Inquiry Sandbox Test Responses

Obtaining Sandbox Credentials 🆕

Please see Onboarding with Prior Authorization API.

Receiver/Payer ID Test Responses

To assist testing your integration with the Prior Authorization Inquiry API, we have provided a number of test responses. To receive these mock responses, simply send your request body with a specific receiver/payer ID.

For X12 requests, set a specific value in the ISA:08 element.
For JSON requests, set a specific value in the payerId and umClearingHouseId field (same value in both fields).

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Important

The sandbox returns a canned response based on the receiver/payer ID. As such, these responses will not match the information in the request (i.e. different patients, services, etc. will be present in the response).

Below are the available test responses and their corresponding receiver/payer ID. If a payerId/clearinghouseId is sent that does not match one of the values below, an Unable to Respond at Current Time/Payer Unavailable response will be returned.

Payload Examples

Prior Authorization Inquiry has two ways of submitting the payload (body of data) to our API--by x12 (EDI) and by JSON. See the following for examples on how to enter the request payload correctly for each.

See Inquiry Request Body and Inquiry Response Body.