us_health_insurance_card

US health insurance card

Member ID, group number, payer and pharmacy (Rx) fields from both sides.

Category: Health
Country: United States
Extracted fields: 11 fields
Cost: 1 credit

us_health_insurance_cardspecimen

Insurer
Member name
Member ID
Group number
Plan name
Rx BIN
Rx PCN
Rx group
Payer ID

Front desks retype insurance cards all day. Constaia reads front and back, extracts the member, member ID, group number, payer ID and Rx BIN, PCN and group, and checks the member name against the patient.

In the hands of a HIPAA covered entity, insurance card data is protected health information. Contact us before processing it in production so we can confirm whether a business associate agreement is available for your case.
Constaia does not check eligibility with the payer: use your clearinghouse for that.

What it checks

Holder. Name, number or date of birth match what you expect.

Extracted fields

Insurerinsurer
Member namemember_name
Member IDmember_id
Group numbergroup_number
Plan nameplan_name
Rx BINrx_bin
Rx PCNrx_pcn
Rx grouprx_group
Payer IDpayer_id
Effective dateeffective_date
Copayscopays

Sample request

curl https://api.constaia.com/v1/analyze \
  -H "Authorization: Bearer $CONSTAIA_API_KEY" \
  -F "file=@us_health_insurance_card_specimen.jpg" \
  -F 'options={
    "expect": "us_health_insurance_card",
    "checks": {
      "holder": {
        "full_name": "Jordan Specimen"
      },
      "require_fields": [
        "member_id",
        "group_number"
      ]
    },
    "storage": "none"
  }'

Try it for free with a ck_test_ key and the file us_health_insurance_card_specimen.jpg.

Sample response

Fictitious data. Shortened response.

200 OK · application/json

{
  "id": "an_01J9Z3K8QW4T6Y2B7N5M1R0PXC",
  "object": "analysis",
  "status": "completed",
  "livemode": false,
  "document": {
    "type": "us_health_insurance_card",
    "label": "US health insurance card",
    "confidence": 0.97
  },
  "verdict": {
    "expected": [
      "us_health_insurance_card"
    ],
    "match": true,
    "status": "valid",
    "reasons": [
      {
        "code": "type_match",
        "severity": "info",
        "message": "The document is: US health insurance card."
      }
    ]
  },
  "fields": {
    "insurer": {
      "value": "EXAMPLE HEALTH PLAN",
      "confidence": 0.99,
      "validated": true
    },
    "plan_name": {
      "value": "PPO Silver",
      "confidence": 0.98,
      "validated": null
    },
    "member_name": {
      "value": "JORDAN SPECIMEN",
      "confidence": 0.97,
      "validated": null
    },
    "member_id": {
      "value": "XEX123456789",
      "confidence": 0.96,
      "validated": null
    },
    "group_number": {
      "value": "000123",
      "confidence": 0.99,
      "validated": null
    },
    "rx_bin": {
      "value": "000000",
      "confidence": 0.98,
      "validated": null
    },
    "effective_date": {
      "value": "2026-01-01",
      "confidence": 0.97,
      "validated": null
    }
  },
  "checks": [
    {
      "code": "holder_match",
      "passed": true,
      "message": "The holder matches."
    }
  ],
  "warnings": [],
  "storage": {
    "mode": "none",
    "file_deleted_at": "2026-09-29T10:00:02Z",
    "expires_at": null
  },
  "usage": {
    "credits": 1,
    "pages": 2
  }
}

FAQ

Does Constaia prove the document is authentic?

No. It checks the type, data consistency and your rules, and flags signals such as a possible edit or a screen photo. That does not prove authenticity.

Is a copy of the document kept?

No, unless you ask for it. With storage "none" (the default) the file is deleted when the analysis ends.

And for the record…

Create your account, copy the test key and validate your first document in five minutes.

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