Medical Network Professional Claims v3

Number of APIs: 6

Professional (837P) transaction allows physicians and other medical service providers to submit healthcare claims for a medical service or encounter. A healthcare claim includes the following:

• Patient information
• Patient diagnoses, describing details about the patient's condition
• Any procedures performed and services rendered
• Information about all medical providers involved in the claim
• Listings of any related charges for services, procedures and products

1. Claim Validation POST https://{{url}}/medicalnetwork/professionalclaims/v3/validation

2. Claim Submission POST https://{{url}}/medicalnetwork/professionalclaims/v3/submission

3. Claim Validation x12 POST https://{{url}}/medicalnetwork/professionalclaims/v3/raw-x12-validation

4. Claim Submission x12 POST https://{{url}}/medicalnetwork/professionalclaims/v3/raw-x12-submission

5. Health Check GET https://{{url}}/medicalnetwork/professionalclaims/v3/healthcheck

6. Security Authorization Access Token POST https://{{url}}/apip/auth/v2/token