Endpoints for billing and invoice management.
Add virtual Claim Attachment
This endpoint allows addition of an attachment associated with a claim
Add virtual Claim Attachment › Request Body
consent_tokendocument_typeintervention_codefile_blobAdd virtual Claim Attachment › Responses
Claim attachment added successfully
attachmentattachment_typeclaimdatadebug_datadescriptionidintervention_codelast_retryretry_counttitleRemove Virtual Claim Attachment
Removes a specific attachment from a virtual claim.
Remove Virtual Claim Attachment › Request Body
attachment_idconsent_tokenintervention_codeRemove Virtual Claim Attachment › Responses
Claim attachment removed successfully
@Description Response data payload containing operation details @Example {"status": "success"}
message@Description Success message describing the operation result @Example "Visit has been successfully started"
Add a diagnosis to an existing virtual claim.
Links a diagnosis to a specific intervention within a virtual claim. Uses ICD codes to capture the patient’s condition for billing and reporting purposes.
Add a diagnosis to an existing virtual claim. › Request Body
consent_tokenicd_codeintervention_codefacilityIDfacilityIDTypeAdd a diagnosis to an existing virtual claim. › Responses
diagnosis added successfully
claimclaim_diagnosis_iddiagnosisdiagnosis_codediagnosis_nameedi_claim_diagnosis_guidedi_claim_diagnosis_replicatedintervention_codeis_flagged_diagnosisis_inpatientoriginal_visit_datepatient_numberrecorded_onsite_codesite_code_typevisit_numberRemove Virtual Claim Diagnosis
Removes a diagnosis linked to a virtual claim for a specific beneficiary.
Remove Virtual Claim Diagnosis › Request Body
consent_tokenicd_codeintervention_codeRemove Virtual Claim Diagnosis › Responses
Claim diagnosis removed successfully
@Description Response data payload containing operation details @Example {"status": "success"}
message@Description Success message describing the operation result @Example "Visit has been successfully started"
Add billing line item to virtual claim.
Adds a line item to an existing virtual claim’s invoice. Requires intervention details, pricing, and quantity to record the service or item billed.
Add billing line item to virtual claim. › Request Body
consent_tokenintervention_codequantityscheme_codeunit_pricecharge_datefacilityIDfacilityIDTypeAdd billing line item to virtual claim. › Responses
Claim line item added successfully
attributesbill_frombill_tocharge_datediscountdiscount_reasondoctor_codedoctor_nameidintervention_codeinvoiceis_activeis_cancellationis_returnitem_codeitem_nameline_copayline_net_amountline_numberline_total_amountlinked_invoice_linemap_requestmap_request_descriptionmapped_slade_codenhif_rebate_amountpatient_discount_amountpatient_net_pricepmf_line_statusquantityscheme_codescheme_namesponsor_net_priceuhc_exceededunitunit_priceRemove Virtual Claim Line
Removes a specific claim line from a virtual claim using its GUID.
Remove Virtual Claim Line › Request Body
consent_tokenline_guidRemove Virtual Claim Line › Responses
Claim line removed successfully
@Description Response data payload containing operation details @Example {"status": "success"}
message@Description Success message describing the operation result @Example "Visit has been successfully started"
Edit Virtual Claim Line
Edit a virtual claim line item before resubmitting the invoice. This endpoint allows modification of unit price and quantity of a specific line item in a virtual claim after payer review.
Edit Virtual Claim Line › Request Body
claim_line_idquantityscheme_codeunit_priceEdit Virtual Claim Line › Responses
Claim line edited successfully
attributesbill_frombill_tocharge_datediscountdiscount_reasondoctor_codedoctor_nameidintervention_codeinvoiceis_activeis_cancellationis_returnitem_codeitem_nameline_copayline_net_amountline_numberline_total_amountlinked_invoice_linemap_requestmap_request_descriptionmapped_slade_codenhif_rebate_amountpatient_discount_amountpatient_net_pricepmf_line_statusquantityscheme_codescheme_namesponsor_net_priceuhc_exceededunitunit_priceResubmit a claim line
Resubmit a previously failed or rejected claim line for processing
Resubmit a claim line › Request Body
consent_tokenResubmit a claim line › Responses
Claim line resubmitted successfully
claim_line_idmessageresubmitted_atstatusPreview Claim
Previews a claim using the provided consent token before final submission. This allows the provider to verify claim details.
Preview Claim › Request Body
consent_tokenPreview Claim › Responses
Claim preview retrieved successfully
claim_attachments_countclaim_auth_statuscreated_by_namediagnoses_countidinvoice_attachments_countis_negativeis_zeromember_numbernumber_of_invoicespatient_namepatient_numberprovider_namescheme_codescheme_nameservice_typetotal_claim_amounttotal_claim_copaytotal_claim_discounttotal_claim_net_amounttotal_claim_splitsvisit_endvisit_startPreview Payer Claim
This endpoint allows the user to preview the claim that has been sennt to the payer. It provides a way to check the claim status as seen from payer.
query Parameters
guidClaim GUID
provider_claim_noProvider claim number
Preview Payer Claim › Responses
Payer claim preview retrieved successfully
attachments_countclaim_numbercopay_amountdiagnoses_countdiscount_amountestimated_processing_timeidmember_numbernet_amountnumber_of_invoicespatient_namepatient_numberpayer_claim_statuspayer_processing_notesprovider_namescheme_codescheme_nameservice_typetotal_amountvisit_endvisit_start