Claim Submission

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NOTE

Setting of Providers is deprecated, please set all Providers individually by its type.

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NOTE

Under the submitter object, either organizationName, lastName, or firstName attribute is required.

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IMPORTANT

Please note that the request requires you to provide all the required field values. These required values are GREYED out, which are pre-populated example values and can be selected to view the canned response. To view the required fields, expand the + symbol (indicated by the variables field below. For more information, please refer to the JSON-to-EDI API Contents section.