{"activeVersionTag":"latest","latestAvailableVersionTag":"latest","collection":{"info":{"_postman_id":"6ceb8797-50ff-42fd-98a3-64beefaa6c94","name":"pVerify API Documentation","description":"**Updated 03/01/2026**\n\npVerify's Real-Time Exchange System facilitates the secure exchange of health care Eligibility and related transactions, supporting one-to-one real-time transactions. One-to-one real-time transactions require customers to post a request, via REST to a designated URL address. Once a request is received by the Service an immediate response is sent for each request posted. Note that first a token must be generated using Oauth2.\n\nThe production URL is `api.pverify.com`\n\nFor example, the token call is: `https://api.pverify.com/Token`\n\nThe EligibilitySummary call is: `https://api.pverify.com/API/EligibilitySummary`\n\nWe now have NuGet packages for .NET coding. Download from Visual Studio today from NuGet - pVerify.Apis\n\n[Click here](https://www.nuget.org/packages/Pverify.Apis) to download the NuGet package from GitHub.\n\n[Click here ](https://github.com/robdejournett/nugetdemo) to download a sample project showing the use of the Nuget package. (C#)\n\n# Available Endpoints\n\n## Authentication\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| Authentication | [/Token](https://) | POST | Obtain authorization to pVerify REST API. |\n\n## Eligibility\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n|  | **1 Step \"Easy\" Methods** |  |  |\n| Eligibility | [/API/EasyEligibility](https://) | POST | Returns the Eligibility Status of a requested provider in just one step (no Token needed). |\n| Eligibility | [/API/EasyEligibilitySummary](https://) | POST | Returns the Eligibility Summary of a request in just one step (no Token needed). |\n|  | **Our 2nd Generation Methods** |  |  |\n| Eligibility | [/API/EligibilitySummary](https://) | POST | We recommend this for most businesses, and will work for 95% of payers. This will populate all eligibility data into discrete data objects for easy consumption, including different Medicare objects, payer change object, copays for different service types (ex: labs, specialist, chiro) |\n|  | **Our 1st Generation Methods** |  |  |\n| Eligibility | [/API/EligibilityInquiry](https://) | POST | Returns Status, Plan Info, Payer Change and other Eligibility Information for major payers. |\n| Eligibility | [/API/GetEligibilityResponse/{id}](https://) | GET | Get Eligibility result by unique transaction id. |\n|  | **Our Backoffice Workflow** |  |  |\n| Eligibility | [/API/EligibilitySummary](https://) | POST | We can accommodate non EDI payers by first submitting information via POST, then retrieving after 24 hours via GET. |\n| Eligibility | [/API/GetEligibilitySummary](https://) | GET | Returns Response from Eligibility Summary. |\n| Eligibility | [/API/CancelTransaction](https://) | POST | Cancels a back office request. |\n| Eligibility | [/API/GetPendingInquiries](https://) | GET | Get inquiries that are still being processed by pVerify back office. |\n\n## Estimates\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| Eligibility | [/API/EstimateCalculation](https://) | POST | Returns fee estimate from Medicare given Zip code, CPT code, and other info. |\n\n## Same or Similar\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| Same or Similar | [/API/SameOrSimilarInquiry](https://) | POST | Runs Same or Similar inquiry endpoint. |\n| Same or Similar | [/API/GetSameOrSimilarResponse](https://) | GET | Gets the transaction result from SorS later using unique request id. |\n\n## Skilled Nursing Facility\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| Skilled Nursing Facility | [/API/SNFInquiry](https://) | POST | Skilled Nursing Facility Inquiry |\n| Skilled Nursing Facility | [/API/GETSNFResponse](https://) | GET | Returns SNF Response from SNFInquiry |\n\n## Claim Status\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| Claim Status | [/API/ClaimStatusInquiry](https://) | POST | Obtain claim status information using subscriber demographic information |\n| Claim Status | [/API/GetClaimStatusResponse](https://) | GET | Used to obtain claim status transaction result later. |\n\n## CGX\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| CGX | [/API/CGXInquiry](https://) | POST | Run CGX Inquiry. |\n| CGX | [/WidgetSetup](https://) | POST | create widget |\n\n## CMN\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| CMN | [/API/CMNInquiry](https://) | POST | Runs CMN inquiry endpoint. |\n| CMN | [/API/GetCMNResponse](https://) | GET | Gets the transaction result from CMN later using unique request id. |\n\n## Payers\n\n| Service | Endpoint | HTTP Method | Description |\n| --- | --- | --- | --- |\n| Payers | [/API/GetAllPayers](https://) | GET | Get pVerify payer list. |\n| Payers | [/API/GetPayerStatus](https://) | GET | Gets payer status. |\n\n# Medicare HCPCS codes\n\nFor the EligibilityInquiry, GetEligibilityResponse, and EligibilitySummary calls, we can return Medicare preventative service information. You can either populate the preventative service codes in the request or as a one time set up, use our portal at Premium.Pverify.com -> Admin/Profile -> Settings -> Medicare HCPCS Codes. These settings in the UI will be used if the request HCPCS codes are blank.\n\nFor example you can add this to the request:\n\n``` json\n\"HCPCSCodes\": [\n\"G0297\"\n],\n\n ```\n\nAnd it will return the code to the right under ServiceTypeDetailInfo - for this patient they were eligible for this code on 2/5/2015.\n\n### EligibilityInquiry Response\n\n``` json\n\"ServicesTypes\": [{\n        \"ServiceTypeName\": \"Preventive Services\",\n        \"ServiceTypeSections\": [{\n            \"Label\": \"HCPCS|G0104\",\n            \"ServiceParameters\": [{\n                \"Key\": \"Professional Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Technical Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Visit Co-Insurance\",\n                \"Value\": \"0%\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Calendar Year Deductible\",\n                \"Value\": \"$0.00\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }]\n        }, {\n            \"Label\": \"HCPCS|G0105\",\n            \"ServiceParameters\": [{\n                \"Key\": \"Professional Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Technical Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Visit Co-Insurance\",\n                \"Value\": \"0%\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Calendar Year Deductible\",\n                \"Value\": \"$0.00\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }]\n        }, {\n            \"Label\": \"HCPCS|G0106\",\n            \"ServiceParameters\": [{\n                \"Key\": \"Professional Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Technical Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Calendar Year Deductible\",\n                \"Value\": \"$0.00\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }]\n        }, {\n            \"Label\": \"HCPCS|G0120\",\n            \"ServiceParameters\": [{\n                \"Key\": \"Professional Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Technical Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Calendar Year Deductible\",\n                \"Value\": \"$0.00\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }]\n        }, {\n            \"Label\": \"HCPCS|G0121\",\n            \"ServiceParameters\": [{\n                \"Key\": \"Professional Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Technical Eligible Date\",\n                \"Value\": \"04/01/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Visit Co-Insurance\",\n                \"Value\": \"0%\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Calendar Year Deductible\",\n                \"Value\": \"$0.00\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }]\n        }, {\n            \"Label\": \"HCPCS|81528\",\n            \"ServiceParameters\": [{\n                \"Key\": \"Technical Eligible Date\",\n                \"Value\": \"10/09/2014\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Visit Co-Insurance\",\n                \"Value\": \"0%\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }, {\n                \"Key\": \"Calendar Year Deductible\",\n                \"Value\": \"$0.00\",\n                \"Message\": null,\n                \"OtherInfo\": null\n            }]\n        }]\n    }\n\n ```\n\n### EligibilitySummary Response\n\n``` json\n\"PreventiveServices\": [{\n    \"ProcedureCode\": \"HCPCS|G0444\",\n    \"ProcedureName\": \"Annual Depression Screening\",\n    \"TechnicalEligibleDate\": \"10/14/2011\",\n    \"ProfessionalEligibleDate\": \"10/14/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0499\",\n    \"ProcedureName\": \"Hepatitis B Virus (HCV) in Adults Screening\",\n    \"TechnicalEligibleDate\": \"09/28/2016\",\n    \"ProfessionalEligibleDate\": \"09/28/2016\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|84478\",\n    \"ProcedureName\": \"Cardiovascular Disease Screening (CARD)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|83718\",\n    \"ProcedureName\": \"Cardiovascular Disease Screening (CARD)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|82947\",\n    \"ProcedureName\": \"Diabetes Screening Tests (DIAB)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0446\",\n    \"ProcedureName\": \"Intensive Behavioral Theropy (IBT) for Cardiovascular Disease (CVD)\",\n    \"TechnicalEligibleDate\": \"11/08/2011\",\n    \"ProfessionalEligibleDate\": \"11/08/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|76706\",\n    \"ProcedureName\": \"Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)\",\n    \"TechnicalEligibleDate\": \"07/01/2007\",\n    \"ProfessionalEligibleDate\": \"07/01/2007\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0438\",\n    \"ProcedureName\": \"Annual Wellness Visit (AMV)\",\n    \"TechnicalEligibleDate\": null,\n    \"ProfessionalEligibleDate\": \"01/01/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0328\",\n    \"ProcedureName\": \"Fecal Occult Blood Test\",\n    \"TechnicalEligibleDate\": \"01/01/2004\",\n    \"ProfessionalEligibleDate\": \"01/01/2004\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0442\",\n    \"ProcedureName\": \"Annual Alcohol Misuse Screening\",\n    \"TechnicalEligibleDate\": null,\n    \"ProfessionalEligibleDate\": \"10/14/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0105\",\n    \"ProcedureName\": \"Colorectal Cancer Screening (COLO)\",\n    \"TechnicalEligibleDate\": \"01/01/1998\",\n    \"ProfessionalEligibleDate\": \"01/01/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|82465\",\n    \"ProcedureName\": \"Cardiovascular Disease Screening (CARD)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0472\",\n    \"ProcedureName\": \"Hepatitis C Virus (HCV) in Adults Screening\",\n    \"TechnicalEligibleDate\": \"06/02/2014\",\n    \"ProfessionalEligibleDate\": \"06/02/2014\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0447\",\n    \"ProcedureName\": \"Intensive Behavioral Counselling for Obesity\",\n    \"TechnicalEligibleDate\": \"11/29/2011\",\n    \"ProfessionalEligibleDate\": \"11/29/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0473\",\n    \"ProcedureName\": \"Intensive Behavioral Counselling for Obesity\",\n    \"TechnicalEligibleDate\": \"01/01/2015\",\n    \"ProfessionalEligibleDate\": \"01/01/2015\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0106\",\n    \"ProcedureName\": \"Colorectal Cancer Screening (COLO)\",\n    \"TechnicalEligibleDate\": \"04/23/1998\",\n    \"ProfessionalEligibleDate\": \"04/23/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|71271\",\n    \"ProcedureName\": \"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)\",\n    \"TechnicalEligibleDate\": \"02/05/2015\",\n    \"ProfessionalEligibleDate\": \"02/05/2015\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0475\",\n    \"ProcedureName\": \"Human Immunodeficiency Virus (HIV) Infection Screening\",\n    \"TechnicalEligibleDate\": \"04/13/2015\",\n    \"ProfessionalEligibleDate\": null,\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0103\",\n    \"ProcedureName\": \"Prostate Cancer Screening (PROS)\",\n    \"TechnicalEligibleDate\": \"11/01/2001\",\n    \"ProfessionalEligibleDate\": \"02/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|80061\",\n    \"ProcedureName\": \"Cardiovascular Disease Screening (CARD)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|81528\",\n    \"ProcedureName\": \"Colorectal Cancer Screening (COLO)\",\n    \"TechnicalEligibleDate\": \"10/09/2014\",\n    \"ProfessionalEligibleDate\": null,\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|82950\",\n    \"ProcedureName\": \"Diabetes Screening Tests (DIAB)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0104\",\n    \"ProcedureName\": \"Colorectal Cancer Screening (COLO)\",\n    \"TechnicalEligibleDate\": \"04/23/1998\",\n    \"ProfessionalEligibleDate\": \"04/23/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0445\",\n    \"ProcedureName\": \"Screening and High Intensive Behavioral Counseling (HIBC) to prevent STIs\",\n    \"TechnicalEligibleDate\": \"11/08/2011\",\n    \"ProfessionalEligibleDate\": \"11/08/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|82951\",\n    \"ProcedureName\": \"Diabetes Screening Tests (DIAB)\",\n    \"TechnicalEligibleDate\": \"01/01/2005\",\n    \"ProfessionalEligibleDate\": \"01/01/2005\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0439\",\n    \"ProcedureName\": \"Annual Wellness Visit (AMV)\",\n    \"TechnicalEligibleDate\": null,\n    \"ProfessionalEligibleDate\": \"01/01/2011\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|82270\",\n    \"ProcedureName\": \"Fecal Occult Blood Test\",\n    \"TechnicalEligibleDate\": \"01/01/2007\",\n    \"ProfessionalEligibleDate\": \"01/01/2007\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0120\",\n    \"ProcedureName\": \"Colorectal Cancer Screening (COLO)\",\n    \"TechnicalEligibleDate\": \"04/23/1998\",\n    \"ProfessionalEligibleDate\": \"04/23/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0121\",\n    \"ProcedureName\": \"Colorectal Cancer Screening (COLO)\",\n    \"TechnicalEligibleDate\": \"07/01/2001\",\n    \"ProfessionalEligibleDate\": \"07/01/2001\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|76977\",\n    \"ProcedureName\": \"Ultrasound Bone Density Measurement and Interpretation\",\n    \"TechnicalEligibleDate\": \"07/01/1998\",\n    \"ProfessionalEligibleDate\": \"07/01/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|77078\",\n    \"ProcedureName\": \"Computed Tomography Bone Mineral Density Study\",\n    \"TechnicalEligibleDate\": \"07/01/1998\",\n    \"ProfessionalEligibleDate\": \"07/01/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|77080\",\n    \"ProcedureName\": \"Dual Energy X-ray Absorptiometry (DXA) Bone Density Study; axial skeleton\",\n    \"TechnicalEligibleDate\": \"07/01/1998\",\n    \"ProfessionalEligibleDate\": \"07/01/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|77081\",\n    \"ProcedureName\": \"DXA Bone Density Study; appendicular skeleton\",\n    \"TechnicalEligibleDate\": \"07/01/1998\",\n    \"ProfessionalEligibleDate\": \"07/01/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0130\",\n    \"ProcedureName\": \"Single Energy X-ray Study\",\n    \"TechnicalEligibleDate\": \"07/01/1998\",\n    \"ProfessionalEligibleDate\": \"07/01/1998\",\n    \"Benefits\": [{\n        \"EligibilityOrBenefit\": \"Deductible\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Calendar Year\",\n        \"MonetaryAmount\": \"$0.00\",\n        \"Percent\": null,\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }, {\n        \"EligibilityOrBenefit\": \"Co-Insurance\",\n        \"InsuranceType\": \"Medicare Part B\",\n        \"Date\": [{\n            \"Date\": \"01/18/2021\",\n            \"Type\": \"Benefit\"\n        }],\n        \"TimePeriodQualifier\": \"Visit\",\n        \"MonetaryAmount\": null,\n        \"Percent\": \"0%\",\n        \"UsedDate\": null,\n        \"IdentificationCode\": null,\n        \"IdentificationType\": null\n    }]\n}, {\n    \"ProcedureCode\": \"HCPCS|G0118\",\n    \"ProcedureName\": \"Glaucoma Screening (GLAU)\",\n    \"TechnicalEligibleDate\": \"01/01/2002\",\n    \"ProfessionalEligibleDate\": \"01/01/2002\",\n    \"Benefits\": null\n}, {\n    \"ProcedureCode\": \"HCPCS|G0102\",\n    \"ProcedureName\": \"Prostate Cancer Screening (PROS)\",\n    \"TechnicalEligibleDate\": \"01/01/2000\",\n    \"ProfessionalEligibleDate\": \"01/01/2000\",\n    \"Benefits\": null\n}, {\n    \"ProcedureCode\": \"HCPCS|G0117\",\n    \"ProcedureName\": \"Glaucoma Screening (GLAU)\",\n    \"TechnicalEligibleDate\": \"01/01/2002\",\n    \"ProfessionalEligibleDate\": \"01/01/2002\",\n    \"Benefits\": null\n}]\n\n ```\n\n# Medicare SNF and Other Information\n\nUsing EligibilitySummary or EasyEligibilitySummary, for Medicare, you can obtain details in a new section \"MedicareInfoSummary\". The response object is to the right and returns SNF information, MCA information, Pharmacy payer, and other Medicare specific information.\n\n``` json\n    \"MedicareInfoSummary\": {\n        \"HospiceQty\": null,\n        \"HospiceDate\": null,\n        \"HomeHealthCareStartDate\": null,\n        \"HomeHealthCareEndDate\": null,\n        \"SkilledNursingCareStartDate\": null,\n        \"SkilledNursingCareEndDate\": null,\n        \"AdvantagePayerName\": null,\n        \"AdvantageCOBDate\": null,\n        \"AdvantagePolicyType\": null,\n        \"PharmacyPayerName\": \"SILVERSCRIPT INSURANCE COMPANY\",\n        \"PharmacyPayerPlanNumber\": \"S5601\",\n        \"PharmacyPayerPlanNetworkID\": \"034\",\n        \"WCAutoInjuryLiabilityPayerName\": null,\n        \"WCAutoInjuryLiabilityCOBDate\": null,\n        \"WCAutoInjuryLiabilityPolicyType\": null,\n        \"QMBPolicyType\": null,\n        \"Part_A_Deductible\": null,\n        \"Part_A_Deductible_Remaining\": \"$1364.00\",\n        \"Part_B_Deductible\": \"$185.00\",\n        \"Part_B_Deductible_Remaining\": \"$0.00\",\n        \"OT_UsedAmount\": null,\n        \"PT_SLP_UsedAmount\": null\n    },\n\n ```\n\nFurther under the OtherPayerInfo section you can find Third Party Administrators and other information.\n\n``` json\n    \"OtherPayerInfo\": {\n        \"PrimaryPayer\": null,\n        \"Payer\": null,\n        \"SecondaryPayer\": null,\n        \"PlanSponsor\": null,\n        \"IndependentPhysiciansAssociation_IPA\": null,\n        \"WorkersCompensation\": null,\n        \"ContractedServiceProvider\": null\n    },\n\n ```\n\n# Backoffice Payers\n\nAn important concept to understand with pVerify eligibility endpoints is the concept of a \"back office\" payer. To support 99% of available payers we need to connect to some payers via non-electronic means. These payers will not work with a real-time API with a immediate response expected.\n\n## EDI Payer Workflow\n\n1) Generate Token\n\n2) Call EligibilityInquiry to submit request to our queue and get elgRequestID\n\n## Backoffice Payer Workflow\n\n1) Generate Token\n\n2) Call EligibilityInquiry to submit request to our queue and get elgRequestID\n\n3) After a period of 24 hours, call GetEligibilityResponse using elgRequestID above.\n\nWe have two methods available for back-office queue management:\n\n1) GetPendingInquiries this shows a list of your inquiries that are still in Pending state\n\n2) CancelTransaction to set the state to Cancel and remove it from our queue.\n\n# Client Libraries and Sample Code\n\nTo simplify authorization and access to the pVerify API, we provide sample code in C# and libraries in Java. These libraries offer full access to the pVerify API with a minimum of code.\n\n[C# Sample Code](https://)\n\n[Java Sample Code](https://)","schema":"https://schema.getpostman.com/json/collection/v2.0.0/collection.json","isPublicCollection":true,"owner":"6948370","team":294840,"collectionId":"6ceb8797-50ff-42fd-98a3-64beefaa6c94","publishedId":"2s7ZE4NR6P","public":true,"publicUrl":"https://postman.pverify.com","privateUrl":"https://go.postman.co/documentation/6948370-6ceb8797-50ff-42fd-98a3-64beefaa6c94","customColor":{"top-bar":"FFFFFF","right-sidebar":"303030","highlight":"EF5B25"},"documentationLayout":"classic-double-column","customisation":null,"version":"8.10.1","publishDate":"2022-09-22T10:46:13.000Z","activeVersionTag":"latest","documentationTheme":"light","metaTags":{},"logos":{}},"statusCode":200},"environments":[],"user":{"authenticated":false,"permissions":{"publish":false}},"run":{"button":{"js":"https://run.pstmn.io/button.js","css":"https://run.pstmn.io/button.css"}},"web":"https://www.getpostman.com/","team":{"logo":"https://res.cloudinary.com/postman/image/upload/t_team_logo_pubdoc/v1/team/21c367f743d75aa98109e6c5c740dbda76f12130547a1d5f26d8a36387676c91","favicon":"https://pverify.com/favicon.ico"},"isEnvFetchError":false,"languages":"[{\"key\":\"csharp\",\"label\":\"C#\",\"variant\":\"HttpClient\"},{\"key\":\"csharp\",\"label\":\"C#\",\"variant\":\"RestSharp\"},{\"key\":\"curl\",\"label\":\"cURL\",\"variant\":\"cURL\"},{\"key\":\"dart\",\"label\":\"Dart\",\"variant\":\"http\"},{\"key\":\"go\",\"label\":\"Go\",\"variant\":\"Native\"},{\"key\":\"http\",\"label\":\"HTTP\",\"variant\":\"HTTP\"},{\"key\":\"java\",\"label\":\"Java\",\"variant\":\"OkHttp\"},{\"key\":\"java\",\"label\":\"Java\",\"variant\":\"Unirest\"},{\"key\":\"javascript\",\"label\":\"JavaScript\",\"variant\":\"Fetch\"},{\"key\":\"javascript\",\"label\":\"JavaScript\",\"variant\":\"jQuery\"},{\"key\":\"javascript\",\"label\":\"JavaScript\",\"variant\":\"XHR\"},{\"key\":\"c\",\"label\":\"C\",\"variant\":\"libcurl\"},{\"key\":\"nodejs\",\"label\":\"NodeJs\",\"variant\":\"Axios\"},{\"key\":\"nodejs\",\"label\":\"NodeJs\",\"variant\":\"Native\"},{\"key\":\"nodejs\",\"label\":\"NodeJs\",\"variant\":\"Request\"},{\"key\":\"nodejs\",\"label\":\"NodeJs\",\"variant\":\"Unirest\"},{\"key\":\"objective-c\",\"label\":\"Objective-C\",\"variant\":\"NSURLSession\"},{\"key\":\"ocaml\",\"label\":\"OCaml\",\"variant\":\"Cohttp\"},{\"key\":\"php\",\"label\":\"PHP\",\"variant\":\"cURL\"},{\"key\":\"php\",\"label\":\"PHP\",\"variant\":\"Guzzle\"},{\"key\":\"php\",\"label\":\"PHP\",\"variant\":\"HTTP_Request2\"},{\"key\":\"php\",\"label\":\"PHP\",\"variant\":\"pecl_http\"},{\"key\":\"powershell\",\"label\":\"PowerShell\",\"variant\":\"RestMethod\"},{\"key\":\"python\",\"label\":\"Python\",\"variant\":\"http.client\"},{\"key\":\"python\",\"label\":\"Python\",\"variant\":\"Requests\"},{\"key\":\"r\",\"label\":\"R\",\"variant\":\"httr\"},{\"key\":\"r\",\"label\":\"R\",\"variant\":\"RCurl\"},{\"key\":\"ruby\",\"label\":\"Ruby\",\"variant\":\"Net::HTTP\"},{\"key\":\"shell\",\"label\":\"Shell\",\"variant\":\"Httpie\"},{\"key\":\"shell\",\"label\":\"Shell\",\"variant\":\"wget\"},{\"key\":\"swift\",\"label\":\"Swift\",\"variant\":\"URLSession\"}]","languageSettings":[{"key":"csharp","label":"C#","variant":"HttpClient"},{"key":"csharp","label":"C#","variant":"RestSharp"},{"key":"curl","label":"cURL","variant":"cURL"},{"key":"dart","label":"Dart","variant":"http"},{"key":"go","label":"Go","variant":"Native"},{"key":"http","label":"HTTP","variant":"HTTP"},{"key":"java","label":"Java","variant":"OkHttp"},{"key":"java","label":"Java","variant":"Unirest"},{"key":"javascript","label":"JavaScript","variant":"Fetch"},{"key":"javascript","label":"JavaScript","variant":"jQuery"},{"key":"javascript","label":"JavaScript","variant":"XHR"},{"key":"c","label":"C","variant":"libcurl"},{"key":"nodejs","label":"NodeJs","variant":"Axios"},{"key":"nodejs","label":"NodeJs","variant":"Native"},{"key":"nodejs","label":"NodeJs","variant":"Request"},{"key":"nodejs","label":"NodeJs","variant":"Unirest"},{"key":"objective-c","label":"Objective-C","variant":"NSURLSession"},{"key":"ocaml","label":"OCaml","variant":"Cohttp"},{"key":"php","label":"PHP","variant":"cURL"},{"key":"php","label":"PHP","variant":"Guzzle"},{"key":"php","label":"PHP","variant":"HTTP_Request2"},{"key":"php","label":"PHP","variant":"pecl_http"},{"key":"powershell","label":"PowerShell","variant":"RestMethod"},{"key":"python","label":"Python","variant":"http.client"},{"key":"python","label":"Python","variant":"Requests"},{"key":"r","label":"R","variant":"httr"},{"key":"r","label":"R","variant":"RCurl"},{"key":"ruby","label":"Ruby","variant":"Net::HTTP"},{"key":"shell","label":"Shell","variant":"Httpie"},{"key":"shell","label":"Shell","variant":"wget"},{"key":"swift","label":"Swift","variant":"URLSession"}],"languageOptions":[{"label":"C# - 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