Eligible

Eligible Coverage API

The Coverage API performs real-time insurance eligibility and benefits verification for a patient against a payer. Clients submit provider NPI, payer ID, and member identity information and receive structured benefit details including plan status, copays, coinsurance, deductibles, and out-of-pocket maximums.

GitHub

Documentation

📖
Documentation
https://eligible.com/

API entry from apis.yml

apis.yml Raw ↑ 
aid: eligible:coverage
name: Eligible Coverage API
description: The Coverage API performs real-time insurance eligibility and benefits verification for a
  patient against a payer. Clients submit provider NPI, payer ID, and member identity information and
  receive structured benefit details including plan status, copays, coinsurance, deductibles, and out-of-pocket
  maximums.
humanURL: https://eligible.com/
tags:
- Coverage
- Eligibility
- Healthcare
- Insurance
properties:
- type: Documentation
  url: https://eligible.com/