Stop losing revenue to eligibility errors. MediRec's Eligibility API gives your practice instant access to patient coverage details — copays, deductibles, network status and more — before every single visit.
Submit a 270 request and receive a 271 response in milliseconds. No batch delays, no waiting — instant answers at the point of scheduling.
Retrieve copays, deductibles, coinsurance, out-of-pocket maximums, and benefit limits by service category — structured and easy to parse.
Trigger eligibility checks automatically 24–48 hours before scheduled appointments. Catch coverage issues before they reach the front desk.
Instantly know if a provider is in-network or out-of-network for each specific plan. Avoid surprise billing and help patients make informed decisions.
Identify missing authorizations, expired coverage, and ineligible services before you submit a claim. Reduce denials at the source, not after the fact.
Every verification is logged with timestamp, provider, location, and user. Maintain complete compliance records and resolve disputes with confidence.
POST patient demographics and payer info to our API endpoint. We handle the ANSI X12 270 transaction formatting and EDI routing automatically.
Our infrastructure connects directly to the payer in real time via the Stedi EDI network, retrieving live eligibility data from the source of truth.
Receive a clean JSON response with all coverage details — benefits, deductibles, network status — ready to display or store in your EHR workflow.
Know exactly what's covered before service delivery. Stop finding out about benefit limits after you've already submitted the claim.
Eliminate manual phone calls to insurance companies. Your front desk staff can focus on patients instead of navigating payer IVR systems.
Inform patients of their exact cost responsibility at check-in. Reduce accounts receivable days and increase point-of-service collections.
Designed to embed natively into MediRec — trigger eligibility checks from scheduling, patient registration, or clinical workflows without leaving the EHR.
Explore the full API reference and start verifying patient coverage today.