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Eligible is an integrations partner which offers connectivity and processing to every health insurance company in the country. Eligible's simple API network enables disparate systems to instantly send and receive transactions required for the processing of healthcare payments and reimbursements.
The company charges a scaling fee for accessing the API, at five cents per transaction for the first 250,000 hits with the price dropping the more a company uses it.
Transaction based revenue model
It is developing a REST API with the goal of standardizing and simplifying health eligibility requests to insurers. Their APIs allow apps to communicate with more than 1,000 health insurance companies, and support transactions including eligibility, policy, coverage, demographics, authorizations, coordination of benefits, claims, payments and more.
$17 M in 2015
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