Claims QueryResponse
Description
This is the format of the response you will get for a ClaimsQuery event.
API Endpoints for ClaimsResponse
Sync REST API Endpoint to call the API: https://{base_url}/api/v1/claim/queryresponse.
Async REST API Endpoint to call the API: https://{base_url}/api/v1/endpoint.
| Event Type | IntraConnects Request | Data Type | Athena Response |
|---|---|---|---|
| ClaimQueryResponse | Patient.Identifiers[] | Array of Objects | |
| ClaimQueryResponse | Patient.Identifiers[].ID | String | patientid |
| ClaimQueryResponse | Patient.Identifiers[].IDType | String | EHRID |
| ClaimQueryResponse | Claim[] | Array of Objects | |
| ClaimQueryResponse | Claim[].ID | String | claimid |
| ClaimQueryResponse | Claim[].Type | String | |
| ClaimQueryResponse | Claim[].TotalAmount | String | procedures[].chargeamount |
| ClaimQueryResponse | Claim[].AllowedAmount | String | procedures[].allowableamount |
| ClaimQueryResponse | Claim[].CopayAmount | String | |
| ClaimQueryResponse | Claim[].IsProviderSignatureOnFile | String | |
| ClaimQueryResponse | Claim[].IsReleaseOfInformationOnFile | String | |
| ClaimQueryResponse | Claim[].ReferenceNumbers[] | Array of Objects | |
| ClaimQueryResponse | Claim[].ReferenceNumbers[].ID | String | |
| ClaimQueryResponse | Claim[].ReferenceNumbers[].Type | String | |
| ClaimQueryResponse | Claim[].Visit | ||
| ClaimQueryResponse | Claim[].Visit.VisitNumber | String | |
| ClaimQueryResponse | Claim[].Visit.DateTime | String | |
| ClaimQueryResponse | Claim[].Visit.DischargeDateTime | String | |
| ClaimQueryResponse | Claim[].Visit.Type | String | |
| ClaimQueryResponse | Claim[].Visit.Location | ||
| ClaimQueryResponse | Claim[].Visit.Location.Type | String | |
| ClaimQueryResponse | Claim[].Visit.Location.Facility | String | |
| ClaimQueryResponse | Claim[].Visit.Location.Department | String | |
| ClaimQueryResponse | Claim[].Visit.Location.Room | String | |
| ClaimQueryResponse | Claim[].Visit.PreviousLocation | ||
| ClaimQueryResponse | Claim[].Visit.PreviousLocation.Type | String | |
| ClaimQueryResponse | Claim[].Visit.PreviousLocation.Facility | String | |
| ClaimQueryResponse | Claim[].Visit.PreviousLocation.Department | String | |
| ClaimQueryResponse | Claim[].Visit.PreviousLocation.Room | String | |
| ClaimQueryResponse | Claim[].AdditionalDates[] | ||
| ClaimQueryResponse | Claim[].AdditionalDates[].Type | String | |
| ClaimQueryResponse | Claim[].AdditionalDates[].DateTime | String | billedservicedate |
| ClaimQueryResponse | Claim[].Diagnoses[] | ||
| ClaimQueryResponse | Claim[].Diagnoses[].Code | String | diagnoses[].diagnosisrawcode |
| ClaimQueryResponse | Claim[].Diagnoses[].Codeset | String | diagnoses[].diagnosiscodeset |
| ClaimQueryResponse | Claim[].Diagnoses[].Name | String | diagnoses[].diagnosisdescription |
| ClaimQueryResponse | Claim[].Diagnoses[].Type | String | diagnoses[].diagnosiscategory |
| ClaimQueryResponse | Claim[].DiagnosisRelatedGroup | String | |
| ClaimQueryResponse | Claim[].Procedures[] | ||
| ClaimQueryResponse | Claim[].Procedures[].ProcedureCode | String | procedures[].procedurecode |
| ClaimQueryResponse | Claim[].Transaction | ||
| ClaimQueryResponse | Claim[].Transaction.ID | String | procedures[].transactionid |
| ClaimQueryResponse | Claim[].Transaction.IDType | String | |
| ClaimQueryResponse | Claim[].Transaction.Type | String | |
| ClaimQueryResponse | Claim[].Transaction.Submitter | ||
| ClaimQueryResponse | Claim[].Transaction.Submitter.ID | String | |
| ClaimQueryResponse | Claim[].Transaction.Submitter.IDType | String | |
| ClaimQueryResponse | Claim[].Transaction.Submitter.Name | String | |
| ClaimQueryResponse | Claim[].Transaction.Submitter.EmailAddress | String | |
| ClaimQueryResponse | Claim[].Transaction.Submitter.PhoneNumber | ||
| ClaimQueryResponse | Claim[].Transaction.Submitter.PhoneNumber.Office | String | |
| ClaimQueryResponse | Claim[].Transaction.Submitter.PhoneNumber.Fax | String | |
| ClaimQueryResponse | Claim[].Transaction.Receiver | ||
| ClaimQueryResponse | Claim[].Transaction.Receiver.ID | String | |
| ClaimQueryResponse | Claim[].Transaction.Receiver.IDType | String | |
| ClaimQueryResponse | Claim[].Transaction.Receiver.Name | String | |
| ClaimQueryResponse | Claim[].Providers[] | ||
| ClaimQueryResponse | Claim[].Providers[].ID | String | billedproviderid |
| ClaimQueryResponse | Claim[].Providers[].IDType | String | |
| ClaimQueryResponse | Claim[].Providers[].Role | String | |
| ClaimQueryResponse | Claim[].Providers[].FirstName | String | |
| ClaimQueryResponse | Claim[].Providers[].MiddleName | String | |
| ClaimQueryResponse | Claim[].Providers[].LastName | String | |
| ClaimQueryResponse | Claim[].Providers[].Specialty | ||
| ClaimQueryResponse | Claim[].Providers[].Specialty.ID | String | |
| ClaimQueryResponse | Claim[].Providers[].Specialty.Description | String |