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API & Services Connection™Request Sandbox Access Marketplace Community Quick Reference

API Reference

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Guides API Reference

API Overview

Overview
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Telehealth Medical Eligibility and Claims Management Bundle V1

Medical Network Eligibility v3

Overview
Health Check
- Health Checkget
Eligibility
- Check Eligibilitypost
- Check Eligibility x12post

Medical Network Professional Claims V3

Overview
Health Check
- Health Checkget
Professional Claims

Medical Network Institutional Claims V1

Overview
Health Check
- Health Checkget
Institutional Claims

Medical Network Claims Responses And Reports v2

Overview
Health Check
- Health Checkget
Report

Medical Network Claim Status V2

Overview
Claim Status API

Medical Network Attachments Submission v1

Overview
Health Check
- Health Checkget
Attachment Submission
- Attachment Submissionpost

Medical Network Attachment Status v1

Overview
Health Check
- Health Checkget
Attachment Status
- Endpoint to retrieve the attachment status based on traceIdget
- Endpoint to retrieve the attachment status based on metadatapost

Medical Network Attachment Retrieval v1

Overview
Health Check
- Health Checkget
Attachment Document
- Searchpost
- Download a document for the given documentIdget

Dental Attachments API

Overview
Attachments

Enhanced Eligibility API

Overview
Eligibility Requests
- Submit a new eligibility requestpost
Eligibility Transactions
- Find all eligibility transactionsget
- Find eligibility transaction by IDget
Coverage Discovery
Healthcheck
- Validate the status of the systemget

Prior Authorization v1

Overview
Authentication
- Get Tokenpost
Determination
- 278x215 Prior Authorization Determinationpost
- JSON Prior Authorization Determinationpost
Inquiry
- 278x215 Prior Authorization Inquirypost
- JSON Prior Authorization Inquirypost
Submission
- 278x217 Prior Authorization Submissionpost
- JSON Prior Authorization Submissionpost
Authorization (Orchestration)
- 278x215 Prior Authorization Orchestrationpost
- JSON Prior Authorization Orchestrationpost
Health Check
- Service heartbeatget

Medical Network Payer List v1

Overview
PayerList

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Eligibility Transactions

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Please do not submit PHI or PII data on the developer portal's Try It interface.

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