Check Member Eligibility

Verify a member's current insurance coverage and benefits. You can access detailed information including a member’s progress on their Deductible and Out-of-pocket, as well as Copay and Coinsurance information for different services.

Example Use Case

Inform a member of their current progress against their Deductible as well as their Copay and Coinsurance summaries so they can better estimate their out-of pocket costs.

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Query Params
boolean
Defaults to false

Whether to return the full eligibility response from the payer. Defaults to false when not provided.

Body Params

Identifying information for the member to be checked

string

The member's identification number

string

The member's first name

string

The member's last name

date

The member's birth date as an ISO-format date string

string

The identifier for this insurance partner in the Ribbon API

string | null

The Place of Service (POS) code to include in the eligibility request

Response

Language
Credentials
Bearer
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Response
Choose an example:
application/json