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.
{ "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" } ] }Request: Response: - Not Found Response: - Results Found
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