Claim Validation

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NOTE

For attendingProvider, do not send the organizationName.

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.