TRtruepill
v1

Check Insurance Eligibility

Check patient insurance eligibility<br/><br/>This endpoint accepts either a patient_token or patient details to check insurance eligibility.<br/><br/>The request will be forwarded to the Insurance Service for processing.<br/><br/>Returns an array of insurances.

post/v1/insurance/eligibility-check

Request

Request body

patient_tokenstring

Patient token

Example request

{
  "patient_token": "4526d90a",
  "patient_details": {
    "first_name": "John",
    "last_name": "Doe",
    "dob": "19950503",
    "gender": "male",
    "zip": "94105",
    "city": "San Francisco",
    "state": "CA"
  }
}

Response

OK

cardholder_idstring

Cardholder ID

binstring

Bank identification number

group_numberstring

Group number

pcnstring

Processor control number

plan_type'commercial' | 'medicare' | 'medicaid' | 'other'

Insurance plan type

effective_datestring

Insurance effective date

termination_datestring

Insurance termination date

payer_namestring

Insurance payer name

person_codestring

Person code

patient_relationshipstring

Patient relationship to subscriber

Example response

{
  "cardholder_id": "XBC1009876543",
  "bin": "880099",
  "group_number": "D96009620",
  "pcn": "SP9E6",
  "plan_type": "commercial",
  "effective_date": "2019-03-01T00:00:00.000Z",
  "termination_date": "2020-02-29T00:00:00.000Z",
  "payer_name": "Anthem BC",
  "person_code": "03",
  "patient_relationship": "Child"
}

Changes

No recorded changes to this operation across all 2 revisions of this API.