Claim Status Request & Response
```javascript
POST ${api_basepath} HTTP/1.1
Host: ${apigee_host}
Authorization: Bearer <Your-Access-Token>
Content-Type: application/json
{
"controlNumber": "000000001",
"tradingPartnerServiceId": "serviceId",
"providers": [{
"organizationName": "TestProvider",
"taxId": "0123456789",
"providerType": "BillingProvider"
},
{
"organizationName": "happy doctors group",
"npi": "1760854442",
"providerType": "ServiceProvider"
}],
"subscriber": {
"memberId": "0000000000",
"firstName": "johnone",
"lastName": "doeone",
"gender": "M",
"dateOfBirth": "18800102",
"groupNumber": "0000000000"
},
"dependent": {
"firstName": "janeone",
"lastName": "doeone",
"gender": "F",
"dateOfBirth": "18800101",
"groupNumber": "0000000000"
},
"encounter": {
"beginningDateOfService": "20100101",
"endDateOfService": "20100102",
"trackingNumber": "ABCD"
}
}
```
```javascript
{
"controlNumber": "000000001",
"tradingPartnerServiceId": "serviceId",
"providers": [
{
"organizationName": "TestProvider",
"taxId": "0123456789",
"providerType": "BillingProvider"
},
{
"organizationName": "happy doctors group",
"npi": "1760854442",
"providerType": "ServiceProvider"
}
],
"subscriber": {
"firstName": "johnone",
"lastName": "doeone",
"memberId": "0000000000"
},
"claims": [
{
"claimStatus": {
"statusCategoryCode": "F1",
"statusCategoryCodeValue": "Finalized/Payment-The claim/line has been paid.",
"statusCode": "65",
"statusCodeValue": "Claim/line has been paid.",
"entityCode": "1E",
"entity": "Health Maintenance Organization (HMO)",
"effectiveDate": "20170415",
"submittedAmount": "1229",
"amountPaid": "219",
"paidDate": "20170415",
"checkIssueDate": "20170415",
"checkNumber": "1111111",
"trackingNumber": "000000001",
"claimServiceDate": "20160722",
"tradingPartnerClaimNumber": "AAAAAAAAAAA1"
}
},
{
"claimStatus": {
"statusCategoryCode": "F3",
"statusCategoryCodeValue": "Finalized/Revised - Adjudication information has been changed",
"statusCode": "101",
"statusCodeValue": "Claim was processed as adjustment to previous claim.",
"entityCode": "1E",
"entity": "Health Maintenance Organization (HMO)",
"effectiveDate": "20170412",
"submittedAmount": "1229",
"amountPaid": "184.05",
"trackingNumber": "C1234567891028297LL",
"claimServiceDate": "20160722",
"tradingPartnerClaimNumber": "AAAAAAAAAAA2"
}
},
{
"claimStatus": {
"statusCategoryCode": "F3",
"statusCategoryCodeValue": "Finalized/Revised - Adjudication information has been changed",
"statusCode": "101",
"statusCodeValue": "Claim was processed as adjustment to previous claim.",
"entityCode": "1E",
"entity": "Health Maintenance Organization (HMO)",
"effectiveDate": "20161201",
"submittedAmount": "1229",
"amountPaid": "219",
"trackingNumber": "C1234567891028297LL",
"claimServiceDate": "20160722",
"tradingPartnerClaimNumber": "AAAAAAAAAAA3"
}
}
],
"reassociationKey": "000000001",
"status": "success"
}
```
Updated 9 months ago