Create Claim

Submit a claim

curl --request POST \
  --url https://api.anagram.care/api/auth/v1/claims/ \
  --header 'Authorization: <api-key>' \
  --header 'Content-Type: application/json' \
  --data '
{
  "patient": {
    "dob": "1998-02-11",
    "first_name": "Max",
    "last_name": "Smith",
    "type": "child",
    "address": {
      "line1": "String name",
      "city": "City",
      "zipcode": "12332",
      "state": "CA"
    }
  },
  "primary_member": {
    "address": {
      "city": "City",
      "line1": "String name",
      "state": "CA",
      "zipcode": "12332"
    },
    "dob": "1988-10-11",
    "first_name": "John",
    "insurer_code": "insurer:demo:vision",
    "last_name": "Smith",
    "member_id": "A123455",
    "phone": "0987654321",
    "ssn_last_four": "1242"
  },
  "services": [
    {
      "codes": [
        "S0504"
      ],
      "cost": "12.22",
      "date": "2022-02-11",
      "quantity": 2,
      "diagnosis_codes": [
        "H52.10"
      ]
    },
    {
      "codes": [
        "V2781"
      ],
      "cost": "44.21",
      "date": "2022-02-11",
      "quantity": 1
    }
  ],
  "paid_amount": "68.65"
}
'

import requests

url = "https://api.anagram.care/api/auth/v1/claims/"

payload = {
    "patient": {
        "dob": "1998-02-11",
        "first_name": "Max",
        "last_name": "Smith",
        "type": "child",
        "address": {
            "line1": "String name",
            "city": "City",
            "zipcode": "12332",
            "state": "CA"
        }
    },
    "primary_member": {
        "address": {
            "city": "City",
            "line1": "String name",
            "state": "CA",
            "zipcode": "12332"
        },
        "dob": "1988-10-11",
        "first_name": "John",
        "insurer_code": "insurer:demo:vision",
        "last_name": "Smith",
        "member_id": "A123455",
        "phone": "0987654321",
        "ssn_last_four": "1242"
    },
    "services": [
        {
            "codes": ["S0504"],
            "cost": "12.22",
            "date": "2022-02-11",
            "quantity": 2,
            "diagnosis_codes": ["H52.10"]
        },
        {
            "codes": ["V2781"],
            "cost": "44.21",
            "date": "2022-02-11",
            "quantity": 1
        }
    ],
    "paid_amount": "68.65"
}
headers = {
    "Authorization": "<api-key>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.text)

const options = {
  method: 'POST',
  headers: {Authorization: '<api-key>', 'Content-Type': 'application/json'},
  body: JSON.stringify({
    patient: {
      dob: '1998-02-11',
      first_name: 'Max',
      last_name: 'Smith',
      type: 'child',
      address: {line1: 'String name', city: 'City', zipcode: '12332', state: 'CA'}
    },
    primary_member: {
      address: {city: 'City', line1: 'String name', state: 'CA', zipcode: '12332'},
      dob: '1988-10-11',
      first_name: 'John',
      insurer_code: 'insurer:demo:vision',
      last_name: 'Smith',
      member_id: 'A123455',
      phone: '0987654321',
      ssn_last_four: '1242'
    },
    services: [
      {
        codes: ['S0504'],
        cost: '12.22',
        date: '2022-02-11',
        quantity: 2,
        diagnosis_codes: ['H52.10']
      },
      {codes: ['V2781'], cost: '44.21', date: '2022-02-11', quantity: 1}
    ],
    paid_amount: '68.65'
  })
};

fetch('https://api.anagram.care/api/auth/v1/claims/', options)
  .then(res => res.json())
  .then(res => console.log(res))
  .catch(err => console.error(err));

<?php

$curl = curl_init();

curl_setopt_array($curl, [
  CURLOPT_URL => "https://api.anagram.care/api/auth/v1/claims/",
  CURLOPT_RETURNTRANSFER => true,
  CURLOPT_ENCODING => "",
  CURLOPT_MAXREDIRS => 10,
  CURLOPT_TIMEOUT => 30,
  CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
  CURLOPT_CUSTOMREQUEST => "POST",
  CURLOPT_POSTFIELDS => json_encode([
    'patient' => [
        'dob' => '1998-02-11',
        'first_name' => 'Max',
        'last_name' => 'Smith',
        'type' => 'child',
        'address' => [
                'line1' => 'String name',
                'city' => 'City',
                'zipcode' => '12332',
                'state' => 'CA'
        ]
    ],
    'primary_member' => [
        'address' => [
                'city' => 'City',
                'line1' => 'String name',
                'state' => 'CA',
                'zipcode' => '12332'
        ],
        'dob' => '1988-10-11',
        'first_name' => 'John',
        'insurer_code' => 'insurer:demo:vision',
        'last_name' => 'Smith',
        'member_id' => 'A123455',
        'phone' => '0987654321',
        'ssn_last_four' => '1242'
    ],
    'services' => [
        [
                'codes' => [
                                'S0504'
                ],
                'cost' => '12.22',
                'date' => '2022-02-11',
                'quantity' => 2,
                'diagnosis_codes' => [
                                'H52.10'
                ]
        ],
        [
                'codes' => [
                                'V2781'
                ],
                'cost' => '44.21',
                'date' => '2022-02-11',
                'quantity' => 1
        ]
    ],
    'paid_amount' => '68.65'
  ]),
  CURLOPT_HTTPHEADER => [
    "Authorization: <api-key>",
    "Content-Type: application/json"
  ],
]);

$response = curl_exec($curl);
$err = curl_error($curl);

curl_close($curl);

if ($err) {
  echo "cURL Error #:" . $err;
} else {
  echo $response;
}

package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://api.anagram.care/api/auth/v1/claims/"

	payload := strings.NewReader("{\n  \"patient\": {\n    \"dob\": \"1998-02-11\",\n    \"first_name\": \"Max\",\n    \"last_name\": \"Smith\",\n    \"type\": \"child\",\n    \"address\": {\n      \"line1\": \"String name\",\n      \"city\": \"City\",\n      \"zipcode\": \"12332\",\n      \"state\": \"CA\"\n    }\n  },\n  \"primary_member\": {\n    \"address\": {\n      \"city\": \"City\",\n      \"line1\": \"String name\",\n      \"state\": \"CA\",\n      \"zipcode\": \"12332\"\n    },\n    \"dob\": \"1988-10-11\",\n    \"first_name\": \"John\",\n    \"insurer_code\": \"insurer:demo:vision\",\n    \"last_name\": \"Smith\",\n    \"member_id\": \"A123455\",\n    \"phone\": \"0987654321\",\n    \"ssn_last_four\": \"1242\"\n  },\n  \"services\": [\n    {\n      \"codes\": [\n        \"S0504\"\n      ],\n      \"cost\": \"12.22\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 2,\n      \"diagnosis_codes\": [\n        \"H52.10\"\n      ]\n    },\n    {\n      \"codes\": [\n        \"V2781\"\n      ],\n      \"cost\": \"44.21\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 1\n    }\n  ],\n  \"paid_amount\": \"68.65\"\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("Authorization", "<api-key>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(string(body))

}

HttpResponse<String> response = Unirest.post("https://api.anagram.care/api/auth/v1/claims/")
  .header("Authorization", "<api-key>")
  .header("Content-Type", "application/json")
  .body("{\n  \"patient\": {\n    \"dob\": \"1998-02-11\",\n    \"first_name\": \"Max\",\n    \"last_name\": \"Smith\",\n    \"type\": \"child\",\n    \"address\": {\n      \"line1\": \"String name\",\n      \"city\": \"City\",\n      \"zipcode\": \"12332\",\n      \"state\": \"CA\"\n    }\n  },\n  \"primary_member\": {\n    \"address\": {\n      \"city\": \"City\",\n      \"line1\": \"String name\",\n      \"state\": \"CA\",\n      \"zipcode\": \"12332\"\n    },\n    \"dob\": \"1988-10-11\",\n    \"first_name\": \"John\",\n    \"insurer_code\": \"insurer:demo:vision\",\n    \"last_name\": \"Smith\",\n    \"member_id\": \"A123455\",\n    \"phone\": \"0987654321\",\n    \"ssn_last_four\": \"1242\"\n  },\n  \"services\": [\n    {\n      \"codes\": [\n        \"S0504\"\n      ],\n      \"cost\": \"12.22\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 2,\n      \"diagnosis_codes\": [\n        \"H52.10\"\n      ]\n    },\n    {\n      \"codes\": [\n        \"V2781\"\n      ],\n      \"cost\": \"44.21\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 1\n    }\n  ],\n  \"paid_amount\": \"68.65\"\n}")
  .asString();

require 'uri'
require 'net/http'

url = URI("https://api.anagram.care/api/auth/v1/claims/")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["Authorization"] = '<api-key>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"patient\": {\n    \"dob\": \"1998-02-11\",\n    \"first_name\": \"Max\",\n    \"last_name\": \"Smith\",\n    \"type\": \"child\",\n    \"address\": {\n      \"line1\": \"String name\",\n      \"city\": \"City\",\n      \"zipcode\": \"12332\",\n      \"state\": \"CA\"\n    }\n  },\n  \"primary_member\": {\n    \"address\": {\n      \"city\": \"City\",\n      \"line1\": \"String name\",\n      \"state\": \"CA\",\n      \"zipcode\": \"12332\"\n    },\n    \"dob\": \"1988-10-11\",\n    \"first_name\": \"John\",\n    \"insurer_code\": \"insurer:demo:vision\",\n    \"last_name\": \"Smith\",\n    \"member_id\": \"A123455\",\n    \"phone\": \"0987654321\",\n    \"ssn_last_four\": \"1242\"\n  },\n  \"services\": [\n    {\n      \"codes\": [\n        \"S0504\"\n      ],\n      \"cost\": \"12.22\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 2,\n      \"diagnosis_codes\": [\n        \"H52.10\"\n      ]\n    },\n    {\n      \"codes\": [\n        \"V2781\"\n      ],\n      \"cost\": \"44.21\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 1\n    }\n  ],\n  \"paid_amount\": \"68.65\"\n}"

response = http.request(request)
puts response.read_body

{
  "code": "CLM21T",
  "patient": {
    "address": {
      "city": "City",
      "line1": "String name",
      "line2": null,
      "recipient": null,
      "state": "CA",
      "zipcode": "12332"
    },
    "dob": "1998-02-11",
    "email": null,
    "first_name": "Max",
    "last_name": "Smith",
    "member_id": null,
    "phone": null,
    "sex": null,
    "ssn_last_four": null,
    "type": "child"
  },
  "primary_member": {
    "address": {
      "city": "City",
      "line1": "String name",
      "line2": null,
      "recipient": null,
      "state": "CA",
      "zipcode": "12332"
    },
    "dob": "1988-10-11",
    "email": null,
    "first_name": "John",
    "insurer_code": "insurer:demo:vision",
    "last_name": "Smith",
    "member_id": "A123455",
    "phone": "0987654321",
    "sex": null,
    "ssn_last_four": "1242"
  },
  "services": [
    {
      "codes": [
        "S0504"
      ],
      "cost": "12.2200",
      "date": "2022-02-11",
      "quantity": 2,
      "diagnosis_codes": [
        "H52.10"
      ]
    },
    {
      "codes": [
        "V2781"
      ],
      "cost": "44.2100",
      "date": "2022-02-11",
      "quantity": 1,
      "diagnosis_codes": []
    }
  ],
  "status": "ready",
  "paid_amount": "68.6500"
}

POST

api

auth

claims

Submit a claim

curl --request POST \
  --url https://api.anagram.care/api/auth/v1/claims/ \
  --header 'Authorization: <api-key>' \
  --header 'Content-Type: application/json' \
  --data '
{
  "patient": {
    "dob": "1998-02-11",
    "first_name": "Max",
    "last_name": "Smith",
    "type": "child",
    "address": {
      "line1": "String name",
      "city": "City",
      "zipcode": "12332",
      "state": "CA"
    }
  },
  "primary_member": {
    "address": {
      "city": "City",
      "line1": "String name",
      "state": "CA",
      "zipcode": "12332"
    },
    "dob": "1988-10-11",
    "first_name": "John",
    "insurer_code": "insurer:demo:vision",
    "last_name": "Smith",
    "member_id": "A123455",
    "phone": "0987654321",
    "ssn_last_four": "1242"
  },
  "services": [
    {
      "codes": [
        "S0504"
      ],
      "cost": "12.22",
      "date": "2022-02-11",
      "quantity": 2,
      "diagnosis_codes": [
        "H52.10"
      ]
    },
    {
      "codes": [
        "V2781"
      ],
      "cost": "44.21",
      "date": "2022-02-11",
      "quantity": 1
    }
  ],
  "paid_amount": "68.65"
}
'

import requests

url = "https://api.anagram.care/api/auth/v1/claims/"

payload = {
    "patient": {
        "dob": "1998-02-11",
        "first_name": "Max",
        "last_name": "Smith",
        "type": "child",
        "address": {
            "line1": "String name",
            "city": "City",
            "zipcode": "12332",
            "state": "CA"
        }
    },
    "primary_member": {
        "address": {
            "city": "City",
            "line1": "String name",
            "state": "CA",
            "zipcode": "12332"
        },
        "dob": "1988-10-11",
        "first_name": "John",
        "insurer_code": "insurer:demo:vision",
        "last_name": "Smith",
        "member_id": "A123455",
        "phone": "0987654321",
        "ssn_last_four": "1242"
    },
    "services": [
        {
            "codes": ["S0504"],
            "cost": "12.22",
            "date": "2022-02-11",
            "quantity": 2,
            "diagnosis_codes": ["H52.10"]
        },
        {
            "codes": ["V2781"],
            "cost": "44.21",
            "date": "2022-02-11",
            "quantity": 1
        }
    ],
    "paid_amount": "68.65"
}
headers = {
    "Authorization": "<api-key>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.text)

const options = {
  method: 'POST',
  headers: {Authorization: '<api-key>', 'Content-Type': 'application/json'},
  body: JSON.stringify({
    patient: {
      dob: '1998-02-11',
      first_name: 'Max',
      last_name: 'Smith',
      type: 'child',
      address: {line1: 'String name', city: 'City', zipcode: '12332', state: 'CA'}
    },
    primary_member: {
      address: {city: 'City', line1: 'String name', state: 'CA', zipcode: '12332'},
      dob: '1988-10-11',
      first_name: 'John',
      insurer_code: 'insurer:demo:vision',
      last_name: 'Smith',
      member_id: 'A123455',
      phone: '0987654321',
      ssn_last_four: '1242'
    },
    services: [
      {
        codes: ['S0504'],
        cost: '12.22',
        date: '2022-02-11',
        quantity: 2,
        diagnosis_codes: ['H52.10']
      },
      {codes: ['V2781'], cost: '44.21', date: '2022-02-11', quantity: 1}
    ],
    paid_amount: '68.65'
  })
};

fetch('https://api.anagram.care/api/auth/v1/claims/', options)
  .then(res => res.json())
  .then(res => console.log(res))
  .catch(err => console.error(err));

<?php

$curl = curl_init();

curl_setopt_array($curl, [
  CURLOPT_URL => "https://api.anagram.care/api/auth/v1/claims/",
  CURLOPT_RETURNTRANSFER => true,
  CURLOPT_ENCODING => "",
  CURLOPT_MAXREDIRS => 10,
  CURLOPT_TIMEOUT => 30,
  CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
  CURLOPT_CUSTOMREQUEST => "POST",
  CURLOPT_POSTFIELDS => json_encode([
    'patient' => [
        'dob' => '1998-02-11',
        'first_name' => 'Max',
        'last_name' => 'Smith',
        'type' => 'child',
        'address' => [
                'line1' => 'String name',
                'city' => 'City',
                'zipcode' => '12332',
                'state' => 'CA'
        ]
    ],
    'primary_member' => [
        'address' => [
                'city' => 'City',
                'line1' => 'String name',
                'state' => 'CA',
                'zipcode' => '12332'
        ],
        'dob' => '1988-10-11',
        'first_name' => 'John',
        'insurer_code' => 'insurer:demo:vision',
        'last_name' => 'Smith',
        'member_id' => 'A123455',
        'phone' => '0987654321',
        'ssn_last_four' => '1242'
    ],
    'services' => [
        [
                'codes' => [
                                'S0504'
                ],
                'cost' => '12.22',
                'date' => '2022-02-11',
                'quantity' => 2,
                'diagnosis_codes' => [
                                'H52.10'
                ]
        ],
        [
                'codes' => [
                                'V2781'
                ],
                'cost' => '44.21',
                'date' => '2022-02-11',
                'quantity' => 1
        ]
    ],
    'paid_amount' => '68.65'
  ]),
  CURLOPT_HTTPHEADER => [
    "Authorization: <api-key>",
    "Content-Type: application/json"
  ],
]);

$response = curl_exec($curl);
$err = curl_error($curl);

curl_close($curl);

if ($err) {
  echo "cURL Error #:" . $err;
} else {
  echo $response;
}

package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://api.anagram.care/api/auth/v1/claims/"

	payload := strings.NewReader("{\n  \"patient\": {\n    \"dob\": \"1998-02-11\",\n    \"first_name\": \"Max\",\n    \"last_name\": \"Smith\",\n    \"type\": \"child\",\n    \"address\": {\n      \"line1\": \"String name\",\n      \"city\": \"City\",\n      \"zipcode\": \"12332\",\n      \"state\": \"CA\"\n    }\n  },\n  \"primary_member\": {\n    \"address\": {\n      \"city\": \"City\",\n      \"line1\": \"String name\",\n      \"state\": \"CA\",\n      \"zipcode\": \"12332\"\n    },\n    \"dob\": \"1988-10-11\",\n    \"first_name\": \"John\",\n    \"insurer_code\": \"insurer:demo:vision\",\n    \"last_name\": \"Smith\",\n    \"member_id\": \"A123455\",\n    \"phone\": \"0987654321\",\n    \"ssn_last_four\": \"1242\"\n  },\n  \"services\": [\n    {\n      \"codes\": [\n        \"S0504\"\n      ],\n      \"cost\": \"12.22\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 2,\n      \"diagnosis_codes\": [\n        \"H52.10\"\n      ]\n    },\n    {\n      \"codes\": [\n        \"V2781\"\n      ],\n      \"cost\": \"44.21\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 1\n    }\n  ],\n  \"paid_amount\": \"68.65\"\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("Authorization", "<api-key>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(string(body))

}

HttpResponse<String> response = Unirest.post("https://api.anagram.care/api/auth/v1/claims/")
  .header("Authorization", "<api-key>")
  .header("Content-Type", "application/json")
  .body("{\n  \"patient\": {\n    \"dob\": \"1998-02-11\",\n    \"first_name\": \"Max\",\n    \"last_name\": \"Smith\",\n    \"type\": \"child\",\n    \"address\": {\n      \"line1\": \"String name\",\n      \"city\": \"City\",\n      \"zipcode\": \"12332\",\n      \"state\": \"CA\"\n    }\n  },\n  \"primary_member\": {\n    \"address\": {\n      \"city\": \"City\",\n      \"line1\": \"String name\",\n      \"state\": \"CA\",\n      \"zipcode\": \"12332\"\n    },\n    \"dob\": \"1988-10-11\",\n    \"first_name\": \"John\",\n    \"insurer_code\": \"insurer:demo:vision\",\n    \"last_name\": \"Smith\",\n    \"member_id\": \"A123455\",\n    \"phone\": \"0987654321\",\n    \"ssn_last_four\": \"1242\"\n  },\n  \"services\": [\n    {\n      \"codes\": [\n        \"S0504\"\n      ],\n      \"cost\": \"12.22\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 2,\n      \"diagnosis_codes\": [\n        \"H52.10\"\n      ]\n    },\n    {\n      \"codes\": [\n        \"V2781\"\n      ],\n      \"cost\": \"44.21\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 1\n    }\n  ],\n  \"paid_amount\": \"68.65\"\n}")
  .asString();

require 'uri'
require 'net/http'

url = URI("https://api.anagram.care/api/auth/v1/claims/")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["Authorization"] = '<api-key>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"patient\": {\n    \"dob\": \"1998-02-11\",\n    \"first_name\": \"Max\",\n    \"last_name\": \"Smith\",\n    \"type\": \"child\",\n    \"address\": {\n      \"line1\": \"String name\",\n      \"city\": \"City\",\n      \"zipcode\": \"12332\",\n      \"state\": \"CA\"\n    }\n  },\n  \"primary_member\": {\n    \"address\": {\n      \"city\": \"City\",\n      \"line1\": \"String name\",\n      \"state\": \"CA\",\n      \"zipcode\": \"12332\"\n    },\n    \"dob\": \"1988-10-11\",\n    \"first_name\": \"John\",\n    \"insurer_code\": \"insurer:demo:vision\",\n    \"last_name\": \"Smith\",\n    \"member_id\": \"A123455\",\n    \"phone\": \"0987654321\",\n    \"ssn_last_four\": \"1242\"\n  },\n  \"services\": [\n    {\n      \"codes\": [\n        \"S0504\"\n      ],\n      \"cost\": \"12.22\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 2,\n      \"diagnosis_codes\": [\n        \"H52.10\"\n      ]\n    },\n    {\n      \"codes\": [\n        \"V2781\"\n      ],\n      \"cost\": \"44.21\",\n      \"date\": \"2022-02-11\",\n      \"quantity\": 1\n    }\n  ],\n  \"paid_amount\": \"68.65\"\n}"

response = http.request(request)
puts response.read_body

{
  "code": "CLM21T",
  "patient": {
    "address": {
      "city": "City",
      "line1": "String name",
      "line2": null,
      "recipient": null,
      "state": "CA",
      "zipcode": "12332"
    },
    "dob": "1998-02-11",
    "email": null,
    "first_name": "Max",
    "last_name": "Smith",
    "member_id": null,
    "phone": null,
    "sex": null,
    "ssn_last_four": null,
    "type": "child"
  },
  "primary_member": {
    "address": {
      "city": "City",
      "line1": "String name",
      "line2": null,
      "recipient": null,
      "state": "CA",
      "zipcode": "12332"
    },
    "dob": "1988-10-11",
    "email": null,
    "first_name": "John",
    "insurer_code": "insurer:demo:vision",
    "last_name": "Smith",
    "member_id": "A123455",
    "phone": "0987654321",
    "sex": null,
    "ssn_last_four": "1242"
  },
  "services": [
    {
      "codes": [
        "S0504"
      ],
      "cost": "12.2200",
      "date": "2022-02-11",
      "quantity": 2,
      "diagnosis_codes": [
        "H52.10"
      ]
    },
    {
      "codes": [
        "V2781"
      ],
      "cost": "44.2100",
      "date": "2022-02-11",
      "quantity": 1,
      "diagnosis_codes": []
    }
  ],
  "status": "ready",
  "paid_amount": "68.6500"
}

The claim object contains all the information required to send a claim to an insurer:

insurer
patient details
primary member details (can be same as patient details)
list of services

During claim submission, the API validates the claim payload against known insurer requirements and will reject claims that we know will be rejected by the insurer. However, this does not guarantee the opposite; a claim accepted by the API can still be rejected by the insurer. Insurers can change their claim requirements without notifying us. When this happens, as soon as we understand the new requirements, we will update the validation rules and inform you. It is advisable to be prepared to adopt the updated rules as quickly as possible.

Request Parameters

The main fields of claim are:

patient: JSON object, representing patient details
primary_member: JSON object, representing primary patient member
services: list of JSON objects, representing services that can be reimbursed

Both patient and primary_member must be provided even if the claim is created for a primary member. In this case, both the patient object and primary_member object must contain the same data.

Authorizations

Authorization

string

header

required

Your API token prefaced with an "Api" prefix. Example value: "Api B3F4242424E3FDB4242424242A9C7642"

Body

application/json

paid_amount

number<double>

required

Amount paid by patient for services in claim

services

object[]

required

List of services in claim

Required array length: 1 - 6 elements

Show child attributes

primary_member

object

required

Information about primary member (primary subscriber)

Show child attributes

patient

object

required

Information about patient

Show child attributes

is_aob_enabled

boolean

Whether to accept the assignment of the benefits. false by default

metadata

object

Allows to store arbitrary metadata within the claim. You should use patient.account_number to link claims to your system.

location_code

string

Identifies the location that the claim will be linked to. When this field is empty, the claim will be linked with the default location. Example: LOC4242B

Response

Claim created successfully

status

string

required

paid_amount

string<double>

required

code

string

required

services

object[]

required

Show child attributes

primary_member

object

required

Show child attributes

patient

object

required

Show child attributes

is_aob_enabled

boolean

metadata

object

⌘I

API Documentation

Authenticated API

Public API

Request Parameters

Authorizations

Body

Response

​Request Parameters

Authorizations

Body

Response

Request Parameters