API Schema Example
The following table shows example of
- Request: A request with the correct structure and mandatory fields Submitted.
- Response: A response with the Case ID and ICN in it.
- A Response where no Claims were found.
| Request: | Response: - Not Found | Response: - Results Found |
{ "claimsInquiry": { "reasonForInquiry": "ERA", "inquiryTypeSelect": "Other", "claimsInquiryNotes": "Inquiry notes", "groupNumber": "", "exchangeIndicator": "", "attachmentURL": "www.google.com", "icnList": [ { "ID": "2019164P0000000200" } ], "claimHeader": { "billingProvider": { "nationalProviderIdentifier": "", "taxIdentificationNumber": "", "lastName": "", "address": [ { "addressLine1": "", "addressLine2": "", "city": "", "state": "", "postalCode": "" } ] }, "subscriber": { "ID": "", "firstName": "", "lastName": "" }, "patient": { "ID": "", "firstName": "", "lastName": "" }, "claimType": "", "claimStatus": "", "serviceFromDate": "", "serviceEndDate": "", "renderingProvider": { "ID": "" }, "planID": "", "totalChargeAmount": "", "paidAmount": "", "contractInformation": { "ID": "" }, "submittedDate": "" } } } | { "pxObjClass": "PegaHC-API", "claimsInquiry": { "pxObjClass": "PegaHC-Int-ClaimsInquiry", "statusCode": "200", "statusDesc": "NoClaimsFound" } } | { "pxObjClass": "PegaHC-API", "claimsInquiry": { "claimInquiryID": "CI-207", "pxObjClass": "PegaHC-Int-ClaimsInquiry", "status": "Pending-Review", "statusCode": "200", "statusDesc": "Success", "icnList": [ { "ID": "2019165P0000004700", "pxObjClass": "Embed-PegaHC-Stringlist", "Status": "ResultsFound" } ] } } |
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