Create an OAuth client and authenticate to get a bearer token. Call the eligibility endpoint with patient and insurance details. Receive a structured response with coverage, payer and plan, reference number, and time verified. Register a callback URL to receive results as they complete. No screen scraping. No manual re-entry.
See the full endpoint reference in our developer documentation.
“Before the API, eligibility lived in one system and our workflow lived in another, and people were the bridge. Now verification happens inside the tools our team already uses. Nothing gets re-typed, nothing falls through, and admissions moves at the speed of the phone call instead of the speed of a portal.”
One connection brings real-time eligibility into your product so teams can qualify during the first touch. Each check returns a structured VOB with the essentials admissions and billing act on: coverage status, plan, network, and key accumulators. And when you need more than eligibility, facility lookup and claim status run on the same API and the same auth.
We cover over 1,800 payers across Medicare, Medicaid, and commercial plans. Coverage varies by region and product. We share an up to date payer list during onboarding.
We provide a current payer directory and help you align codes during setup. As payer networks change, we help you keep mapping current so requests stay accurate.
Real-time eligibility verification is the flagship: each check returns a structured VOB with coverage status, payer and plan details, and key amounts, plus a reference number and time verified. You can trigger batch runs and receive notifications when results are ready. The same connection also supports in-network facility lookup and claim status; see the VerifyTX Platform API for the full surface.
Your product requests a verification and receives a structured response you can display in your UI. Register a callback URL on your OAuth client and results post to it as they complete, so the right people act quickly.
Yes. You get mock data to build and test against, so you can develop without touching production or needing a separate environment.
Request access. We set up your account, share documentation, and walk your team through the build and test plan.
Yes. Data is encrypted in transit and at rest, access is permissioned, and all activity is logged for audit.
Every request runs over HTTPS with structured JSON responses and clear error codes, including a documented 401 Unauthorized for auth issues.
No. Eligibility is the flagship endpoint, but the same connection covers in-network facility lookup and real-time claim status, each returning its own structured object. See the VerifyTX Platform API for the full surface.
Samantha is a dynamic marketing professional dedicated to making a difference in the behavioral health industry through her work at VerifyTreatment. With a strong background in digital marketing and brand advocacy, she helps elevate the platform’s presence by fostering authentic connections with treatment centers and healthcare providers. Her expertise in content creation and community engagement ensures that VerifyTreatment’s value is communicated effectively, helping centers streamline operations and improve patient care. Samantha’s focus on building trust and driving awareness positions VerifyTreatment as a key resource in the healthcare landscape.
Nicole is a versatile healthcare professional with a Bachelor’s degree in Health Administration and a solid background in managing healthcare systems and operations. Her experience spans healthcare management, compliance, and regulations, making her adept at navigating complex healthcare environments. In addition to her administrative expertise, Nicole holds certifications in Functional Nutrition and Personal Training, giving her a well-rounded perspective on health and wellness. She is committed to using her skills to improve healthcare settings and ensure effective, patient-centered care.
Tara is a dedicated leader who leverages her Master's degree in Information Technology (Florida Tech) and deep company knowledge (since 2018) to drive our community awareness. She is the central figure for managing social engagement and ensuring the community is immediately and effectively informed of all new product launches and company updates.
JoAnn has a strong background in the mental health and substance abuse industry, with expertise in billing, coding, facility credentialing, and contracting. She is passionate about team education and public speaking, always striving to make a positive impact. With a solid foundation in accounting, JoAnn also holds an Associate of Arts in Biblical Studies from Liberty University, blending her professional skills with her personal values.
For 11+ years, Melanie has been dedicated to helping clients access quality mental health care, with a special focus on grief, loss, and substance abuse. With expertise in healthcare, community outreach, patient advocacy, and leadership development, Melanie is passionate about making a positive impact in the lives of others.
Jordan is a dedicated advocate for behavioral health and is passionate about improving sales strategies and business processes. With a focus on helping businesses, particularly in healthcare, Jordan believes that streamlining operations is a way to positively impact more people indirectly. A strong leader, both personally and professionally, Jordan is committed to making a difference in the world by doing good business and serving a higher purpose.