Claims
Insurance claims billed to Medicaid, Medicare and other payers, with their adjudication status. Read-only.
Endpoints
The Claim object
String representing the object's type. Always claim.
Unique identifier of the claim.
The patient the claim is for.
The caregiver who provided the service.
The visit billed, for single-visit claims.
The related invoice, if any.
Your claim number.
Claim format: professional (837P) or institutional (837I).
Professional837PInstitutional837InullThe payer billed.
The payer's electronic payer ID.
First date of service, as YYYY-MM-DD.
Last date of service, as YYYY-MM-DD.
Total billed. In cents.
Where the claim is in adjudication.
DraftValidatedValidationFailedSubmittedAcknowledgedAcceptedRejectedInAdjudicationPaidPartiallyPaidDeniedAppealedVoidednullLatest status detail from the payer or clearinghouse.
When the status last changed, ISO 8601.
Amount the payer paid. In cents.
Amount the patient owes after the payer. In cents.
Authorization number sent on the claim.
Payment check or EFT trace number.
When the claim was submitted, ISO 8601.
When the claim was created.
When the claim was last changed.