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PayerList Definitions

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/payerfinder/v1/payers?system=[SYSTEM]&transactionType=[TRANSACTIONTYPE_1] &transactionType=[TRANSACTIONTYPE_2] &transactionType=[TRANSACTIONTYPE_N]

List NameSystemTransaction TypeEndpoint
Exchange Real-Time Eligibility & Claim Status PayerListEXCH
  • Eligibility
  • Claim Status
PayerList
/v1/payers?system=EXCH&transactionType=Eligibility&transactionType=Claim+Status
CSV Export List
/v1/payers/export? system=EXCH&transactionType=Eligibility&transactionType=Claim+Status
Exchange Claims & Remittance PayerListEXCH
  • Claims Professional
  • Claims Institutional
  • ERA Professional
  • ERA Institutional
PayerList
/v1/payers?system=EXCH&transactionType=Claims+Professional&transactionType=Claims+Institutional& transactionType=ERA+Professional&transactionType=ERA+Institutional
CSV Export List
/v1/payers?system=EXCH&transactionType=Claims+Professional&transactionType=Claims+Institutional& transactionType=ERA+Professional&transactionType=ERA+Institutional
IMN Real-Time Eligibility & Claim Status PayerListIMN
  • Eligibility
  • Claim Status
PayerList
/v1/payers?system=IMN&transactionType=Eligibility&transactionType=Claim+Status
CSV Export List
/v1/payers/export?system=IMN&transactionType=Eligibility&transactionType=Claim+Status
RPA Claims & Remittance PayerListRPA
  • Claims Professional
  • Claims Institutional
  • ERA Professional
  • ERA Institutional
PayerList
/v1/payers?system=RPA&transactionType=Claims+Professional&transactionType=Claims+Institutional&transactionType=ERA+Professional&transactionType=ERA+Institutional
CSV Export List
/v1/payers/export?system=RPA&transactionType=Claims+Professional&transactionType=Claims+Institutional&transactionType=ERA+Professional&transactionType=ERA+Institutional
Dental Claims & ERA PayerListDental
  • Dental Claims
  • Dental ERA
PayerList
/v1/payers?system=DENTAL&transactionType=Dental+Claims&transactionType=Dental+ERA
CSV Export List
/v1/payers/export?system=DENTAL&transactionType=Dental+Claims&transactionType=Dental+ERA
Medical Attachments PayerList
PayerList
CSV Export List
IEDI Claims PayerList for Legacy CHCOKC
  • Claims Professional
  • Claims Institutional
PayerList
/v1/payers?system=OKC&transactionType=Claims+Professional&transactionType=Claims+Institutional
    Example
/v1/payers?system=OKC&transactionType=ERA+Professional&planPayerName=blue&wildcard=yes
CSV Export List
/v1/payers/export?system=OKC&transactionType=Claims+Professional&transactionType=Claims+Institutional
IEDI ERA PayerList for Legacy CHCOKC
  • ERA Professional
  • ERA Institutional
PayerList
/v1/payers?system=OKC&transactionType=Claims+Professional&transactionType=Claims+Institutional
CSV Export List
/v1/payers/export?system=OKC&transactionType=Claims+Professional&transactionType=Claims+Institutional
IEDI PayerListIEDI[No Transactions identified to return all]
  • Claims Professional
  • Claims Institutional
  • ERA Professional
  • ERA Institutional
  • Eligibility
  • Claim Status
  • Auth Inquiry
  • Auth Referral
  • Dental Claims
  • Dental ERAs
PayerList
/v1/payers?system=IEDI&transactionType=Claims+Professional&transactionType=Claims+Institutional
ERA CSV Export List
/v1/payers/export?system

  • Healthcheck /payerfinder/v1/healthcheck endpoint verifies that the operating status of our APIs is optimal and if the APIs are running and accessible.
  • Search Payers /payerfinder/v1/payers/ endpoint lets you search by payerName, serviceId, planType, serviceName, businessName, and a few other parameters documented in the page.
  • Get Fields payerfinder/v1/fields endpoint retrieves different fields for different clearinghouses.
  • Get Payers payerlist/payerlist endpoint retrieves the entire PayerList.
  • Export Payers /payerfinder/v1/payers/export endpoint exports the PayerList to a CSV file.
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Payers export to CSV file

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NOTE

  • If you only plan to use a few daily transactions, you can use our Payer Finder V1 API user interface (UI) for your Medical Network transaction needs.
    It provides most of the features supported by an API console but only allows manual entry for all data needed for a transaction. It contains PayerLists, the PayerList Enrollments wizard, and other API customer resources.
  • For providers sending hundreds of daily requests, we recommend using our APIs to be able to automate the submission processes and have a better fit for your business needs.

Updated 5 days ago