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API & Services Connection™

Guides API Reference

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

API Reference

Request Sandbox Access Marketplace Community Quick Reference

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
Reports
- List Reportsget
Health Check
- Health Checkget
Report

Medical Network Integrated Rules Institutional v1

Overview
Health Check
- Health Checkget
Integrated Rules Institutional
- Claim Validationpost
- Claim Validation x12post

Medical Network Integrated Rules Professional V1

Overview
/pre-service/member
- Call checkEligibility querypost
Health Check
- Health Checkget
Integrated Rules Professional
- Claim Validationpost
- Claim Validation x12post

Medical Network Claim Status V2

Overview
Claim Status API

Medical Network Attachments Submission v1

Overview
Health Check
- Health Checkget
Attachments Submission
- Attachments Submissionpost

Medical Network Attachments Status v1

Overview
Attachments Status
- Retrieve Attachments Status as per TraceIdget
- Retrieve Attachments Status as per Metadatapost

Medical Network Attachments Retrieval v1

Overview
Attachments Retrieval
- Searchpost
- Download a Document for a Specific 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
Inquiry
- 278x215 Prior Authorization Inquirypost
- JSON Prior Authorization Inquirypost
Submission
- 278x217 Prior Authorization Submissionpost
- JSON Prior Authorization Submissionpost
Health Check
- Service heartbeatget

PayerList

📘
NOTE
The PayerList API service is currently in BETA and hence, some fields and results may change.

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