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Show HN: Eligible API for 700+ Health Insurance Companies

eligibleapi.com

21–30 of 95 posts

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#21

Earlier quoted context omitted.

Thanks for your comment. We handle the connections to the insurance companies and the EDI to JSON transformation. I respect your point about 5 cents being high. We, of course, will evaluate that as time goes on. To start, you as a developer can make an app for the medical industry that checks patient's health insurance eligibility. Details you can call include: health spending accounts, deductibles remaining, coinsur…

> Thanks for your comment. Perhaps I am having a bad day, but is it really necessary to thank someone for their question? Seriously, this makes me feel like I am dumb for asking a question. I understand you trying to be extra polite, but I am sure you won't start a conversation with "thank you" every time your wife, son, daughter, lover or employee ask you a question. So while many will appreciate your "politeness th…

It's one of the cheapest eligibility APIs I've seen. And the clear value add is JSON.

There are some providers that do eligibility checking for free for big payers (I think Availity does) but then you have to process the mess that is X12. Trust me when I say that you want to stay as far as possible from dealing with X12 files.

Other providers charge up to 20 cents per inquiry and still return X12 response. 5 cents and JSON make this highly competitive.

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#22

Earlier quoted context omitted.

Thanks for your comment. We handle the connections to the insurance companies and the EDI to JSON transformation. I respect your point about 5 cents being high. We, of course, will evaluate that as time goes on. To start, you as a developer can make an app for the medical industry that checks patient's health insurance eligibility. Details you can call include: health spending accounts, deductibles remaining, coinsur…

> Thanks for your comment. Perhaps I am having a bad day, but is it really necessary to thank someone for their question? Seriously, this makes me feel like I am dumb for asking a question. I understand you trying to be extra polite, but I am sure you won't start a conversation with "thank you" every time your wife, son, daughter, lover or employee ask you a question. So while many will appreciate your "politeness th…

It was the first comment so I was happy and thanked him/her. Sorry to fire off your red flag.

We've been killing ourselves over this data format and connections work for the past 9 months, so to us 5 cents per successful call seems like a steal.

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#23

Earlier quoted context omitted.

Thanks for your comment. We handle the connections to the insurance companies and the EDI to JSON transformation. I respect your point about 5 cents being high. We, of course, will evaluate that as time goes on. To start, you as a developer can make an app for the medical industry that checks patient's health insurance eligibility. Details you can call include: health spending accounts, deductibles remaining, coinsur…

> Thanks for your comment. Perhaps I am having a bad day, but is it really necessary to thank someone for their question? Seriously, this makes me feel like I am dumb for asking a question. I understand you trying to be extra polite, but I am sure you won't start a conversation with "thank you" every time your wife, son, daughter, lover or employee ask you a question. So while many will appreciate your "politeness th…

Aimed at a commerical market I'm not sure this doesn't make sense, especially if they are open to bulk discount pricing (which I imagine they are).

So I make an app for some kind of medical pro to use, give it away. A not very busy clinic, say at 50 patients per day currently manually checks and is frustrated. I say, hey, for $100 a month you can check all those patients using my fancy app that will make your life easier. $100 a month to a business for something like this is probably a no brainer. And at that price level there is still profit to be made before any bulk discounts :)

Maybe I should do this...

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#26

Earlier quoted context omitted.

Thanks for your comment. We handle the connections to the insurance companies and the EDI to JSON transformation. I respect your point about 5 cents being high. We, of course, will evaluate that as time goes on. To start, you as a developer can make an app for the medical industry that checks patient's health insurance eligibility. Details you can call include: health spending accounts, deductibles remaining, coinsur…

> Thanks for your comment. Perhaps I am having a bad day, but is it really necessary to thank someone for their question? Seriously, this makes me feel like I am dumb for asking a question. I understand you trying to be extra polite, but I am sure you won't start a conversation with "thank you" every time your wife, son, daughter, lover or employee ask you a question. So while many will appreciate your "politeness th…

ok then can you give me any reasonable calculation behind why this is 5cents, not 6, or 10, 15 or 1 ?

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#27

Earlier quoted context omitted.

Thanks for your comment. We handle the connections to the insurance companies and the EDI to JSON transformation. I respect your point about 5 cents being high. We, of course, will evaluate that as time goes on. To start, you as a developer can make an app for the medical industry that checks patient's health insurance eligibility. Details you can call include: health spending accounts, deductibles remaining, coinsur…

So it sounds like this is not just eligibility to purchase insurance, but also (or instead) coverage by current insurance. Is my understanding correct?

Yes it is to check healthcare eligibility for a patient's current insurance plan. If that plan went inactive we will be able to pass you the plan end date as well.

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#28

I wish the raw data was available (is it, somewhere?). I'd love to do some statistical analysis on this and get some real insight about how different insurance companies treat claims.

absolutely. I'll send you over as much raw X12, with removed patient info of course, as you want! Please email support@eligibleapi.com

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#29

Earlier quoted context omitted.

> Thanks for your comment. Perhaps I am having a bad day, but is it really necessary to thank someone for their question? Seriously, this makes me feel like I am dumb for asking a question. I understand you trying to be extra polite, but I am sure you won't start a conversation with "thank you" every time your wife, son, daughter, lover or employee ask you a question. So while many will appreciate your "politeness th…

Aimed at a commerical market I'm not sure this doesn't make sense, especially if they are open to bulk discount pricing (which I imagine they are). So I make an app for some kind of medical pro to use, give it away. A not very busy clinic, say at 50 patients per day currently manually checks and is frustrated. I say, hey, for $100 a month you can check all those patients using my fancy app that will make your life ea…

Please do!

Re: Show HN: Eligible API for 700+ Health Insurance Companies

#30
Just one nit: tell us more about who you are.

When dealing with something like health insurance data (or really any service, to be honest) I like to know there's a human or corporation behind it. Your contact page just lists an anonymous email address.

Knowing who the team are that built this thing would give some assurance — particularly because your signup page asks quite a lot of information, way more than you give away about yourselves.

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