New

Description

When a claim is created, an EHR generates a new message and sends it outbound. To create a claim, an application can similarly produce and post a New message inbound to the EHR.

API Endpoints for New Claim

Sync REST API Endpoint to call the API: https://{base_url}/api/v1/claim/new.

Async REST API Endpoint to call the API: https://{base_url}/api/v1/endpoint.

Data Model JSON for New Claim

New - Sample Payload

{
    "Meta": {
         "DataModel": "Claim",
        "EventType": "New",
        "Test": true,
        "Source": {
            "ID": "b5222a4e-6d66-49e6-93bc-ed3ab04a2ed8",
            "Name": "CustomerID"
        }
    },
    "Payment": {
        "DateTime": "2016-11-08T02:11:03.111Z",
        "Patient": {
            "Identifiers": [
                {
                    "ID": "1313",
                    "IDType": "EHRID"
                }
            ],
            "Location": {
                "Deparmtent": 1
            }
        },
        "Claim": {
            "Services": [
                {
                    "PaymentAmount": "65.00",
                    "PaymentUnits": "1",
                    "AllowedAmount": "85.00",
                    "SubmittedProcedure": {
                        "Code": "99213",
                        "CodeSet": "LOINC",
                        "Name": null,
                        "AltCodes": [
                            {
                                "Code": "Z0000"
                            }
                        ]
                    }
                }
            ],
            "SupervisingProvider": {
                "ID": 23,
                "IDType": "EHRID"
            }
        }
    }
}