Check claim status - Sample Healthcare

curl --request POST \ --url https://api.example.com/api/v2/clearinghouse/claim-status \ --header 'Content-Type: application/json' \ --data ' { "tradingPartnerServiceId": "<string>", "providerNpi": "<string>", "subscriberFirstName": "<string>", "subscriberLastName": "<string>", "subscriberDateOfBirth": "<string>", "subscriberMemberId": "<string>", "payerClaimNumber": "<string>", "providerName": "<string>", "serviceFromDate": "<string>", "serviceToDate": "<string>" } '

Body

application/json

tradingPartnerServiceId

string

required

The Payer ID in our clearinghouse

providerNpi

string

required

The provider's NPI number

subscriberFirstName

string

required

The subscriber's first name

subscriberLastName

string

required

The subscriber's last name

subscriberDateOfBirth

string

required

The subscriber's date of birth (YYYY-MM-DD format)

Pattern: ^\d{4}-\d{2}-\d{2}$

subscriberMemberId

string

required

The subscriber's member ID

payerClaimNumber

string

The payer claim number (ICN) to check status for

providerName

string

The provider's organization name

serviceFromDate

string

The beginning date of service (YYYY-MM-DD format)

Pattern: ^\d{4}-\d{2}-\d{2}$

serviceToDate

string

The ending date of service (YYYY-MM-DD format)

Pattern: ^\d{4}-\d{2}-\d{2}$

Response

Claim status information from the payer including processing status and details