API Reference

Estimate coverage and costs

post
https://coverage-api.meetnirvana.com/v1/estimate
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Body Params
date
required

Member’s date of birth provided in yyyy-mm-dd format

string
required
length between 10 and 10

Service Provider’s 10-character NPI

date

Patient's next appointment date in yyyy-mm-dd format

string
enum

Patient type for the cost estimation

Allowed:
string

Patient's id

string
required
length ≥ 1

Unique external payer ID associated with the insurer

string
required
length ≥ 1

Member’s unique insurance ID, as printed on the insurance card

string

Member’s first name; as printed on the insurance card. Recommended to add.

string

Member’s last name; as printed on the insurance card. Recommended to add.

integer
required
1000 to 1000000

Total cost of the session, in cents

boolean
Defaults to false

True for in-network and false for out-of-network coverage check

string

CPT (Current Procedural Terminology) code for UCR estimation

boolean
Defaults to false

If true, return the list of OneVerify alerts

boolean
Defaults to false
deprecated

Use with_alerts instead

string

An identifier for the office or location being visited.

string
enum
Defaults to PSY

Code specifies the modality of the patient's appointment

string

Service provider's street address

string

Service provider's street address

string

Service provider's city

string

Service provider's state

string

Service provider's zip code

string

Service provider's first name

string

Service provider's last name

Responses

Updated 4 months ago

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application/json

Updated 4 months ago

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