2522 Chambers Rd Ste 201, Tustin, CA 92780 www.pverify.com | Phone (949) 309 2850| info@pverify.
com
pVerify’s API FAQ
➢ How do I gain access to the API Management Portal?
You can access the API Management Portal by using this link: https://apimgmt.pverify.com/
The credentials you have for the Premium Portal will be the same as for the API Management
Portal.
➢ Where do I find my API Keys/Credentials?
You can find your Keys/Credentials from the API Management Portal.
➢ What Authentication do you use?
We use OAUTH 2 authentication. Your token is good to use for 1 hour. We do have a secondary
call that does not require OAUTH 2, it’ll require your Client ID and Secret.
Your Client ID and Secret will remain the same for Test and Production, but the OAuth URL will
be different depending on which environment you are in.
➢ Do you have API resources or documentation?
Yes, we have POSTMAN documentation; depending on which environment you are in- the
POSTMAN Collection will reflect that environment. You can find the resources under Help &
Resources in the API Management Portal.
➢ How can we run test transactions?
We have an API Management Portal where you can switch between the Test and Production
environment to run API transactions.
➢ Do you have sample test calls we could use for Eligibility?
Yes, we offer a list of combination test calls specifically to Eligibility Summary, which you can
run for each supported Payer. For example, you can send practice type 3 to Aetna. Additionally,
we have canned responses that you can test to see what the request and response look like. These
canned responses are helpful to assist you in validating that you can do the authentication, able to
submit the request with all the requested fields, and get back a response.
SUPPORTED PAYERS SUPPORTED PRACTICE TYPES
• 00007Medicare Part A and B • 3 DME
• 00004Cigna • 12 Physical Therapy
• 00112Humana • 18 SpecialistOV-Professional Services
• 00165Ohio Medicaid • 27 OV_DxLab_Sx(Office)
• 00192United Healthcare • 38 PT_DME
• 00001Aetna • 40 PT_OT_ST
• 00220Blue Cross Blue Shield Texas
C# NuGet Collection: https://www.nuget.org/packages?q=pverify
UPDATED JAN. 24
2522 Chambers Rd Ste 201, Tustin, CA 92780 www.pverify.com | Phone (949) 309 2850| [email protected]
➢ What is the difference between Practice Type Codes (PTC) and Service Type Codes
(STC)?
Practice Type Codes are built around Service Type Codes. Practice Type Codes focus on the
benefits, not service types. No matter how many types of benefits you need, there is always one
value you are sending in the request and that one value could be made up of multiple service type
codes.
➢ What is the difference between EDI and non-EDI?
EDI Payers get a real-time response (3-5 secs) whereas non-EDI Payers is a delayed response
that can take up to 24 hours.
Non-EDI payers usually start with BO or B0 (back office)
➢ How can I get access to pVerify’s Payer List?
There are several ways to get access to pVerify’s payer list:
Premium Portal → Support Tab → pVerify Payer List
API Management Portal → Payers → Payer List (you can download list)
You can also run an API call using the GetAllPayers endpoint.
➢ Do you help with payer mapping?
You will need to map your payers to pVerify Payers IDs. We have our list of payers, but you are
welcome to use your own. If you choose to use your payer list, we ask you to email the file and
we will import it. For assistance with payer mapping:
[email protected] ➢ What EndPoint should I use?
We have many endpoints, but our most popular and developer-friendly is EligibilitySummary
because we are parsing the data and providing structure in the response itself.
*NOTE: The endpoints that begin with EASY use Client ID and Secret.
➢ Who should I contact if I have questions/concerns?
For all questions/concerns please contact
[email protected] UPDATED JAN. 24
