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.
NOTE
Please do not use real patient data; sandbox will return an error.
Category | Field Name in API Request Body | Values to Test in Sandbox Environment |
---|---|---|
*Mandatory inputs | ||
InsuranceInfo/payer | id* | 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/policyHolderInfo | memberId* | "0000000000" |
firstName* | "JohnOne" | |
lastName* | "DoeOne" | |
dateOfBirth* | "1880-01-02" | |
InsuranceInfo/dependentMemnerInfo | memberId | "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” |
Updated about 1 year ago