Check Eligibility

POST https://{{url}}/medicalnetwork/eligibility/v3

This endpoint checks if a patient has healthcare coverage with a specific insurance company (payer).

Request Body

{"controlNumber"=>"123456789", "tradingPartnerServiceId"=>"CMSMED", "provider"=>{"organizationName"=>"provider_name", "npi"=>"0123456789", "serviceProviderNumber"=>"54321", "providerCode"=>"AD", "referenceIdentification"=>"54321g"}, "subscriber"=>{"memberId"=>"0000000000", "firstName"=>"johnOne", "lastName"=>"doeOne", "gender"=>"M", "dateOfBirth"=>"18800102", "ssn"=>"555443333", "idCard"=>"card123"}, "dependents"=>[{"firstName"=>"janeOne", "lastName"=>"doeone", "gender"=>"F", "dateOfBirth"=>"18160421", "groupNumber"=>"1111111111"}], "encounter"=>{"beginningDateOfService"=>"20100101", "endDateOfService"=>"20100102", "serviceTypeCodes"=>["98"]}}

HEADERS