Create Explanation of Benefit

POST {{baseUrl}}/api/v2/ExplanationOfBenefit

Overview:

Adds new insurance claim records to the system, facilitating the seamless integration of updated financial and coverage-related information and supporting efficient processing of claims within healthcare applications.

Use Cases:

• Submit New Claim: Initiate a new reimbursement claim

• Post Reimbursement Data: Add reimbursement information

• Record Adjudication Results: Store results of claim adjudication

• Document Benefit Explanations: Add explanations for benefits

• Log Payment Information: Record payment details for a claim

Request Body

{"context"=>{"departmentId"=>"<string>"}, "data"=>{"resourceType"=>"ExplanationOfBenefit", "identifier"=>[{"value"=>"<string>", "type"=>{"text"=>"<string>"}}, {"value"=>"<string>", "type"=>{"text"=>"<string>"}}], "status"=>"draft", "use"=>"claim", "outcome"=>"complete", "insurance"=>[{"coverage"=>{"reference"=>"<string>"}, "extension"=>[{"url"=>"<string>", "valueString"=>"<string>"}, {"url"=>"<string>", "valueString"=>"<string>"}]}, {"coverage"=>{"reference"=>"<string>"}, "extension"=>[{"url"=>"<string>", "valueString"=>"<string>"}, {"url"=>"<string>", "valueString"=>"<string>"}]}], "provider"=>{"reference"=>"<string>"}, "extension"=>[{"url"=>"<string>", "valueString"=>"<string>", "valueBoolean"=>"<boolean>"}, {"url"=>"<string>", "valueString"=>"<string>", "valueBoolean"=>"<boolean>"}], "patient"=>{"reference"=>"<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"}}