Get Exact Claim Details of Particular Claim
How to get the exact claim details of one particular claim with multiple files in both X3 and R5
The R5 file provides payment and denial information from the payer. This report is an explanation of the claim payment sent by the payer and can be translated into JSON.
The X3 file returns the solicited claim status x12 raw data that matches exactly what is returned by the payer and can be translated into JSON. This file is received from payers when claim status is requested and not returned in real time.
For additional information, refer to Response and Reports API.
Updated 9 months ago