Insurance eligibility verification, payer by payer
Payer IDs, alternate names, supported transactions, and what a real-time eligibility check actually returns — for 3,600+ payers.
Eligibility for the whole schedule, before the day starts
Looking up one payer because a claim came back? Medman checks coverage for every patient on the schedule: a real-time 270/271 check where the payer supports one, and the payer portal, with your own login, where it doesn't. Your staff work only the flagged patients.
270/271 checks from $0.50 per check.
What the network covers
Not every payer accepts every transaction. Each payer page shows exactly what that payer supports. Payers without a real-time eligibility API are checked through their portal by our screen agent.
- 3,600+
payers in the directory
- 1,300+
accept real-time eligibility checks
- 2,900+
accept professional claims
- 610+
answer claim-status requests
Most-checked payers
These pages document what a live 270/271 check returns for each payer, field by field.
Browse all payers
3,600+ payers, A to Z.
Common questions about payer coverage
How many payers can Medman check eligibility against?
Real-time eligibility verification runs across 1,300+ payers, within a directory of 3,600+ payers in total. That covers Medicare and Medicare Advantage, Medicaid, and commercial plans, including the regional plans and IPA networks that are usually the ones missing from a smaller network.
What do I do if my payer is not listed?
Tell us which one. The directory reflects the payers we can verify against today, and it grows — a payer that is missing is a gap we can usually close rather than a permanent no. Coverage is also worth checking by plan rather than by brand, since a national carrier’s Medicaid and commercial lines can behave differently.
What comes back from an eligibility check?
Active coverage status, plan and benefits, copay, deductible and remaining deductible, and whether the service needs a prior authorization — normalized into the same shape regardless of which payer answered. Normalization is the part that saves the time: your staff read one format instead of learning each portal’s.
How current is this data?
Checks are performed in real time against the payer when you run them, so a result reflects the coverage at that moment rather than a cached copy. The per-payer pages describe what that payer supports; the check itself is always live.
Do we still need our clearinghouse?
For eligibility, generally not — the agent goes to the payer rather than routing through a per-transaction clearinghouse fee. Claims submission is a separate decision, and the claims agent works with clearinghouses and direct payer connections either way.
Stop logging into payer portals
Run your whole schedule's eligibility checks automatically, from $0.50 per check.