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Telehealth Medical Eligibility and Claims Management Bundle V1
Medical Network Eligibility v3
Overview
Health Check
Health Check
get
Eligibility
Check Eligibility
post
Check Eligibility x12
post
Medical Network Professional Claims V3
Overview
Health Check
Health Check
get
Professional Claims
Claim Validation
post
Claim Submission
post
Claim Submission x12
post
Claim Validation x12
post
Medical Network Institutional Claims V1
Overview
Health Check
Health Check
get
Institutional Claims
Claim Validation
post
Claim Submission
post
Claim Submission x12
post
Claim Validation x12
post
Medical Network Claims Responses And Reports v2
Overview
Reports
List Reports
get
Health Check
Health Check
get
Report
Get Single Report
get
Delete Single Report
delete
Convert Report 277
get
Convert Report 835
get
Medical Network Integrated Rules Institutional v1
Overview
Health Check
Health Check
get
Integrated Rules Institutional
Claim Validation
post
Claim Validation x12
post
Medical Network Integrated Rules Professional V1
Overview
/pre-service/member
Call checkEligibility query
post
Health Check
Health Check
get
Integrated Rules Professional
Claim Validation
post
Claim Validation x12
post
Medical Network Claim Status V2
Overview
Claim Status API
Check Claim Status x12
post
Check Claim Status
post
Health Check
get
Check Claim Status x12
post
Medical Network Attachments Submission v1
Overview
Health Check
Health Check
get
Attachments Submission
Attachments Submission
post
Medical Network Attachments Status v1
Overview
Attachments Status
Retrieve Attachments Status as per TraceId
get
Retrieve Attachments Status as per Metadata
post
Medical Network Attachments Retrieval v1
Overview
Attachments Retrieval
Search
post
Download a Document for a Specific DocumentId
get
Dental Attachments API
Overview
Attachments
Create Attachments Container
post
Add Attachments Files
post
Update Attachments to Container
put
Commits Attachments Container and Files
patch
Gets Attachments Container
get
Get Attachments Files from Container
get
Delete Attachments File
delete
Get Participating Payers
get
Check Participating Payer by Payer ID
get
Get Payer Business Rule
get
Enhanced Eligibility API
Overview
Eligibility Requests
Submit a new eligibility request
post
Eligibility Transactions
Find all eligibility transactions
get
Find eligibility transaction by ID
get
Coverage Discovery
Submit new discovery task(s)
post
Find all discovery tasks
get
Find discovery task by ID
get
Healthcheck
Validate the status of the system
get
Prior Authorization v1
Overview
Authentication
Get Token
post
Inquiry
278x215 Prior Authorization Inquiry
post
JSON Prior Authorization Inquiry
post
Submission
278x217 Prior Authorization Submission
post
JSON Prior Authorization Submission
post
Health Check
Service heartbeat
get
Overview
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