Check Claim Status

Please be aware that payers require time to process the claims before the Claim Status may be available. Here is a sample Claim Status request that is used for the majority of payers. Please update your request format to match that of the following example.

{
    "controlNumber": "234456789",
    "tradingPartnerName": "Payer A",
    "tradingPartnerServiceId": "9496",
    "providers": [
        {
            "organizationName": "Joe's Clinic",
            "taxId": "822777888",
            "providerType": "BillingProvider"
        },
        {
            "organizationName": "Joe's Clinic",
            "npi": "1234567890",
            "providerType": "ServiceProvider"
        }
    ],
    "subscriber": {
        "memberId": "ABC123456",
        "firstName": "GEORGE",
        "lastName": "DOE",
        "gender": "M",
        "dateOfBirth": "18800101",
        "groupNumber": "1987654"
    },
    "encounter": {
        "beginningDateOfService": "20220202",
        "endDateOfService": "20220202",
        "submittedAmount": "294",
        "trackingNumber": "ABC1234567"
    }
}