Request and Response

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Accept: application/json
Authorization: Bearer eyJraWQiOiIxIiwidH.. \\Your bearer token
Content-Type: multipart/form-data
Cookie: ApplicationGatewayAffinityCORS=
X-CHC-Attachment-SubmitterId: 1942788757
form files=@ \\File path   
form request= \\Your request body

{"controlNumber":"123459998","purposeCode":"11","informationSource":{"entityIdentifierCode":"1P","lastName":"Smith","firstName":"John","npin":"1942788757","contactInformation":{"name":"Johnone Doeone","phoneNumber":"0000000000","phoneExtension":"101"},"providerSecondaryInformation":{"stateLicenseNumber":"SL123456"}},"informationReceiver":{"organizationName":"XYZ Insurance Company","planId":"PLAN12345","payerIdentification":"ATTP1","contactInformation":{"name":"Johnone Doeone","phoneNumber":"0000000000"},"providerSecondaryInformation":{"medicareProviderNumber":"MCARE12345"}},"patient":{"entityIdentifierCode":"IL","firstName":"Johnone","lastName":"Doeone","memberId":"0000000002","patientAccountNumber":"ACCT987654","patientEventTrackingNumber":"TRK2024001","contactInformation":{"name":"Johnone Doeone","phoneNumber":"0000000000"}},"serviceReviewInformation":{"serviceLines":[{"attachmentControlNumber":"ATT123456789","submissionDate":"20240414","diagnosisCode":"M54.5","procedureCode":"99213","procedureCodeQualifier":"FO","serviceTraceNumber":"SVC20240414001","statusInformation":{"statusCategoryCode":"A1","loincCode":"11488-4"},"attachmentDetails":{"name":"test_image.jpg","attachmentInformationFormatCode":"MB","binaryDataLength":"2048"}}]}}

curl --request POST \
  --url https://sandbox-apigw.optum.com/medicalnetwork/attachments/submission/v1/uploads/prior-auth \
  --header 'Accept: application/json' \
  --header 'Authorization: Bearer eyJraWQiOiIxIiwidHlwIj... \Your Bearer token generated
  --header 'Content-Type: multipart/form-data' \
  --header 'User-Agent: insomnia/12.6.0' \
  --header 'X-CHC-Attachment-SubmitterId: 1942788757' \
  --cookie 'ApplicationGatewayAffinityCORS=e22930c420a9734090cf4b5d57dc831b; ApplicationGatewayAffinity=e22930c420a9734090cf4b5d57dc831b' \
  --form files=@/File path \
  --form 'request={"controlNumber":"123459998","purposeCode":"11","informationSource":{"entityIdentifierCode":"1P","lastName":"Smith","firstName":"John","npin":"1942788757","contactInformation":{"name":"Johnone Doeone","phoneNumber":"0000000000","phoneExtension":"101"},"providerSecondaryInformation":{"stateLicenseNumber":"SL123456"}},"informationReceiver":{"organizationName":"XYZ Insurance Company","planId":"PLAN12345","payerIdentification":"ATTP1","contactInformation":{"name":"Johnone Doeone","phoneNumber":"0000000000"},"providerSecondaryInformation":{"medicareProviderNumber":"MCARE12345"}},"patient":{"entityIdentifierCode":"IL","firstName":"Johnone","lastName":"Doeone","memberId":"0000000002","patientAccountNumber":"ACCT987654","patientEventTrackingNumber":"TRK2024001","contactInformation":{"name":"Johnone Doeone","phoneNumber":"0000000000"}},"serviceReviewInformation":{"serviceLines":[{"attachmentControlNumber":"ATT123456789","submissionDate":"20240414","diagnosisCode":"M54.5","procedureCode":"99213","procedureCodeQualifier":"FO","serviceTraceNumber":"SVC20240414001","statusInformation":{"statusCategoryCode":"A1","loincCode":"11488-4"},"attachmentDetails":{"name":"test_image.jpg","attachmentInformationFormatCode":"MB","binaryDataLength":"2048"}}]}}

{
	"attachmentId": "ae5adba7-0ec6-0a19-d6b2-a93bd1659f93_ATTP2_999898",
	"status": "success"
}

After the clearinghouse sends the attachments and receives the payer acknowledgement, you will receive a response body showing the status of the attachments submission. Results may vary based on payer acceptance or non-acceptance of individual attachment files.

Each individual attachment file in the submission gets a separate object as a part of the overall response. This is how you will find out the state of a partial acceptance of attachments from the payer.

In the preceding example, you see that the accepted attachments will simply receive an acceptance time stamp. The rejected attachments will receive a rejectionInformation field briefly describing the reason.

For submissions with more than one attachment, you will receive a Partial Acceptance notification as a part of the response if one or more submitted file(s) is not be accepted.

Updated about 23 hours ago

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