Healthcare API Integration for Patient Insurance Navigation
Healthcare API integration connects your EHR, practice management system, or patient portal to Navitize's insurance navigation features. Our patient engagement API enables real-time eligibility verification, benefits display, and cost estimation directly within your existing clinical workflows. EHR integration benefits include automatic patient insurance tracking, fewer claim denials, and no duplicate data entry—staff see insurance information where they already work.
Integration Options
Multiple ways to connect Navitize to your healthcare systems.
RESTful API
Standard REST endpoints for eligibility, benefits, and cost estimation
EHR Connectors
Pre-built integrations for major EHR systems
Webhooks
Real-time event notifications pushed to your systems
FHIR Support
Healthcare interoperability standards compliance
EHR Integration Benefits
Why connecting insurance navigation to your EHR improves patient care and operations.
Instant Eligibility at Check-In
Automatically verify patient insurance when they arrive, reducing front desk time and surprises
Benefits in Clinical Workflow
Providers see coverage information within the EHR without switching applications
No Duplicate Entry
Patient data syncs automatically—enter once in your EHR, available in Navitize
Fewer Claim Denials
Real-time eligibility catches coverage issues before services are rendered
Time Savings
Staff spend less time on phone with insurance companies verifying benefits
Unified Analytics
Track insurance-related metrics alongside clinical data in one place
API Endpoints
Check patient insurance eligibility
Response: Coverage status, plan details, network info
Retrieve patient benefits summary
Response: Deductibles, copays, OOP max, coverage limits
Estimate patient out-of-pocket cost
Response: Estimated cost, deductible applied, copay
AI-powered insurance Q&A
Response: Natural language answer to patient question
Insurance term definition
Response: Term definition, related terms, examples
Subscribe to real-time events
Response: Webhook subscription confirmation
Quick Start Example
// Check patient eligibility
const response = await fetch(
'https://api.navitize.com/v1/eligibility/patient_123',
{
headers: {
'Authorization': 'Bearer YOUR_API_KEY',
'Content-Type': 'application/json'
}
}
);
const eligibility = await response.json();
// Response
{
"patient_id": "patient_123",
"status": "active",
"plan": {
"name": "Blue Cross Gold PPO",
"type": "PPO",
"network": "in_network"
},
"benefits": {
"deductible": 1500,
"deductible_met": 750,
"oop_max": 6000,
"copay_primary": 30,
"copay_specialist": 50
}
}Enterprise-Grade Security
OAuth 2.0 Authentication
Industry-standard token-based auth
TLS 1.3 Encryption
All data encrypted in transit
HIPAA Compliant
BAA available for covered entities
Audit Logging
Complete API call history
Rate Limiting
Protection against abuse
IP Whitelisting
Optional IP-based access control
Implementation Process
Get API Credentials
Sign up and receive your API keys for sandbox and production environments
Explore Documentation
Review our comprehensive API docs with examples and use cases
Build in Sandbox
Develop and test your integration using our sandbox environment
Integration Review
Our team reviews your implementation and provides feedback
Go Live
Switch to production credentials and launch your integration
Compatible EHR Systems
Don't see your EHR? Our RESTful API works with any system that can make HTTP requests.
Frequently Asked Questions
What is healthcare API integration?
Healthcare API integration connects different healthcare software systems to share data seamlessly. Navitize's healthcare API allows your EHR, practice management system, or patient portal to access insurance navigation features like real-time eligibility verification, benefits display, and cost estimation—all within your existing workflows.
What are the benefits of EHR integration for patient insurance?
EHR integration benefits include: automatic patient insurance verification at check-in, real-time benefits display within clinical workflows, reduced duplicate data entry, fewer eligibility-related claim denials, and seamless patient insurance tracking without switching systems. Staff see insurance information where they already work.
Does Navitize support FHIR API standards?
Yes, Navitize supports FHIR (Fast Healthcare Interoperability Resources) standards for healthcare data exchange. Our API can work with FHIR R4 resources for patient demographics, coverage information, and eligibility responses, ensuring compatibility with modern EHR systems.
What EHR systems does Navitize integrate with?
Navitize offers API integration compatible with major EHR systems including Epic, Cerner, Allscripts, athenahealth, eClinicalWorks, NextGen, and others. Our RESTful API and webhook support enables integration with virtually any system that can make HTTP requests.
How does real-time eligibility verification work through the API?
Our healthcare API integration for real-time eligibility sends patient information to insurance carriers and returns coverage status, benefits details, deductible amounts, and copay information within seconds. This data can be displayed in your EHR or triggered automatically when a patient checks in.
What is a patient engagement API?
A patient engagement API allows healthcare applications to access features that help patients understand and interact with their healthcare. Navitize's patient engagement API provides insurance Q&A, benefits explanation, cost estimation, and health plan transparency features that can be embedded in your patient-facing applications.
How secure is the Navitize API?
Navitize API uses industry-standard security including OAuth 2.0 authentication, TLS 1.3 encryption for all data in transit, and HIPAA-compliant data handling. All API calls are logged and auditable. We provide separate API keys for development and production environments.
What data formats does the API support?
The Navitize API uses JSON for request and response data, which is the standard for modern web APIs. We also support FHIR-formatted responses for healthcare-specific integrations. Webhooks deliver real-time event notifications in JSON format.
How long does API integration take to implement?
Basic API integration can be completed in 1-2 weeks for experienced development teams. Full EHR integration with custom workflows typically takes 2-4 weeks. We provide comprehensive documentation, sandbox environments, and integration support to accelerate development.
Is there a sandbox environment for testing?
Yes, we provide a full sandbox environment with test data for development and testing. You can test all API endpoints, simulate eligibility checks, and validate your integration before going live. Sandbox access is included with all Enterprise plans.
Ready to Integrate?
Get API access and start building insurance navigation into your healthcare applications today.
Disclaimer
API features, endpoints, and specifications are subject to change. EHR integration capabilities vary by system and may require additional configuration. Contact us for specific integration requirements and current API documentation.
Last updated: January 17, 2026