Eligible

Modern Insurance Infrastructure.

Visit Website →

Overview

Eligible provides a suite of APIs that allow digital health companies and providers to integrate insurance eligibility and benefits data directly into their applications. They focus on providing a simple, developer-friendly way to access data from a wide network of payers.

✨ Key Features

  • Eligibility & Benefits API
  • Real-time & Batch Processing
  • Claim Status API
  • Patient Responsibility Estimation
  • Broad Payer Connectivity

🎯 Key Differentiators

  • Developer-first approach with a focus on API quality and documentation.
  • Modern, RESTful API.
  • Comprehensive suite of APIs for the entire healthcare workflow.

Unique Value: A modern and developer-friendly API platform that makes it easy to build innovative healthcare applications.

🎯 Use Cases (3)

Building eligibility checks into a patient registration workflow Powering a price transparency tool with real-time benefits data Automating eligibility verification for a telehealth platform

✅ Best For

  • Real-time eligibility verification via API
  • Powering patient-facing insurance tools

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations without development resources
  • Users needing a web portal for manual lookups

🏆 Alternatives

pVerify Change Healthcare (API) PokitDok (acquired by Change Healthcare)

Offers a more modern and streamlined API experience compared to the legacy APIs of some larger competitors.

💻 Platforms

API

🔌 Integrations

API

🛟 Support Options

  • ✓ Email Support
  • ✓ Live Chat
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ SOC 2 ✓ HIPAA

💰 Pricing

Contact for pricing

✓ 14-day free trial

Visit Eligible Website →