1. Electronic Eligibility Checks
  2. Create Electronic Eligibility Check
POST

/v1/electronic_eligibility_checks

insurance_card_id*
provider_id*
clearinghouse_entity_id*
service_type*
curl --request POST \
     --url https://api.opkit.co/v1/electronic_eligibility_checks \
     --header 'Content-Type: application/json' \
     --data '{
 "insurance_card_id": "string",
 "provider_id": "string",
 "clearinghouse_entity_id": "string",
 "service_type": "string"
}'

Body

insurance_card_idRequired
string
provider_idRequired
string
clearinghouse_entity_idRequired
string
service_typeRequired
string
Available options: abortion, acupuncture, adjunctive_dental_services, aids, air_transportation, alcoholism, allergy, allergy_testing, alternate_method_dialysis, ambulatory_service_center_facility, anesthesia, anesthesiologist, audiology_exam, benefit_disclaimer, blood_charges, brand_name_prescription_drug, brand_name_prescription_drug_formulary, brand_name_prescription_drug_non_formulary, burn_care, cabulance, cancer, cardiac, cardiac_rehabilitation, case_management, chemotherapy, chiropractic, chiropractic_office_visits, chronic_renal_disease_crd_equipment, cognitive_therapy, consultation, coronary_care, day_care_psychiatric, dental_accident, dental_care, dental_crowns, dermatology, diabetic_supplies, diagnostic_dental, diagnostic_lab, diagnostic_medical, diagnostic_x_ray, dialysis, donor_procedures, drug_addiction, durable_medical_equipment, durable_medical_equipment_purchase, durable_medical_equipment_rental, emergency_services, endocrine, endodontics, escrow_or_impound_service, experimental_drug_therapy, eye, eyewear_and_eyewear_accessories, family_planning, flu_vaccination, frames, free_standing_prescription_drug, gastrointestinal, general_benefits, generic_prescription_drug, generic_prescription_drug_formulary, generic_prescription_drug_non_formulary, gynecological, health_benefit_plan_coverage, home_health_care, home_health_prescriptions, home_health_visits, hospice, hospital, hospital_ambulatory_surgical, hospital_emergency_accident, hospital_emergency_medical, hospital_inpatient, hospital_outpatient, hospital_room_and_board, immunizations, in_vitro_fertilization, independent_medical_evaluation, infertility, inhalation_therapy, intensive_care, invasive_procedures, lenses, licensed_ambulance, long_term_care, lymphatic, mail_order_prescription_drug, mail_order_prescription_drug_brand_name, mail_order_prescription_drug_generic, major_medical, mammogram_high_risk_patient, mammogram_low_risk_patient, massage_therapy, maternity, maxillofacial_prosthetics, medical_care, medically_related_transportation, mental_health, mental_health_facility_inpatient, mental_health_facility_outpatient, mental_health_provider_inpatient, mental_health_provider_outpatient, mri_cat_scan, neonatal_intensive_care, neurology, newborn_care, non_escrow_or_non_impound_service, nonmedically_necessary_physical, nursery, obstetrical, obstetrical_gynecological, occupational_therapy, oncology, oral_surgery, orthodontics, orthopedic, other_medical, otological_exam, partial_hospitalization_psychiatric, pathology, pediatric, periodontics, pharmacy, physical_medicine, physical_therapy, physician_visit_office_sick, physician_visit_office_well, plan_waiting_period, pneumonia_vaccine, podiatry, podiatry_nursing_home_visits, podiatry_office_visits, pre_admission_testing, private_duty_nursing, private_duty_nursing_home, private_duty_nursing_inpatient, professional_physician, professional_physician_visit_home, professional_physician_visit_inpatient, professional_physician_visit_nursing_home, professional_physician_visit_office, professional_physician_visit_outpatient, professional_physician_visit_skilled_nursing_facility, prosthetic_device, prosthodontics, psychiatric, psychiatric_inpatient, psychiatric_outpatient, psychiatric_room_and_board, psychotherapy, pulmonary, pulmonary_rehabilitation, radiation_therapy, rehabilitation, rehabilitation_inpatient, rehabilitation_outpatient, rehabilitation_room_and_board, renal, renal_supplies_in_the_home, residential_psychiatric_treatment, respite_care, restorative, routine_exam, routine_physical, routine_preventive_dental, screening_laboratory, screening_x_ray, second_surgical_opinion, skilled_nursing_care, skilled_nursing_care_room_and_board, skin, smoking_cessation, social_work, speech_therapy, substance_abuse, substance_abuse_facility_inpatient, substance_abuse_facility_outpatient, surgical, surgical_assistance, surgical_benefits_facility, surgical_benefits_professional_physician, third_surgical_opinion, transitional_care, transitional_nursery_care, transplants, urgent_care, used_durable_medical_equipment, vision_optometry, well_baby_care

Response

idRequired
string
created_atRequired
string
finished_at
string
provider_idRequired
string
insurance_card_idRequired
string
clearinghouse_entity_idRequired
string
electronic_eligibility_discovery_id
string
provider_npiRequired
string
patient_first_nameRequired
string
patient_last_nameRequired
string
patient_date_of_birthRequired
string
insurance_card_member_id
string
service_typeRequired
string
Available options: abortion, acupuncture, adjunctive_dental_services, aids, air_transportation, alcoholism, allergy, allergy_testing, alternate_method_dialysis, ambulatory_service_center_facility, anesthesia, anesthesiologist, audiology_exam, benefit_disclaimer, blood_charges, brand_name_prescription_drug, brand_name_prescription_drug_formulary, brand_name_prescription_drug_non_formulary, burn_care, cabulance, cancer, cardiac, cardiac_rehabilitation, case_management, chemotherapy, chiropractic, chiropractic_office_visits, chronic_renal_disease_crd_equipment, cognitive_therapy, consultation, coronary_care, day_care_psychiatric, dental_accident, dental_care, dental_crowns, dermatology, diabetic_supplies, diagnostic_dental, diagnostic_lab, diagnostic_medical, diagnostic_x_ray, dialysis, donor_procedures, drug_addiction, durable_medical_equipment, durable_medical_equipment_purchase, durable_medical_equipment_rental, emergency_services, endocrine, endodontics, escrow_or_impound_service, experimental_drug_therapy, eye, eyewear_and_eyewear_accessories, family_planning, flu_vaccination, frames, free_standing_prescription_drug, gastrointestinal, general_benefits, generic_prescription_drug, generic_prescription_drug_formulary, generic_prescription_drug_non_formulary, gynecological, health_benefit_plan_coverage, home_health_care, home_health_prescriptions, home_health_visits, hospice, hospital, hospital_ambulatory_surgical, hospital_emergency_accident, hospital_emergency_medical, hospital_inpatient, hospital_outpatient, hospital_room_and_board, immunizations, in_vitro_fertilization, independent_medical_evaluation, infertility, inhalation_therapy, intensive_care, invasive_procedures, lenses, licensed_ambulance, long_term_care, lymphatic, mail_order_prescription_drug, mail_order_prescription_drug_brand_name, mail_order_prescription_drug_generic, major_medical, mammogram_high_risk_patient, mammogram_low_risk_patient, massage_therapy, maternity, maxillofacial_prosthetics, medical_care, medically_related_transportation, mental_health, mental_health_facility_inpatient, mental_health_facility_outpatient, mental_health_provider_inpatient, mental_health_provider_outpatient, mri_cat_scan, neonatal_intensive_care, neurology, newborn_care, non_escrow_or_non_impound_service, nonmedically_necessary_physical, nursery, obstetrical, obstetrical_gynecological, occupational_therapy, oncology, oral_surgery, orthodontics, orthopedic, other_medical, otological_exam, partial_hospitalization_psychiatric, pathology, pediatric, periodontics, pharmacy, physical_medicine, physical_therapy, physician_visit_office_sick, physician_visit_office_well, plan_waiting_period, pneumonia_vaccine, podiatry, podiatry_nursing_home_visits, podiatry_office_visits, pre_admission_testing, private_duty_nursing, private_duty_nursing_home, private_duty_nursing_inpatient, professional_physician, professional_physician_visit_home, professional_physician_visit_inpatient, professional_physician_visit_nursing_home, professional_physician_visit_office, professional_physician_visit_outpatient, professional_physician_visit_skilled_nursing_facility, prosthetic_device, prosthodontics, psychiatric, psychiatric_inpatient, psychiatric_outpatient, psychiatric_room_and_board, psychotherapy, pulmonary, pulmonary_rehabilitation, radiation_therapy, rehabilitation, rehabilitation_inpatient, rehabilitation_outpatient, rehabilitation_room_and_board, renal, renal_supplies_in_the_home, residential_psychiatric_treatment, respite_care, restorative, routine_exam, routine_physical, routine_preventive_dental, screening_laboratory, screening_x_ray, second_surgical_opinion, skilled_nursing_care, skilled_nursing_care_room_and_board, skin, smoking_cessation, social_work, speech_therapy, substance_abuse, substance_abuse_facility_inpatient, substance_abuse_facility_outpatient, surgical, surgical_assistance, surgical_benefits_facility, surgical_benefits_professional_physician, third_surgical_opinion, transitional_care, transitional_nursery_care, transplants, urgent_care, used_durable_medical_equipment, vision_optometry, well_baby_care
statusRequired
string
Available options: pending, success, failure
sourceRequired
string
Available options: system, dashboard, api
failure_reason
string
Available options: clearinghouse_error, clearinghouse_entity_error
clearinghouse_entity_errors
array
benefits
array