Give your AI agents the ability to verify insurance — instantly
One REST API connects your agent or GHL workflow to 1,150+ insurance payers. Real-time eligibility in under a second. No clearinghouse contracts required.
How it works
Sign up & get your API key
Create your workspace and add your clinics in the dashboard. Each clinic gets its own NPI configuration.
Call the eligibility endpoint
POST patient and payer details from your AI agent or GoHighLevel workflow. Works with any HTTP client.
Get real-time results
Coverage status, payer details, and the full response in under a second. Every check logged automatically.
Drop eligibility into any stack in minutes
Simple REST API with JSON in and JSON out. Test with the mock endpoint before going live. Full request and response logs in your dashboard.
- ✓cURL, fetch, or any HTTP library — no SDK required
- ✓Sandbox mock endpoint for integration testing
- ✓Redacted audit logs per request in your dashboard
curl -X POST https://eligibility.dev/api/eligibility/check \
-H "Authorization: Bearer ek_live_..." \
-H "Content-Type: application/json" \
-d '{
"client_id": "clinic_abc123",
"patient": {
"first_name": "Jane",
"last_name": "Smith",
"date_of_birth": "1985-04-12",
"member_id": "W123456789"
},
"payer_id": "SB507",
"provider_npi": "1234567890"
}'
# Response
{
"success": true,
"coverage_active": true,
"payer_name": "Blue Shield of California",
"plan_name": "PPO Plus",
"deductible_remaining": 850.00
}Add insurance verification to every client workflow
Your clients accepting insurance can now have AI-powered verification baked into their intake, scheduling, or follow-up flows. Manage all clinics from one dashboard and resell the capability at your margin.
- ✓Multi-clinic workspace dashboard
- ✓Per-clinic API keys and logs
- ✓Prepaid wallet — predictable cost per check
Everything you need, nothing you don't
Clinic management
Manage multiple clinic locations, each with their own NPI and payer config.
Request logs
Every eligibility check logged with redacted payloads, latency, and trace IDs.
Coverage Search
Backup lookup when a caller can't provide full member details — opt-in per clinic.
Prepaid wallet
Pay as you go with auto-recharge. No surprise invoices at month end.
Mock endpoint
Test your integration without live payer calls — tagged separately in logs.
1,152+ payers
Cigna, Blue Cross, Aetna, UHC and hundreds more — no contracts needed.
Simple, transparent pricing
$25 free credits at signup — no card required
Credits never expire. Enough for ~89 standard eligibility checks. Card required only when you're ready to upgrade.
Unlimited
- Unlimited clinics
- $0.20/check
- Full API + dashboard
- Mock endpoint
- Priority support
GHL Agencies:Each plan covers your entire workspace. If you're reselling to clients, you set your own price — agencies typically add $200–$500/month per clinic.