Claim-GET

Description

Retrieves detailed information on claims, enabling healthcare developers to access and display real-time data regarding the status and details of medical claims for streamlined financial management within clinical workflows.

Use Cases

Patient Billing Review: Surface historical billing
Revenue Cycle Monitoring: Download status snapshots
Fraud, Waste Abuse Screening: Access details requiring investigation

Request Sample

Athena

Elation

Canvas

cURL

JavaScript

Java

Python

Source Specific Details

EHR	APIs	mandatory filters	optional filters
Athena	`${url}/v1/${practiceId}/claims`	patient departmentId	created-start-date procedure-codes appointment service-end-date providerId departmentId created-end-date service-start-date include _count _offset
Canvas		patient

Filters

FilterName	Description	Default Value
_count	Pagination params
_offset	Pagination params. Athena: Starting point of entries; 0-indexed
appointment	appointment id
billable-end-month	billableendmonth
birthdate	The date of birth for the individual
created	The claim creation date, start of range, inclusive
created-end-date	The claim creation date, end of range, inclusive
departmentId	Identifier for the department
dob	The date of birth for the individual
first_name	first name
include	List of fields which needed to be shown in result
last_name	last name
name	name
patient	Patient reference for any fhir resource
practitioner	Practitioner reference for the any fhir resource
procedure-codes	procedure codes
provider	Will match either the provider or the supervising provider
quorum	sets sync/async mode	true
service-end-date	The service date, end of range, inclusive.
service-start-date	The service date, start of range, inclusive.

Claim Export-POST

Claim ID-DELETE