API Reference

General Eligibility Check

post
https://api.embercopilot.ai/v1/eligibility

Check patient eligibility for coverage with a specified payer for specific service types.

Supports real-time eligibility verification across multiple payers using the X12 270/271 standard service type codes.

Rate limiting: Maximum of 3 concurrent requests per API key.

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Body Params
string

Optional client-provided patient identifier for reference

provider
object
required
string
required

Identifier for the insurance payer. Must be one of the supported payer identifiers.
Use the /payers endpoint to get the list of supported payers and their IDs.

subscriber
object
required
serviceTypeCodes
array of strings
length between 1 and 20

List of X12 service type codes to check eligibility for.
If not provided, defaults to ["30"] (Health Benefit Plan Coverage).

serviceTypeCodes
string
length between 1 and 30

The passcode that the provider uses to log in to the payer's portal.

Responses

Updated about 1 year ago

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Updated about 1 year ago