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Benefit verification checks a patient’s prescription coverage, whether each medication requires prior authorization, and available copays.

Choose a processing mode

  • Standard (default): Best coverage with the simplest integration.
  • Real-time: For workflows that want a fast result but can wait longer. Falls back to Standard for the same coverage.
  • Real-time only: For workflows that cannot wait for slower verification. Fails if real-time verification cannot complete, with no standard fallback.
Real-time access must be enabled for your organization. See Real-time processing for request settings, requirements, and fallback options.
  1. Create a benefit verification and save the request ID.
  2. Wait for a webhook confirming that verification completed or failed.
  3. Read the result from the webhook, or retrieve the request using its ID.
See statuses and errors for result handling details.

Request inputs

Send patient, provider, medication, and insurance information. You can provide insurance card images, structured insurance details, or both. The request guide covers the required information, insurance uploads, and medication details.

Completion time and verification methods

Timing varies by payer. Develop Health selects the methods for the patient’s plan. A request can use more than one method. Completed results include the methods used.

Next steps