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
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: 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
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
x-enrichment:
  date: '2026-08-15'
  status: enriched
  artifacts_added: 22
  pass: local-v1