Submission Batch
Description
The SubmissionBatch message is used to send a payment request, typically from a healthcare provider to an insurer. It functions similarly to the Submission Event, but allows for multiple transactions to be sent in a batch for more efficient processing.
API Endpoints for Submission
Sync REST API Endpoint to call the API: https://{base_url}/api/v1/claim/submission-batch.
Async REST API Endpoint to call the API: https://{base_url}/api/v1/endpoint.
Data Model JSON for Submission Batch
Submission Batch - Sample Payload
{
"Meta": {
"DataModel": "Claim",
"EventType": "SubmissionBatch",
"EventDateTime": "2022-08-16T14:21:20.733Z",
"Test": true,
"Source": {
"ID": "63e8d73a-0e2d-45d9-8774-58475b98f5dd ",
"Name": "EHR Bridge Dev Tools"
},
"Destinations": [
{
"ID": "b4ec5996-3307-4208-9b8b-03298335ab50 ",
"Name": "Destinations EMR"
}
],
"Logs": [
{
"ID": "99974067-097e-427c-a823-245ea59506a4 ",
"AttemptID": "e688aeca-e77c-49cd-8876-b9563d193016"
}
],
"Message": {
"ID": 5565
},
"Transmission": {
"ID": 12414
},
"FacilityCode": null
},
"Transactions": [
{
"ID": "000000001",
"IDType": null,
"Type": "Institutional",
"Submitter": {
"Identifiers": [
{
"ID": "8675309",
"IDType": "TIN"
}
],
"Name": "Digital Health System",
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddress": null,
"PhoneNumber": {
"Office": null,
"Fax": null
}
},
"Receiver": {
"Identifiers": [
{
"ID": "123456",
"IDType": "TIN"
}
],
"Name": "United Insurance Company",
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddress": null,
"PhoneNumber": {
"Office": null,
"Fax": null
}
},
"Submissions": [
{
"BillingProvider": {
"Identifiers": [
],
"Name": null,
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddress": null,
"PhoneNumber": {
"Office": null,
"Fax": null
},
"Specialty": {
"ID": null,
"Description": null
}
},
"Subscribers": [
{
"Identifiers": [
{
"ID": "0000000001",
"IDType": "MR"
},
{
"ID": "192f1a7b-79e6-4146-9fff-1904961ef5ac ",
"IDType": "EHRID"
},
{
"ID": "6d5d97b7-932d-4197-8a4b-be3127c536f5 ",
"IDType": "NIST"
}
],
"Demographics": {
"FirstName": "Ronnie",
"MiddleName": "Patricks",
"LastName": "Oliver",
"Address": {
"StreetAddress": "4762 Wallgate Avenue",
"City": "San Jose",
"State": "CA",
"ZIP": "53566",
"County": "Santa Clara",
"Country": "USA"
},
"PhoneNumber": {
"Home": "+18088675301",
"Office": null,
"Mobile": null
},
"DOB": "2008-01-06",
"Sex": "Male"
},
"OrganizationName": null,
"ResponsibilityLevel": "Primary",
"Insurance": {
"Plan": {
"ID": "31572",
"IDType": "Payor ID",
"Name": "HMO Plan",
"Type": null
},
"MemberNumber": null,
"Company": {
"ID": "60054",
"IDType": null,
"Name": "Newbell (60054 0131)",
"Address": {
"StreetAddress": "PO Box 14080",
"City": "San Jose"",
"State": "CA",
"ZIP": "40513-4079",
"County": "Santa Clara",
"Country": "USA"
},
"PhoneNumber": "+19089541123"
},
"GroupNumber": "847025-024-0009",
"GroupName": "Proness Labs",
"EffectiveDate": "2015-01-01",
"ExpirationDate": "2020-12-31",
"PolicyNumber": "9140860055",
"Priority": null,
"AgreementType": null,
"CoverageType": null
},
"Patients": [
{
"Identifiers": [
{
"ID": "0000000001",
"IDType": "MR"
},
{
"ID": "192f1a7b-79e6-4146-9fff-1904961ef5ac",
"IDType": "EHRID"
},
{
"ID": "6d5d97b7-932d-4197-8a4b-be3127c536f5",
"IDType": "NIST"
}
],
"Demographics": {
"FirstName": "Ronnie ",
"MiddleName": "Patricks",
"LastName": "Oliver",
"DOB": "2008-01-06",
"SSN": "101-01-0001",
"Sex": "Male",
"Race": "White",
"IsHispanic": null,
"Religion": null,
"MaritalStatus": "Single",
"IsDeceased": null,
"DeathDateTime": null,
"PhoneNumber": {
"Home": "+19088675301",
"Office": null,
"Mobile": null
},
"EmailAddresses": [
],
"Language": "en",
"Citizenship": [
],
"Address": {
"StreetAddress": "4762 Wallgate Avenue",
"City": "San Jose",
"State": "CA",
"ZIP": "53566",
"County": "Santa Clara",
"Country": "USA"
}
},
"Notes": [
],
"RelationToSubscriber": null,
"Claims": [
{
"SubmissionNumber": "66729659983",
"Type": "Admission by Discharge claim",
"TotalAmount": "200.00",
"CopayAmount": "10.00",
"IsProviderSignatureOnFile": true,
"IsReleaseOfInformationOnFile": true,
"ProviderAcceptanceCode": null,
"BenefitsAssignmentCode": null,
"AdditionalDates": [
{
"DateTime": "2016-10-08",
"Type": "Service Period Start"
},
{
"DateTime": "2016-10-11",
"Type": "Service Period End"
}
],
"ReferenceNumbers": [
{
"ID": "AUTH000000",
"IDType": "Prior Authorization"
}
],
"Diagnoses": [
{
"Code": "M54.5",
"Codeset": "ICD-10",
"Description": null,
"Type": "Admitting"
},
{
"Code": "J45.909",
"Codeset": "ICD-10",
"Description": null,
"Type": null
}
],
"DiagnosisRelatedGroup": "551",
"Providers": [
{
"ID": "4236464757",
"IDType": "NPI",
"FirstName": "Jonnie",
"LastName": "Slater",
"Credentials": [
"DO"
],
"Address": {
"StreetAddress": "500 First St.",
"City": "San Jose"",
"State": "CA",
"ZIP": "63105",
"County": "Santa Clara",
"Country": "USA"
},
"EmailAddresses": [
],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
},
"Role": "Attending",
"Specialty": {
"ID": "1223G0001X",
"Description": "General Practice"
}
}
],
"Services": [
{
"Code": "73560",
"Codeset": null,
"Description": "X-Ray knee 2 views",
"Modifiers": [
],
"Amount": "100.00",
"StartDateTime": null,
"EndDateTime": null,
"RevenueCode": null,
"Quantity": {
"Value": 1,
"Units": "Unit"
},
"IsEmergency": false,
"ReferenceNumbers": [
{
"ID": "1",
"IDType": "Control Number"
}
],
"Diagnoses": [
],
"Drug": {
"PrescriptionID": null,
"NDC": null,
"Quantity": {
"Value": null,
"Units": null
}
},
"Notes": null
},
{
"Code": "J9202",
"Codeset": "HCPCS",
"Description": "Moladexan",
"Modifiers": [
],
"Amount": "3.50",
"StartDateTime": null,
"EndDateTime": null,
"RevenueCode": null,
"Quantity": {
"Value": "1",
"Units": "Unit"
},
"IsEmergency": false,
"ReferenceNumbers": [
{
"ID": "2",
"IDType": "Control Number"
}
],
"Diagnoses": [
],
"Drug": {
"PrescriptionID": "ABC123456",
"NDC": "00310095036",
"Quantity": {
"Value": "1",
"Units": "Unit"
}
},
"Notes": null
}
],
"Visit": {
"DateTime": "2016-10-08",
"DischargeDateTime": "2016-10-11",
"Location": {
"Type": "Inpatient",
"Facility": "RMES Civil Care",
"Department": "3N",
"Room": "136"
},
"PreviousLocation": {
"Type": "Critical Care Center",
"Facility": null,
"Department": null,
"Room": null
},
"Type": "Elective",
"VisitNumber": null
}
}
]
}
]
}
]
}
]
}
]
}