Create Claim

POST {{baseUrl}}/api/v2/Claim?patient=<integer>&practiceId=<integer>&departmentId=<integer>

Overview:

Adds new claim records to the system, facilitating the seamless integration of updated billing information and supporting efficient creation and submission of medical claims.

This is only supported in ATHENA.

Use Cases:

• Clinical Quality Reporting: Register coded interventions

• Utilization Benchmarking: Transmit resource consumption

• Patient Financial Experience: Expose pre-adjudication estimates

Request Params

Request Body

{"context"=>{"requestId"=>"<string>", "source"=>"<string>", "quorum"=>"<boolean>", "notify"=>"<boolean>"}, "data"=>{"resourceType"=>"<string>", "id"=>"<string>", "patient"=>{"reference"=>"<string>"}, "status"=>"<string>", "created"=>"<dateTime>", "billablePeriod"=>{"end"=>"<dateTime>"}, "use"=>"<string>", "type"=>{"coding"=>[{"system"=>"<string>", "code"=>"<string>"}, {"system"=>"<string>", "code"=>"<string>"}]}, "provider"=>{"reference"=>"<string>"}, "insurance"=>[{"coverage"=>{"reference"=>"<integer>", "extension"=>[{"valueString"=>"<string>"}, {"valueString"=>"<string>"}]}}, {"coverage"=>{"reference"=>"<integer>", "extension"=>[{"valueString"=>"<string>"}, {"valueString"=>"<string>"}]}}], "procedure"=>[{"procedureCodeableConcept"=>{"coding"=>[{"code"=>"<string>", "display"=>"<string>"}, {"code"=>"<string>", "display"=>"<string>"}]}, "extension"=>[{"url"=>"<string>", "valueString"=>"<string>"}, {"url"=>"<string>", "valueString"=>"<string>"}]}, {"procedureCodeableConcept"=>{"coding"=>[{"code"=>"<string>", "display"=>"<string>"}, {"code"=>"<string>", "display"=>"<string>"}]}, "extension"=>[{"url"=>"<string>", "valueString"=>"<string>"}, {"url"=>"<string>", "valueString"=>"<string>"}]}], "diagnosis"=>[{"id"=>"<string>", "diagnosisCodeableConcept"=>{"coding"=>[{"system"=>"<string>", "code"=>"<string>", "display"=>"<string>"}, {"system"=>"<string>", "code"=>"<string>", "display"=>"<string>"}]}, "type"=>[{"text"=>"<string>"}, {"text"=>"<string>"}]}, {"id"=>"<string>", "diagnosisCodeableConcept"=>{"coding"=>[{"system"=>"<string>", "code"=>"<string>", "display"=>"<string>"}, {"system"=>"<string>", "code"=>"<string>", "display"=>"<string>"}]}, "type"=>[{"text"=>"<string>"}, {"text"=>"<string>"}]}], "extension"=>[{"url"=>"<string>", "valueInteger"=>"<integer>", "valueString"=>"<string>"}, {"url"=>"<string>", "valueInteger"=>"<integer>", "valueString"=>"<string>"}]}}

HEADERS

RESPONSES

status: OK

[{"context":{"requestId":"\u003cstring\u003e","source":"\u003cstring\u003e","quorum":"\u003cboolean\u003e","notify":"\u003cboolean\u003e"},"data":{"id":"\u003cinteger\u003e","status":"\u003cstring\u003e"}},{"context":{"requestId":"\u003cstring\u003e","source":"\u003cstring\u003e","quorum":"\u003cboolean\u003e","notify":"\u003cboolean\u003e"},"data":{"id":"\u003cinteger\u003e","status":"\u003cstring\u003e"}}]