Seamlessly check a member eligibility and health plan benefit details with hundreds of payers.
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| request | body | request | Yes | MedicalEligibility |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | Response |
| 201 | Created | |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
ted | | | 401 | Unauthorized | | | 403 | Forbidden | | | 404 | Not Found | |
healthCheck
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | HealthCheck |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| contractNumber | string | No | |
| healthInsuranceClaimNumber | string | No | |
| identificationCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| memberIdentificationNumber | string | No | |
| patientAccountNumber | string | No | |
| planNetworkIdentificationNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| description | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| address1 | string | No | |
| address2 | string | No | |
| city | string | No | |
| postalCode | string | No | |
| state | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| alternativeListId | string | No | |
| caseNumber | string | No | |
| centersForMedicareAndMedicaidServicesNPI | string | No | |
| classOfContractCode | string | No | |
| contractNumber | string | No | |
| coverageListId | string | No | |
| drugFormularyNumber | string | No | |
| electronicDevicePin | string | No | |
| eligibilityCategory | string | No | |
| facilityIdNumber | string | No | |
| facilityNetworkIdentificationNumber | string | No | |
| familyUnitNumber | string | No | |
| federalTaxpayersIdentificationNumber | string | No | |
| groupNumber | string | No | |
| hicNumber | string | No | |
| idCardNumber | string | No | |
| idCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| issueNumber | string | No | |
| medicaidProviderNumber | string | No | |
| medicaidRecepientIdNumber | string | No | |
| medicalAssistanceCategory | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| medicareProviderNumber | string | No | |
| memberId | string | No | |
| patientAccountNumber | string | No | |
| personalIdentificationNumber | string | No | |
| planNetworkIdNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No | |
| priorAuthorizationNumber | string | No | |
| priorIdNumber | string | No | |
| referralNumber | string | No | |
| socialSecurityNumber | string | No | |
| stateLicenseNumber | string | No | |
| submitterIdentificationNumber | string | No | |
| userIdentification | string | No |
Seamlessly check a member eligibility and health plan benefit details with hundreds of payers.
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| request | body | request | Yes | MedicalEligibility |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | Response |
| 201 | Created | |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
healthCheck
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | HealthCheck |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| contractNumber | string | No | |
| healthInsuranceClaimNumber | string | No | |
| identificationCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| memberIdentificationNumber | string | No | |
| patientAccountNumber | string | No | |
| planNetworkIdentificationNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| description | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| address1 | string | No | |
| address2 | string | No | |
| city | string | No | |
| postalCode | string | No | |
| state | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| alternativeListId | string | No | |
| caseNumber | string | No | |
| centersForMedicareAndMedicaidServicesNPI | string | No | |
| classOfContractCode | string | No | |
| contractNumber | string | No | |
| coverageListId | string | No | |
| drugFormularyNumber | string | No | |
| electronicDevicePin | string | No | |
| eligibilityCategory | string | No | |
| facilityIdNumber | string | No | |
| facilityNetworkIdentificationNumber | string | No | |
| familyUnitNumber | string | No | |
| federalTaxpayersIdentificationNumber | string | No | |
| groupNumber | string | No | |
| hicNumber | string | No | |
| idCardNumber | string | No | |
| idCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| issueNumber | string | No | |
| medicaidProviderNumber | string | No | |
| medicaidRecepientIdNumber | string | No | |
| medicalAssistanceCategory | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| medicareProviderNumber | string | No | |
| memberId | string | No | |
| patientAccountNumber | string | No | |
| personalIdentificationNumber | string | No | |
| planNetworkIdNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No | |
| priorAuthorizationNumber | string | No | |
| priorIdNumber | string | No | |
| referralNumber | string | No | |
| socialSecurityNumber | string | No | |
| stateLicenseNumber | string | No | |
| submitterIdentificationNumber | string | No | |
| userIdentification | string | No |
Seamlessly check a member eligibility and health plan benefit details with hundreds of payers.
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| request | body | request | Yes | MedicalEligibility |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | Response |
| 201 | Created | |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
healthCheck
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | HealthCheck |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| contractNumber | string | No | |
| healthInsuranceClaimNumber | string | No | |
| identificationCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| memberIdentificationNumber | string | No | |
| patientAccountNumber | string | No | |
| planNetworkIdentificationNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| description | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| address1 | string | No | |
| address2 | string | No | |
| city | string | No | |
| postalCode | string | No | |
| state | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| alternativeListId | string | No | |
| caseNumber | string | No | |
| centersForMedicareAndMedicaidServicesNPI | string | No | |
| classOfContractCode | string | No | |
| contractNumber | string | No | |
| coverageListId | string | No | |
| drugFormularyNumber | string | No | |
| electronicDevicePin | string | No | |
| eligibilityCategory | string | No | |
| facilityIdNumber | string | No | |
| facilityNetworkIdentificationNumber | string | No | |
| familyUnitNumber | string | No | |
| federalTaxpayersIdentificationNumber | string | No | |
| groupNumber | string | No | |
| hicNumber | string | No | |
| idCardNumber | string | No | |
| idCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| issueNumber | string | No | |
| medicaidProviderNumber | string | No | |
| medicaidRecepientIdNumber | string | No | |
| medicalAssistanceCategory | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| medicareProviderNumber | string | No | |
| memberId | string | No | |
| patientAccountNumber | string | No | |
| personalIdentificationNumber | string | No | |
| planNetworkIdNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No | |
| priorAuthorizationNumber | string | No | |
| priorIdNumber | string | No | |
| referralNumber | string | No | |
| socialSecurityNumber | string | No | |
| stateLicenseNumber | string | No | |
| submitterIdentificationNumber | string | No | |
| userIdentification | string | No |
Seamlessly check a member eligibility and health plan benefit details with hundreds of payers.
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| request | body | request | Yes | MedicalEligibility |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | Response |
| 201 | Created | |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
healthCheck
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | HealthCheck |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| contractNumber | string | No | |
| healthInsuranceClaimNumber | string | No | |
| identificationCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| memberIdentificationNumber | string | No | |
| patientAccountNumber | string | No | |
| planNetworkIdentificationNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| description | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| address1 | string | No | |
| address2 | string | No | |
| city | string | No | |
| postalCode | string | No | |
| state | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| alternativeListId | string | No | |
| caseNumber | string | No | |
| centersForMedicareAndMedicaidServicesNPI | string | No | |
| classOfContractCode | string | No | |
| contractNumber | string | No | |
| coverageListId | string | No | |
| drugFormularyNumber | string | No | |
| electronicDevicePin | string | No | |
| eligibilityCategory | string | No | |
| facilityIdNumber | string | No | |
| facilityNetworkIdentificationNumber | string | No | |
| familyUnitNumber | string | No | |
| federalTaxpayersIdentificationNumber | string | No | |
| groupNumber | string | No | |
| hicNumber | string | No | |
| idCardNumber | string | No | |
| idCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| issueNumber | string | No | |
| medicaidProviderNumber | string | No | |
| medicaidRecepientIdNumber | string | No | |
| medicalAssistanceCategory | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| medicareProviderNumber | string | No | |
| memberId | string | No | |
| patientAccountNumber | string | No | |
| personalIdentificationNumber | string | No | |
| planNetworkIdNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No | |
| priorAuthorizationNumber | string | No | |
| priorIdNumber | string | No | |
| referralNumber | string | No | |
| socialSecurityNumber | string | No | |
| stateLicenseNumber | string | No | |
| submitterIdentificationNumber | string | No | |
| userIdentification | string | No |
Seamlessly check a member eligibility and health plan benefit details with hundreds of payers.
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| request | body | request | Yes | MedicalEligibility |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | Response |
| 201 | Created | |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
healthCheck
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | HealthCheck |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| contractNumber | string | No | |
| healthInsuranceClaimNumber | string | No | |
| identificationCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| memberIdentificationNumber | string | No | |
| patientAccountNumber | string | No | |
| planNetworkIdentificationNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| description | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| address1 | string | No | |
| address2 | string | No | |
| city | string | No | |
| postalCode | string | No | |
| state | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| alternativeListId | string | No | |
| caseNumber | string | No | |
| centersForMedicareAndMedicaidServicesNPI | string | No | |
| classOfContractCode | string | No | |
| contractNumber | string | No | |
| coverageListId | string | No | |
| drugFormularyNumber | string | No | |
| electronicDevicePin | string | No | |
| eligibilityCategory | string | No | |
| facilityIdNumber | string | No | |
| facilityNetworkIdentificationNumber | string | No | |
| familyUnitNumber | string | No | |
| federalTaxpayersIdentificationNumber | string | No | |
| groupNumber | string | No | |
| hicNumber | string | No | |
| idCardNumber | string | No | |
| idCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| issueNumber | string | No | |
| medicaidProviderNumber | string | No | |
| medicaidRecepientIdNumber | string | No | |
| medicalAssistanceCategory | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| medicareProviderNumber | string | No | |
| memberId | string | No | |
| patientAccountNumber | string | No | |
| personalIdentificationNumber | string | No | |
| planNetworkIdNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No | |
| priorAuthorizationNumber | string | No | |
| priorIdNumber | string | No | |
| referralNumber | string | No | |
| socialSecurityNumber | string | No | |
| stateLicenseNumber | string | No | |
| submitterIdentificationNumber | string | No | |
| userIdentification | string | No |
Seamlessly check a member eligibility and health plan benefit details with hundreds of payers.
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| request | body | request | Yes | MedicalEligibility |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | Response |
| 201 | Created | |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
healthCheck
| Name | Located in | Description | Required | Schema |
|---|---|---|---|---|
| Authorization | header | Bearer Your-Access-Token | Yes | string |
| Code | Description | Schema |
|---|---|---|
| 200 | OK | HealthCheck |
| 401 | Unauthorized | |
| 403 | Forbidden | |
| 404 | Not Found |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| contractNumber | string | No | |
| healthInsuranceClaimNumber | string | No | |
| identificationCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| memberIdentificationNumber | string | No | |
| patientAccountNumber | string | No | |
| planNetworkIdentificationNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| description | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| address1 | string | No | |
| address2 | string | No | |
| city | string | No | |
| postalCode | string | No | |
| state | string | No |
| Name | Type | Description | Required |
|---|---|---|---|
| agencyClaimNumber | string | No | |
| alternativeListId | string | No | |
| caseNumber | string | No | |
| centersForMedicareAndMedicaidServicesNPI | string | No | |
| classOfContractCode | string | No | |
| contractNumber | string | No | |
| coverageListId | string | No | |
| drugFormularyNumber | string | No | |
| electronicDevicePin | string | No | |
| eligibilityCategory | string | No | |
| facilityIdNumber | string | No | |
| facilityNetworkIdentificationNumber | string | No | |
| familyUnitNumber | string | No | |
| federalTaxpayersIdentificationNumber | string | No | |
| groupNumber | string | No | |
| hicNumber | string | No | |
| idCardNumber | string | No | |
| idCardSerialNumber | string | No | |
| insurancePolicyNumber | string | No | |
| issueNumber | string | No | |
| medicaidProviderNumber | string | No | |
| medicaidRecepientIdNumber | string | No | |
| medicalAssistanceCategory | string | No | |
| medicalRecordIdentificationNumber | string | No | |
| medicareProviderNumber | string | No | |
| memberId | string | No | |
| patientAccountNumber | string | No | |
| personalIdentificationNumber | string | No | |
| planNetworkIdNumber | string | No | |
| planNumber | string | No | |
| policyNumber | string | No | |
| priorAuthorizationNumber | string | No | |
| priorIdNumber | string | No | |
| referralNumber | string | No | |
| socialSecurityNumber | string | No | |
| stateLicenseNumber | string | No | |
| submitterIdentificationNumber | string | No | |
| userIdentification | string | No |