Eligible Payment Estimation API

The Payment Estimation API calculates expected patient out-of-pocket amounts for a service before it is rendered, combining benefit details from a coverage check with provider contracted rates and accumulators. The API helps providers offer transparent cost estimates and collect patient responsibility at the point of service.

API entry from apis.yml

apis.yml Raw ↑
aid: eligible:payment-estimation
name: Eligible Payment Estimation API
description: The Payment Estimation API calculates expected patient out-of-pocket amounts for a service
  before it is rendered, combining benefit details from a coverage check with provider contracted rates
  and accumulators. The API helps providers offer transparent cost estimates and collect patient responsibility
  at the point of service.
humanURL: https://eligible.com/
tags:
- Payment Estimation
- Cost Transparency
- Healthcare
- Billing
properties:
- type: Documentation
  url: https://eligible.com/