curl --request GET \
--url https://api.example.com/v1/eligibility/checks \
--header 'X-API-Key: <api-key>'{
"data": [
{
"id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"eligibility_search_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"request": {
"trading_partner_service_id": "<string>",
"trading_partner_name": "<string>",
"provider": {
"organization_name": "<string>",
"npi": "<string>",
"service_provider_number": "<string>"
},
"subscriber": {
"first_name": "<string>",
"last_name": "<string>",
"date_of_birth": "2023-12-25",
"member_id": "<string>"
},
"encounter": {
"service_type_codes": [
"1"
],
"date_of_service": "2023-12-25"
},
"dependent": {
"first_name": "<string>",
"last_name": "<string>",
"date_of_birth": "2023-12-25",
"member_id": "<string>",
"relationship_code": "<string>"
}
},
"created_at": "2023-11-07T05:31:56Z",
"batch_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"extracted_data": {
"subscriber": {
"first_name": "<string>",
"last_name": "<string>",
"middle_name": "<string>",
"member_id": "<string>",
"dob": "2023-12-25",
"gender": "male",
"address": "<string>",
"address2": "<string>",
"city": "<string>",
"state": "alabama",
"zip": "<string>"
},
"payor": {
"eligibility_status": "active",
"coverage_from": "2023-12-25",
"coverage_to": "2023-12-25",
"group_number": "<string>",
"group_description": "<string>",
"plan_name": "<string>",
"plan_type": "01",
"cob_notes": "<string>",
"party_performing_verification": "<string>",
"party_performing_verification_id": "<string>",
"benefits_related_entities": [
{
"entity_name": "<string>",
"entity_firstname": "<string>",
"entity_type": "<string>",
"entity_identifier": "<string>",
"address": {
"address1": "<string>",
"address2": "<string>",
"city": "<string>",
"state": "alabama",
"postal_code": "<string>"
},
"contact_information": {
"phone_number": "<string>",
"fax_number": "<string>",
"email": "<string>",
"url": "<string>"
},
"service_type_codes": [
"1"
],
"benefit_name": "<string>"
}
],
"benefits_related_entities_formatted": "<string>",
"individual_deductible_in_network": 123,
"individual_deductible_out_network": 123,
"individual_deductible_remaining_in_network": 123,
"individual_deductible_remaining_out_network": 123,
"family_deductible_in_network": 123,
"family_deductible_out_network": 123,
"family_deductible_remaining_in_network": 123,
"family_deductible_remaining_out_network": 123,
"individual_oop_max_in_network": 123,
"individual_oop_max_out_network": 123,
"individual_oop_max_remaining_in_network": 123,
"individual_oop_max_remaining_out_network": 123,
"family_oop_max_in_network": 123,
"family_oop_max_out_network": 123,
"family_oop_max_remaining_in_network": 123,
"family_oop_max_remaining_out_network": 123
},
"meta": {
"eligibility_search_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"payer_name": "<string>",
"has_errors": false,
"check_status": "active"
},
"dependent": {
"first_name": "<string>",
"last_name": "<string>",
"middle_name": "<string>",
"dob": "2023-12-25",
"gender": "male",
"relationship_to_subscriber": "spouse",
"address": "<string>",
"address2": "<string>",
"city": "<string>",
"state": "alabama",
"zip": "<string>"
},
"services": [
{
"service_type": "medical_care",
"service_type_code": "1",
"copay_in_network": 123,
"copay_out_network": 123,
"co_insurance_in_network": 123,
"co_insurance_out_network": 123,
"visit_limit_in_network": 123,
"visit_limit_out_network": 123,
"visit_limit_remaining_in_network": 123,
"visit_limit_remaining_out_network": 123,
"visit_limit_time_period_in_network": "<string>",
"visit_limit_time_period_out_network": "<string>",
"has_matching_benefits": false
}
]
},
"eligibility_status": "pending",
"patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"payor_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a"
}
],
"pagination": {
"has_more": true,
"total": 123,
"page": 123,
"limit": 123
}
}Returns a paginated list of eligibility checks with optional filters.
curl --request GET \
--url https://api.example.com/v1/eligibility/checks \
--header 'X-API-Key: <api-key>'{
"data": [
{
"id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"eligibility_search_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"request": {
"trading_partner_service_id": "<string>",
"trading_partner_name": "<string>",
"provider": {
"organization_name": "<string>",
"npi": "<string>",
"service_provider_number": "<string>"
},
"subscriber": {
"first_name": "<string>",
"last_name": "<string>",
"date_of_birth": "2023-12-25",
"member_id": "<string>"
},
"encounter": {
"service_type_codes": [
"1"
],
"date_of_service": "2023-12-25"
},
"dependent": {
"first_name": "<string>",
"last_name": "<string>",
"date_of_birth": "2023-12-25",
"member_id": "<string>",
"relationship_code": "<string>"
}
},
"created_at": "2023-11-07T05:31:56Z",
"batch_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"extracted_data": {
"subscriber": {
"first_name": "<string>",
"last_name": "<string>",
"middle_name": "<string>",
"member_id": "<string>",
"dob": "2023-12-25",
"gender": "male",
"address": "<string>",
"address2": "<string>",
"city": "<string>",
"state": "alabama",
"zip": "<string>"
},
"payor": {
"eligibility_status": "active",
"coverage_from": "2023-12-25",
"coverage_to": "2023-12-25",
"group_number": "<string>",
"group_description": "<string>",
"plan_name": "<string>",
"plan_type": "01",
"cob_notes": "<string>",
"party_performing_verification": "<string>",
"party_performing_verification_id": "<string>",
"benefits_related_entities": [
{
"entity_name": "<string>",
"entity_firstname": "<string>",
"entity_type": "<string>",
"entity_identifier": "<string>",
"address": {
"address1": "<string>",
"address2": "<string>",
"city": "<string>",
"state": "alabama",
"postal_code": "<string>"
},
"contact_information": {
"phone_number": "<string>",
"fax_number": "<string>",
"email": "<string>",
"url": "<string>"
},
"service_type_codes": [
"1"
],
"benefit_name": "<string>"
}
],
"benefits_related_entities_formatted": "<string>",
"individual_deductible_in_network": 123,
"individual_deductible_out_network": 123,
"individual_deductible_remaining_in_network": 123,
"individual_deductible_remaining_out_network": 123,
"family_deductible_in_network": 123,
"family_deductible_out_network": 123,
"family_deductible_remaining_in_network": 123,
"family_deductible_remaining_out_network": 123,
"individual_oop_max_in_network": 123,
"individual_oop_max_out_network": 123,
"individual_oop_max_remaining_in_network": 123,
"individual_oop_max_remaining_out_network": 123,
"family_oop_max_in_network": 123,
"family_oop_max_out_network": 123,
"family_oop_max_remaining_in_network": 123,
"family_oop_max_remaining_out_network": 123
},
"meta": {
"eligibility_search_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"payer_name": "<string>",
"has_errors": false,
"check_status": "active"
},
"dependent": {
"first_name": "<string>",
"last_name": "<string>",
"middle_name": "<string>",
"dob": "2023-12-25",
"gender": "male",
"relationship_to_subscriber": "spouse",
"address": "<string>",
"address2": "<string>",
"city": "<string>",
"state": "alabama",
"zip": "<string>"
},
"services": [
{
"service_type": "medical_care",
"service_type_code": "1",
"copay_in_network": 123,
"copay_out_network": 123,
"co_insurance_in_network": 123,
"co_insurance_out_network": 123,
"visit_limit_in_network": 123,
"visit_limit_out_network": 123,
"visit_limit_remaining_in_network": 123,
"visit_limit_remaining_out_network": 123,
"visit_limit_time_period_in_network": "<string>",
"visit_limit_time_period_out_network": "<string>",
"has_matching_benefits": false
}
]
},
"eligibility_status": "pending",
"patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
"payor_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a"
}
],
"pagination": {
"has_more": true,
"total": 123,
"page": 123,
"limit": 123
}
}Page number (1-based)
x >= 1Items per page
1 <= x <= 200Filter by payor ID
Filter by patient ID
Filter by batch ID
Filter by eligibility status Eligibility check status enum matching Prisma EligibilityStatus
active, inactive, pending, failed