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Provider Network APIs

It has never been more important to find a plan in which your doctor participates and to find doctors and facilities that participate in your plan. We’ve built the APIs to power provider network functionality so that you don’t have to.

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Provider Network API Market Coverage

Comprehensive network coverage across carriers, states, and market segments

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Employer Group Networks

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Individual Under 65 Networks

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Medicare Advantage Networks

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Medicaid Networks

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Dental Networks

Use Cases

Our comprehensive provider network data powers mission critical functionality.

Shop-by-doc

From state-based ACA exchanges to WBEs to broker quoting solutions, Vericred’s Provider Network APIs are a comprehensive solution to powering provider centric health plan search or “shop-by-doc.” We even offer a free endpoint for provider look-up.

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Provider Directories

With Vericred’s Provider Network APIs, you can display what networks any given provider participates in and/or power search by network.

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PCP Selection

Vericred’s Provider Network APIs enable enrollment and BenAdmin solutions to build PCP selection into their enrollment flow instead of requiring the individual to go out to the carrier’s website.

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Physician Referral

Follow-through markedly increases when a patient is referred to a physician who is in their network. Vericred’s Provider Network APIs enable this critical functionality.

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Doctor Appointment Apps

Vericred’s Provider Network APIs enable appointment applications to add network search functionality for better consumer experience.

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API Calls and Responses

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API Calls

  • Search for providers (free endpoint)
  • Search providers by network
  • Search providers by plan (ACA and Medicare Advantage)
  • Search networks by carrier
  • Network list
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API Returns

  • Name
  • Address including geocoding
  • Network ID
  • Network tier
  • Specialty
  • Plan ID
Vericred has industry-leading provider network data that is core to our product’s success.
Oron AfekVim CEO

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