Developer First

The API for
Complete Benefit Clarity.

Standardize chaotic payer portals into a single, clean JSON response. Get deductible status, max remaining, frequencies, and procedure-level coverage in 10–30 seconds.

Read the Docs Get API Key

GET /v1/benefits/check

"eligibility": {
  "status": "Active",
  "payer": "MetLife",
  "plan_type": "PPO"
},
"financials": {
  "deductible_rem": 25.00,
  "annual_max_rem": 1250.00
},
"frequencies": {
  "prophy": "2 per 12 months",
  "last_service": "2024-06-15",
  "next_eligible": "2024-12-16"
}

Beyond the Standard EDI 271

We don't just return "Active/Inactive." We return the decision-making data your billing team actually needs.

Full Benefit Breakdown

Deep extraction of Co-insurance %, remaining deductibles, annual maximums, and Out-of-Pocket limits.

History & Frequencies

Critical dates: Last Date of Service (DOS), Next Eligible Date, and specific frequency rules (e.g., "1 in 5 years").

Code-Level Specifics

Granular coverage details for major categories: Endo, Perio, Ortho, and Restorative codes.

Start Building Today