: A9
name: Rehabilitation
- code: AA
name: Rehabilitation - Room and Board
- code: AB
name: Rehabilitation - Inpatient
- code: AC
name: Rehabilitation - Outpatient
- code: AD
name: Occupational Therapy
- code: AE
name: Physical Medicine
- code: AF
name: Speech Therapy
- code: AG
name: Skilled Nursing Care
- code: AH
name: Skilled Nursing Care - Room and Board
- code: AI
name: Substance Abuse
- code: AJ
name: Alcoholism
- code: AK
name: Drug Addiction
- code: AL
name: Vision (Optometry)
- code: AM
name: Frames
- code: AN
name: Routine Exam
- code: AO
name: Lenses
- code: AQ
name: Nonmedically Necessary Physical
- code: AR
name: Experimental Drug Therapy
- code: B1
name: Burn Care
- code: B2
name: Bran Name Prescription Drug - Formulary
- code: B3
name: Bran Name Prescription Drug - Non -Formulary
- code: BA
name: Independent Medical Evaluation
- code: BB
name: Partial Hospitalization (Psychiatric)
- code: BC
name: Day Care (Psychiatric)
- code: BD
name: Cognitive Therapy
- code: BE
name: Massage Therapy
- code: BF
name: Pulmonary Rehabilitation
- code: BG
name: Cardiac Rehabilitation
- code: BH
name: Pediatric
- code: BI
name: Nursery
- code: BJ
name: Skin
- code: BK
name: Orthopedic
- code: BL
name: Cardiac
- code: BM
name: Lymphatic
- code: BN
name: Gastrointestinal
- code: BP
name: Endocrine
- code: BQ
name: Neurology
- code: BR
name: Eye
- code: BS
name: Invasive Procedures
- code: BT
name: Gynecological
- code: BU
name: Obsterical
- code: BV
name: Obsterical/Gynecological
- code: BW
name: 'Mail Order Prescription Drug : Brand Name'
- code: BX
name: 'Mail Order Prescription Drug : Generic'
- code: BY
name: 'Physician Visit - Office : Sick'
- code: BZ
name: 'Physician Visit - Office : Well'
- code: C1
name: Coronary Care
- code: CA
name: Private Duty Nursing - Inpatient
- code: CB
name: Private Duty Nursing - Home
- code: CC
name: Surgical Benefits - professional (physician)
- code: CD
name: Surgical Benefits - Facility
- code: CE
name: Mental Health Provider - Inpatient
- code: CF
name: Mental Health Provider - Outpatient
- code: CG
name: Mental Health Facility - Inpatient
- code: CH
name: Mental Health Facility - Outpatient
- code: CI
name: Substance Abuse Facility - Inpatient
- code: CJ
name: Substance Abuse Facility - Outpatient
- code: CK
name: Screening X - Ray
- code: CL
name: Screening Laboratory
- code: CM
name: Mammomogram, High Risk Patient
- code: CN
name: Mammomogram, Low Risk Patient
- code: CO
name: Flu Vaccination
- code: CP
name: Eyewear And Eywear Accessories
- code: CQ
name: Case Management
- code: DG
name: Dermatology
- code: DM
name: Durable Medical Equipment
- code: DS
name: Diabetic Supplies
- code: GF
name: Generic Presciption Drug - Formulary
- code: GN
name: Generic Presciption Drug - Non -Formulary
- code: GY
name: Allergy
- code: IC
name: Intesive Care
- code: MH
name: Mental Health
- code: NI
name: Neonatal Intesive Care
- code: 'ON'
name: Oncology
- code: PT
name: Physical Therapy
- code: PU
name: Pulmonary
- code: RN
name: Renal
- code: RT
name: Residential Psychiatric Treatment
- code: TC
name: Transitional Care
- code: TN
name: Transitional Nursery Care
- code: UC
name: Urgent Care
- id: practice-type-codes-production
name: Practice Type Codes — Production
used_by:
- eligibilitySummary
- easyEligibilitySummary
- dentalEligibilitySummary
request_field: PracticeTypeCode
note: 'pVerify: "the pVerify Practice Types available in production for EligibilitySummary endpoints.
Practice Types are built around Service Type Codes."'
count: 162
terms:
- code: '3'
name: DME
- code: '8'
name: Chemotherapy
- code: '9'
name: VisionOptometry
- code: '12'
name: Physical Therapy
- code: '17'
name: Primary Care
- code: '18'
name: Specialist - Office
- code: '21'
name: Mental Health
- code: '22'
name: Surgical -Office
- code: '23'
name: Urgent Care
- code: '24'
name: Diagnostic Lab
- code: '27'
name: Specialist(Office)_Surgical(Office)_Diagnostic Lab
- code: '28'
name: ASC Facility
- code: '30'
name: Chiropractic
- code: '31'
name: MRI/CAT Scan
- code: '32'
name: X-Ray
- code: '33'
name: Speech Therapy
- code: '34'
name: Occupational Therapy
- code: '35'
name: ASC_Specialist(Office)_VisionOptometry
- code: '36'
name: Specialist(Office)_Chemotherapy
- code: '37'
name: Physical Therapy_Chiropractic
- code: '38'
name: Physical Therapy_DME
- code: '39'
name: Physical Therapy_Occupational Therapy_DME
- code: '40'
name: Physical Therapy_Occupational Therapy_Speech Therapy
- code: '41'
name: Specialist(Office)_VisionOptometry
- code: '42'
name: Specialist(Office)_DME
- code: '43'
name: Specialist(Office)_Surgical(Office)
- code: '44'
name: Specialist(Office)_ASC Facility
- code: '45'
name: Physical Therapy_XRay
- code: '46'
name: XRay_MRI/CAT Scan
- code: '53'
name: Speech Therapy_Occupational Therapy
- code: '54'
name: Emergency Services
- code: '55'
name: Routine Physical
- code: '56'
name: Podiatry Office
- code: '57'
name: Professional - Outpatient Physician
- code: '58'
name: Anesthesia
- code: '59'
name: Substance Abuse
- code: '60'
name: Substance Abuse Facility-InPatient
- code: '61'
name: Substance Abuse Facility-OutPatient
- code: '62'
name: Telemedicine
- code: '63'
name: Flu Vaccination
- code: '64'
name: Mental Health_Sub Abuse Professional
- code: '65'
name: Mental Health_Sub Abuse_In&OutFacility
- code: '66'
name: Sub Abuse_In&OutFacility
- code: '67'
name: Mental Health_SubAbuse_In-NetFacility
- code: '68'
name: Specialist(Office)_ASC_Professional OutPatient
- code: '69'
name: ASC Facility_Professional OutPatient
- code: '70'
name: General_Office_Benefits(30)
- code: '71'
name: Podiatry_XRay_DME
- code: '72'
name: Podiatry_DME
- code: '73'
name: Hospital-InPatient
- code: '74'
name: Emergency Services_Hospital-InPatient
- code: '75'
name: Speech Therapy_Occupational Therapy_MentalHealth
- code: '76'
name: DME_Diagnostic Lab
- code: '77'
name: Pharmacy
- code: '78'
name: Specialist(Office)_Pharmacy
- code: '79'
name: Physical Therapy_Occupational Therapy_Mental Health
- code: '80'
name: Specialist(Office)_DME_ASC Facility
- code: '81'
name: Specialist(Office)_DME_Surgical(Office)
- code: '82'
name: Specialist(Office)_DME_Hospital-OutPatient
- code: '83'
name: Hospital-OutPatient
- code: '84'
name: Physical Therapy_Occupational Therapy
- code: '85'
name: Specialist(Office)_Surgery(Office)_DME
- code: '87'
name: SpecialistOffice_DME_X-Ray
- code: '88'
name: SpecialistOffice_Physical Therapy
- code: '89'
name: Telemedicine-Primary Care
- code: '90'
name: Telemedicine-Specialist Services
- code: '91'
name: Telemedicine-Urgent Care
- code: '92'
name: Telemedicine-Physical Therapy
- code: '93'
name: Telemedicine-Mental Health
- code: '94'
name: Psychotherapy
- code: '95'
name: Telemedicine Primary + Telemedicine Specialist
- code: '96'
name: Telemedicine Primary + Telemedicine Specialist+Telemedicine Urgent care
- code: '97'
name: Specialist(Office)_Psychotherapy
- code: '100'
name: Hospital-Outpatient_Surgical(Office)_Specialist(Office)
- code: '101'
name: SNF(AG)
- code: '102'
name: SNF-Room_and_Board(AH)
- code: '103'
name: SNF_SNF-Room_and_Board
- code: '104'
name: Specialist(Office)_Mental Health
- code: '105'
name: Specialist(office)_Primary Care_Chiropractic
- code: '106'
name: Occupational Therapy_DME
- code: '107'
name: Professional (Physician) Visit - Inpatient(99)
- code: '108'
name: Home Health Care(42)
- code: '109'
name: Hospice(45)
- code: '110'
name: Home Health (42)_Hospice (45)
- code: '111'
name: Mental Health_Telemedicine- Mental Health (MH)
- code: '112'
name: Allergies
- code: '113'
name: Diagnostic Medical
- code: '114'
name: Maternity
- code: '115'
name: Immunizations
- code: '116'
name: Primary Care_Diagnostic Lab
- code: '117'
name: Routine Physical_Immunizations_Diagnostic Medical
- code: '118'
name: Physical Therapy & Telemedicine physical therapy
- code: '119'
name: Telemedicine-Occupational Therapy(AD)
- code: '120'
name: Telemedicine-Speech Therapy(AF)
- code: '121'
name: Occupational Therapy & Telemedicine Occupational Therapy
- code: '122'
name: Speech Therapy & Telemedicine Speech Therapy
- code: '123'
name: PrimaryCare_Immunizations_Diagnostic Lab
- code: '124'
name: PrimaryCare_Immunizations_Diagnostic Medical
- code: '125'
name: Physical Therapy_Mental Health
- code: '126'
name: Radiation Therapy
- code: '127'
name: Specialist(Office)_Chemotherapy_RadiationTherapy
- code: '130'
name: Infertility(83)
- code: '131'
name: Allergy Testing(79)
- code: '132'
name: Specialist Office(98)_Allergy Testing(79)
- code: '133'
name: Specialist Office(98)_Infertility(83)
- code: '134'
name: In-vitro Fertilization(61)
- code: '135'
name: In-vitro Fertilization(61)_Infertility(83)_Specialist Office(98)
- code: '136'
name: Psychiatric (A4)
- code: '137'
name: Mental Health_Telemedicine-Mental Health(MH)_Psychotherapy(A6)_Psychiatric (A4)
- code: '138'
name: Primary Care (30)_Urgent Care (UC)_Diagnostic Lab (5)
- code: '139'
name: SNF(AG)_SNF-RoomAndBoard(AH)_PhysicalTherapy(PT)
- code: '140'
name: Acupuncture(64)
- code: '141'
name: Acupuncture(64)_PhysicalTherapy(PT)
- code: '142'
name: Gynecological(BT)
- code: '143'
name: Obstetrical(BU)
- code: '144'
name: Obstetrical/Gynecological(BV)
- code: '145'
name: Family Planning(82)
- code: '146'
name: Surgical Benefits-Professional Physician(CC)
- code: '147'
name: Surgical Benefits-Facility(CD)
- code: '148'
name: GeneralOfficeBenefits_Maternity
- code: '149'
name: Dialysis(76)
- code: '150'
name: Mental Health Facility-Outpatient(CH)
- code: '151'
name: SpecialistOffice_DME_X-Ray_Surgical(office)
- code: '152'
name: Mental Health_SubAbuse_Out Net Facility
- code: '153'
name: Mental Health_Mental Health OP Facility _Sub_Abuse_In&Out Net Facility
- code: '154'
name: Mental Health (MH)_Mental Health Facility Outpatient(CH)
- code: '155'
name: Telemedicine-Primary Care (30)_Diagnostic Medical (73)_Allergy Testing (79)
- code: '156'
name: Primary Care(30)_Routine Physical(81)
- code: '157'
name: XRay (4)_VisionOptometry (AL)
- code: '158'
name: Diagnostic Medical(73)_Allergy Testing(79)_Specialist Office Visit(98)
- code: '159'
name: Acupuncture(64)_Allergies(GY)
- code: '160'
name: Acupuncture(64)_Chiropractic (33)_Physical Therapy (PT)
- code: '161'
name: Mental Health (MH)_Pharmacy (88)__Psychiatric (A4)Psychotherapy(A6)
- code: '162'
name: Podiatry Office (93)_Specialist - Office (98)_Surgical Benefits-Professional Physician(CC)_Surgical
-Office (2)
- code: '163'
name: Occupational Therapy (AD)_Physical Therapy (PT)_SNF(AG)_Speech Therapy (AF)
- code: '164'
name: Specialist - Office (98)_Surgical -Office (2)_VisionOptometry (AL)(*)
- code: '165'
name: Chemotherapy (78)_DME (12)_Specialist - Office (98)
- code: '166'
name: DME (12)_Pharmacy (88)(*)_SNF(AG)
- code: '167'
name: Mental Health (MH)_Mental Health Facility-Outpatient(CH)_Professional - Outpatient Physician
(A0)(*)
- code: '168'
name: Diagnostic Lab (5)_Primary Care (30)_X-Ray (4)(*)
- code: '169'
name: DME (12)_Pharmacy (88)(*)
- code: '171'
name: Diagnostic Lab (5)_Telemedicine-Specialist Services(98)
- code: '172'
name: Primary Care_Allergy Testing_Diagnostic Medical
- code: '173'
name: Diagnostic Lab (5)_Telemedicine-Primary Care(30)
- code: '174'
name: Chiropractic (33)_Physical Therapy (PT)_Specialist - Office (98)
- code: '175'
name: Specialist - Office (98)_Surgical -Office (2)_VisionOptometry (AL)(*)_X-Ray (4)(*)
- code: '176'
name: Mental Health (MH)_Primary Care (30)_Specialist - Office (98)
- code: '177'
name: Diagnostic Medical(73)_Specialist - Office (98)_Surgical -Office (2)_VisionOptometry (AL)(*)
- code: '178'
name: DME (12)_Home Health Care(42)(*)
- code: '179'
name: Allergy Testing(79)_Diagnostic Lab
- code: '180'
name: Diagnostic Lab (5)_Pharmacy (88)(*)
- code: '181'
name: DME (12)_Specialist - Office (98)_Telemedicine-Specialist Services(98)
- code: '182'
name: Mental Health Facility-Inpatient(CG)
- code: '183'
name: MRI/CAT Scan(62)_Chemotherapy (78)_Diagnostic Lab (5)_Radiation Therapy (6)
- code: '184'
name: Mental Health (MH)_Substance Abuse (AI)(*)_Substance Abuse Facility-InPatient (CI)(*)_Substance
Abuse Facility-OutPatient (CJ)(*)
- code: '185'
name: ASC Facility (13)_Surgical -Office (2)
- code: '186'
name: ASC Facility (13)_Hospital-OutPatient (50)(*)_Professional - Outpatient Physician (A0)(*)_Specialist
- Office (98)
- code: '187'
name: Diagnostic Medical(73)_Specialist - Office (98)_VisionOptometry (AL)(*)
- code: '188'
name: Hospital-InPatient (48)(*)_Hospital-OutPatient (50)(*)_Specialist - Office (98)_Surgical -Office
(2)
- code: '189'
name: ASC Facility (13)_Hospital-InPatient (48)(*)_Hospital-OutPatient (50)(*)_Surgical -Office (2)
- code: '190'
name: Medically Related Transportation
- code: '191'
name: Maternity(69)_Specialist - Office (98)
- id: practice-type-codes-test
name: Practice Type Codes — Test
used_by:
- eligibilitySummary
request_field: PracticeTypeCode
note: Practice types available under the test endpoint (testapi.pverify.com). A strict subset of production
— a sandbox integration cannot exercise most practice types.
count: 6
terms:
- code: '3'
name: DME
- code: '12'
name: Physical Therapy
- code: '18'
name: Specialist OV-Professional Services
- code: '27'
name: OV_DxLab_Sx(Office)
- code: '38'
name: PT_DME
- code: '40'
name: PT_OT_ST
- id: api-response-codes
name: API Response Codes
used_by:
- all endpoints
response_field: APIResponseCode
note: Full catalog with meanings and remediation lives in errors/pverify-error-codes.yml.
count: 7
terms:
- code: '0'
name: Processed
- code: '1'
name: Rejected
- code: '2'
name: NoFunds
- code: '3'
name: Pending
- code: '4'
name: InvalidRequest (New, on the eligibility family)
- code: '5'
name: InvalidFormat (InvalidPayer, on Claim Status)
- code: '6'
name: LocationError
- id: payer-status
name: Payer Status values
used_by:
- getPayerStatus
response_field: payerStatus
count: 4
terms:
- code: Payer Up
name: Payer is Active and running transactions.
- code: Payer Active
name: Payer is Active but no recent transactions.
- code: Payer Inactive
name: This is marked as inactive in our system.
- code: Payer Down
name: Payer is Active but more transactions are failing from the past one hour.
external_lists:
- name: pVerify Payer Code List
url: https://pverify.com/payer-list/
api: GET https://api.pverify.com/API/GetAllPayers
note: Payer codes are the third controlled vocabulary and are large and volatile, so they are not copied
here — pVerify publishes them as a live list and as an API call. Back-office (non-EDI) payers carry
a BO prefix, e.g. BO00018.
maintainers:
- FN: Kin Lane
email: kin@apievangelist.com