Real Coordination of Benefits Intelligence
Product overview
Transform healthcare claims processing with our Real-Time Coordination of Benefits (COB) API (RTCOB API). Our solution enhances healthcare claims processing by providing providers with real-time access to a comprehensive dataset of eligibility records across various health policies. This helps providers bill the correct plan from the start, saving provider staff time and avoiding unnecessary administrative costs due to denials and rebilling.
Product details
The RTCOB API has following two API service endpoints:
| API Endpoint | Description | Reference Link |
|---|---|---|
| lookup Endpoint | This endpoint is used to retrieve member details and related information | Endpoint Overview |
| pay-or-deny Endpoint | This endpoint is used to determine whether a request should be approved for pay or deny. | Endpoint Overview |
Prerequisites
To utilize the RTCOB API, a Client ID and Consumer ID are required. To obtain these details, please contact the following group. RealTime COB Support.
How to Try an API?
Refer to the
Getting Started section on how to use an API.
| Release notes |
|---|
| View our Release notes for more information on the API |