API Schema Model
The Request and Response models resides in PegaHC-API class as properties with names:
- Request: - claimsInquiry (PegaHC-Int-ClaimsInquiry)
- Response: - claimsInquiry (PegaHC-Int-ClaimsInquiry)
{ "claimsInquiry": { "reasonForInquiry":
(string), "inquiryTypeSelect": (string),
"claimsInquiryNotes": (string), "groupNumber":
(string), "exchangeIndicator": (string),
"attachmentURL": (string), "icnList":
[ { "ID": (string) } ],
"claimHeader": { "billingProvider": {
"nationalProviderIdentifier": (string),
"taxIdentificationNumber": (string), "lastName":
(string), "address": [ { "addressLine1":
(string), "addressLine2": (string), "city":
(string), "state": (string), "postalCode":
(string) } ] }, "subscriber":
{ "ID": (string), "firstName":
(string), "lastName": (string) },
"patient": { "ID": (string), "firstName":
(string), "lastName": (string) },
"claimType": (string), "claimStatus": (string),
"serviceFromDate": (string), "serviceEndDate":
(string), "renderingProvider": { "ID":
(string) }, "planID": (string),
"totalChargeAmount": (string), "paidAmount":
(string), "contractInformation": { "ID":
(string) }, "submittedDate": (string)
} } { "claimsInquiry": { "claimInquiryID":
(string), "status": (string), "statusCode":
(string), "statusDesc": (string), "icnList":
[ { "ID": (string), "Status":
(string) } ] }Request Response
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