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Full detail: Where this data comes from
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.
Areas: Healthcare · Insurance · Eligibility · Claims · EDI · 270/271 · 276/277 · Revenue Cycle · Medicare · Payers · Insurance Discovery · Patient Estimation
Everything profiled for pVerify is published on APIs.io rather than in this repository. Start at the provider page — apis.io/providers/pverify/ — or go straight to one of the APIs or properties below.
- 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,…
- pVerify Eligibility API — Real-time X12 270/271 insurance eligibility verification. Submit an EligibilitySummary inquiry, poll the pending queue, retrieve the parsed benefit summary…
- pVerify Dental Eligibility API — Dental insurance eligibility and benefit verification, including the only version-prefixed path in the pVerify surface (/api/v2/DentalEligibilitySummary)…
- 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…
- 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…
- 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…
- 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…
- 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…
- 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;…
- 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.
Each property below is a page on APIs.io carrying the machine-readable artifact and what it says.
Event-driven and webhook contracts.
Model Context Protocol servers that expose the API to agents.
Which operations an agent can call, which act, and which need a human in the loop.
The provider's domain terms, defined.
Postman and Open Collection request collections.
- pVerify API
- pVerify Authentication API
- pVerify Authentication Batch API
- pVerify Authentication Claim Status API
- pVerify Authentication Eligibility API
- pVerify Authentication Estimation API
- pVerify Authentication Payers API
OpenAPI overlays, including conversational phrasing for each operation.
- Pverify Authentication Api Overlay
- Pverify Cgx Widget Api Overlay
- Pverify Claim Status Api Overlay
- Pverify Cmn Api Overlay
- Pverify Dental Eligibility Api Overlay
- Pverify Eligibility Api Overlay
- Pverify Estimation Api Overlay
- Pverify Insurance Discovery Api Overlay
- Pverify Mbi Lookup Api Overlay
- Pverify Patient Demographic Validator Api Overlay
- Pverify Payers Api Overlay
- Pverify Same Or Similar Api Overlay
- Pverify Snf Api Overlay
Authentication, trust centre, and vulnerability disclosure.
Published plans, tiers and prices.
Published request limits.
What the API costs to run, by operation.
Links to the company's own pages. This repository publishes no copy of their specifications — the canonical document is theirs and lives at the URLs below.
- Website
- Documentation
- Getting started
- API reference
- Pricing
- Support
- Blog
- Compliance
- Terms of service
- Privacy policy
- GitHub
- Status
Kin Score 51.2 — developing · rubric 0.25.0 · scored 2026-10-23
| Facet | Score |
|---|---|
| Discoverability | 73.2 |
| Contract quality | 56.4 |
| Contract governance | 33.3 |
| Operational transparency | 42.1 |
| Developer ergonomics | 49.4 |
| Access clarity | 53.9 |
Agent readiness 36.0 — agent-ready
| Agent-readiness dimension | Result |
|---|---|
| Spec Presence | yes |
| Agentic Access | derived (partial credit) |
| Reversibility Documented | documented (partial credit) |
| MCP Server | — |
| Auth Clarity | bearer (partial credit) |
| Idempotency | — |
| Error Semantics | documented (partial credit) |
| OpenAPI Examples | verified |
| Rate Limit Signal | documented (partial credit) |
| Event Surface Described | yes |
| Agent Skills | derived (partial credit) |
| Well Known Catalog | — |
| Consent Identity | — |
| Agent Card | — |
| Dry Run Mode | — |
| Delegated Identity | — |
| Protected Resource Metadata | — |
| Dynamic Client Registration | — |
| Agentic Commerce | — |
| Pagination Ratio | na |
| Operation Distinctiveness | distinct |
Regulatory alignment 19.3 — Insurance
The rubric is published at github.com/api-evangelist/kin-score. The per-check breakdown behind these numbers — which checks were earned, partial or missed — along with score history and how this provider compares to its peers, is available at apis.io/providers/pverify/.
API Evangelist profiles a company's public API surface the way a developer would find it: the website, developer portal and documentation, the specifications it publishes, its public repositories, and its pricing, status and changelog pages. From that it derives the properties above — contracts split per API, workflows, schemas, collections, governance rules, plans and rate limits — and scores them against the published Kin Score rubric.
The artifacts are published on APIs.io, not in this repository. This repository is the public record for pVerify: the place to say something is wrong, missing or out of date, and to ask for a re-score or a removal.
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