IDVerify — Testing UI

Insurance Scan

Eligibility Verify

Scan + Verify

Driver License

Upload Insurance Card

💳

Front of Card

💳

Back of Card

🪧

Driver License (optional)

Payer Category

Payer Code

Provider

First Name

Last Name

NPI

Taxonomy Code

Subscriber (Policyholder)

First Name

Last Name

Member ID

DOB (YYYY-MM-DD)

Date of Service

Place of Service

Service Codes (comma-separated)

Procedure Codes (e.g. 90834:CPT,G0323:HCPCS)

💳

Front of Card

💳

Back of Card

Provider

First Name

Last Name

NPI

Taxonomy Code

Subscriber DOB (YYYY-MM-DD)

Date of Service

Service Codes

Place of Service

🪧

Driver License Image