Sandbox Predefined Fields and Values

You can edit the fields in the HTTP request body to see how the Care Cost Estimator API uses those inputs to check patient’s eligibility, and then uses the information to estimate patient’s out--of-pocket cost.

For sandbox usage, you are limited to a specific set of values. Please use the predefined fields and values below to test the “estimate with payer info” scenario in our sandbox environment.

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NOTE

Please do not use real patient data; sandbox will return an error.

CategoryField Name in API Request BodyValues to Test in Sandbox Environment
*Mandatory inputs
InsuranceInfo/payerid*To test successful scenarios, please use one of the values:
“000045”, "000046", “000047”, “000049”, “000051”, "000052", “000054”, “000082”, “BCCTC”, “BCNJC”, "CIGNA", “UHC”

To test failed estimate scenarios, please use one of these values:
“000043”, “000044”, “000050”, “000053”, “000069”, “CNTCR”
idDomain*“TradingPartnerService”
InsuranceInfo/policyHolderInfomemberId*"0000000000"
firstName*"JohnOne"
lastName*"DoeOne"
dateOfBirth*"1880-01-02"
InsuranceInfo/dependentMemnerInfomemberId"0000000000"
firstName*"JaneOne"
lastName*"DoeOne"
dateOfBirth*"1880-01-02"
Service/Codes codes*“33” and “98” for payer id “000045”, “000047”, “000049”, “000051”, “000082”, “BCNJC”, “UHC”.

“30” for payer id “000043”, “000044”, “000046”, “000050”, “000052”, “000053”, “000069”, “CIGNA”, “CNTCR”.
valueType*“ServiceTypeCode”
Service/Provider id*“Z3248882383”
idType*“Npi”
OrganizationName*“St. Agnes Hospital”
Costs bundleCost*Any numbers with up to 2 decimal points, for example, using “485.27”