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Confident revenue start with better data
API Access

Insurance Verification API

Add real time eligibility to your app, portal, or CRM with the VerifyTX API. Send a member and payer, receive a verified result with status, plan, and accumulators, then route next steps in your workflow. Admissions and billing get clean data without leaving your system.
Used by providers who track census, admit after hours, and need clean handoffs across locations.

Clean endpoints, clear results

Create an API key or OAuth client. Call the eligibility endpoint with patient and insurance details. Receive a structured response with coverage, payer and plan, reference number, and time verified. Use webhooks to post results back to your app. No screen scraping. No manual re entry.

Advantages of Using an Insurance Verification API

Faster decisions in your product

Run eligibility in your app and show active or inactive coverage the moment a record is created. Admissions and care teams move forward with confidence while interest is high.

Seamless integration across payers

Use one connection to access a broad payer footprint and present consistent results in your UI. Keep intake and billing in a single workflow with clear, reliable fields.

Fewer errors and cleaner data

Eliminate copy and paste between systems. Send member and payer details once and receive a structured response with plan, status, and key amounts that reduce rework and denials.

Higher productivity for teams

Automate when verifications run and who gets notified. Route results to admissions and billing so follow ups happen quickly and staff time goes to decisions, not portals.

"Engineering added eligibility in a week. Admissions and billing both moved faster the same month."

— VP Operations, multi-site provider

 hours

saved per week by verifying inside your product

Keep momentum for developers and ops

Your product already runs the day. The VerifyTX API drops eligibility into that flow with clear objects, stable IDs, and helpful errors.

Use webhooks for results, schedule batch runs for census checks, and mirror tags like active patients so teams see the same status everywhere.

Simple integration

Add eligibility to your product with a clear request and response flow. Your app sends member and payer details and receives a structured result your teams can use right away.

Results you can act on

See coverage status, payer and plan, key accumulators, a reference number, and the time verified. Show the right details in your UI so intake and billing move forward confidently.

Alerts that keep teams in sync

Deliver results into your workflow and notify the right people. Highlight when something changes since the last check so follow ups happen without delay.

Security and compliance

HIPAA aligned controls with encryption, role based access, and full audit logging. Keep PHI protected while giving teams the visibility they need.

Frequently Asked Questions

One connection brings real time eligibility into your product so teams can qualify during the first touch. Results include the essentials your admissions and billing teams use to act with confidence.

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 keep your mapping current so requests stay accurate.

Real time verifications return coverage status, payer and plan details, and key amounts with a reference and time verified. You can also trigger batch runs and receive notifications when results are ready.

Your product requests a verification and receives a structured response you can display in your UI. You can also receive notifications so the right people act quickly.

Yes. You receive a sandbox and sample data so your team can build and test without touching production.

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.

Bring eligibility into your product

Join over 4,000 behavioral health teams using VerifyTX to power real time verification in their apps and CRMs
VerifyTreatment simplifies insurance verification for behavioral health and healthcare providers nationwide.
Samantha Gobert
Senior Account Executive

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 Staples
Customer Success Representative

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 Perdomo
Brand Engagement Manager

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 Kelly
Business Development Consultant

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.

Melanie Hernadez
Customer Success Supervisor

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 Sheffield
Senior Account Executive

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.