Claim Submission

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NOTE

You can ignore the taxId field in the receiver object below. This does not need to be sent, and it does not impact anything if sent. This field is overridden within the clearinghouse.

To include Primary Claim information for Secondary Claim in the API:

• Send any payer-specific information in the otherPayerName object.
• Use otherSubscriberInformation to convey details for the member specifically.

For more information about primary, secondary, and tertiary claims, Institutional Claims API JSON-to-EDI contents.

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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.