Understanding Transaction Details

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Detailed responses to submissions and to status queries will show the traceId of each, with a transactionDetails object:

[
    {
        "traceId": "<actual trace id of the transaction from DB>",
        "transactionDetails": {
         "submitterId": "TESTSBMTR11111",
        "memberId": "0000000001",
        "patientFirstName": "doeone",
        "patientLastName": "johnone",
        "payerId": "TESTEP05",
        "providerId": "1760854442",
        "providerFirstName": null,
        "providerLastName": "happy doctors group",
        "claimStartDate": "2021-08-14",
        "claimEndDate": "2021-08-15",
        "payerName": "VA HEALTH SYSTEM",
        "transactionSubmittedDate":"2021-08-16T05:21Z",
        "rejectionInformation": null
        },
        "status": [
            {
                "statusCode": "05",
                "statusMessage": "ACKNOWLEDGED_BY_PAYER",
                "statusTimeStamp": "2021-08-20T13:22Z",
                "documents": [
                    {
                        "documentName": "rightarm1.jpg",
                        "controlNumber": "123456789"
                    },
                    {
                        "documentName": "rightarm.jpg",
                        "controlNumber": "123456789"
                    }
                ]
            }
        ]
    }
]

Details include the core information for the transaction submitter. It includes information about the medical provider, the patient, the payer ID and their entity name, and claim dating information. It is followed by the summary status report for the submission. In this case, it is a successful submission. Because the summary content differs in every response type, each subsection below contains only the summary data, because the transactionDetails object will be the same across the board.

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Select Attachments features are not yet supported by the sandbox standard responses. For more information, see Unsupported use cases.

Updated 7 months ago

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