POST API Request Mapping
The following table shows the POST API Request Fields and Corresponding SCE Class and Property Mapping.
Request Parameter SCE Class SCE Property Property Type API Class Api Property Data Type Is Mandatory Claims inquiry reason code PegaHC-CLM-Work-Claimsinquiry ReasonForInquiry Text PegaHC-API claimsInquiry.reasonForInquiry String Yes PegaHC-CLM-Work-Claimsinquiry ReasonForInquiryOther Text PegaHC-API claimsInquiry.reasonForInquiryOther String No Claims Inquiry type PegaHC-CLM-Work-Claimsinquiry InquiryTypeSelect Text PegaHC-API claimsInquiry.inquiryTypeSelect String Yes PegaHC-CLM-Work-Claimsinquiry InquiryTypeSelectOther Text PegaHC-API claimsInquiry.inquiryTypeSelectOther String No Inquiry Notes PegaHC-CLM-Work-Claimsinquiry ClaimsInquiryNotes Text PegaHC-API claimsInquiry.claimsInquiryNotes String No ICN's PegaHC-CLM-Work-Claimsinquiry ICNList().ID Pagelist PegaHC-API claimsInquiry.icnList().ID String Conditional BillingProviderNPI PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.NationalProviderIdentifier Text PegaHC-API claimsInquiry.claimHeader.billingProvider.nationalProviderIdentifier String Conditional BillingProviderTaxID PegaHC-CLM-Work BillingProviderNumber Text PegaHC-API claimsInquiry.claimHeader.billingProvider.taxIdentificationNumber String Conditional BillingProviderLastName PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.pyLastName Text PegaHC-API claimsInquiry.claimHeader.billingProvider.lastName String No BillingProviderAddressLine1 PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.PracticeAddress().AddressLine1 Text PegaHC-API claimsInquiry.claimHeader.billingProvider.address().addressLine1 String No BillingProviderAddressLine2 PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.PracticeAddress().AddressLine2 Text PegaHC-API claimsInquiry.claimHeader.billingProvider.address().addressLine2 String No BillingProviderCity PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.PracticeAddress().City Text PegaHC-API claimsInquiry.claimHeader.billingProvider.address().city String No BillingProviderState PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.PracticeAddress().State Text PegaHC-API claimsInquiry.claimHeader.billingProvider.address().state String No BillingProviderZip PegaHC-CLM-Work-Claimsinquiry Claim.BillingEntity.PracticeAddress().PostalCode Text PegaHC-API claimsInquiry.claimHeader.billingProvider.address().postalCode String No SubscriberID PegaHC-CLM-Work SubscriberNumber Text PegaHC-API claimsInquiry.claimHeader.subscriber.ID String Conditional SubscriberFirstName PegaHC-CLM-Work-Claimsinquiry Claim.Subscriber.pyFirstName Text PegaHC-API claimsInquiry.claimHeader.subscriber.firstName String No SubscriberLastName PegaHC-CLM-Work-Claimsinquiry Claim.Subscriber.pyLastName Text PegaHC-API claimsInquiry.claimHeader.subscriber.lastName String No PatientID PegaHC-CLM-Work PatientNumber Text PegaHC-API claimsInquiry.claimHeader.patient.ID String Conditional PatientFirstName PegaHC-CLM-Work-Claimsinquiry Claim.Patient.pyFirstName Text PegaHC-API claimsInquiry.claimHeader.patient.firstName String No PatientLastName PegaHC-CLM-Work-Claimsinquiry Claim.Patient.pyLastName Text PegaHC-API claimsInquiry.claimHeader.patient.lastName String No Claim type PegaHC-CLM-Work-Claimsinquiry Claim.ClaimType Text PegaHC-API claimsInquiry.claimHeader.claimType String No Claim total charge amount PegaHC-CLM-Work-Claimsinquiry Claim.TotalClaimChargeAmount Decimal PegaHC-API claimsInquiry.claimHeader.totalChargeAmount String No Claim total paid amount PegaHC-CLM-Work-Claimsinquiry Claim.TotalClaimPaidAmount Decimal PegaHC-API claimsInquiry.claimHeader.paidAmount String No Status PegaHC-CLM-Work-Claimsinquiry Claim.ClaimStatus Text PegaHC-API claimsInquiry.claimHeader.claimStatus String No ServiceDateFrom PegaHC-CLM-Work-Claimsinquiry Claim.ServiceFromDate Date PegaHC-API claimsInquiry.claimHeader.serviceFromDate String No ServiceDateTo PegaHC-CLM-Work-Claimsinquiry Claim.ServiceToDate Date PegaHC-API claimsInquiry.claimHeader.serviceEndDate String No Submission date PegaHC-CLM-Work-Claimsinquiry Claim.SubmittedDate Date PegaHC-API claimsInquiry.claimHeader.submittedDate String No Rendering provider NPI PegaHC-CLM-Work RenderingProviderNumber Text PegaHC-API claimsInquiry.claimHeader.renderingProvider.ID String No Plan ID PegaHC-CLM-Work-Claimsinquiry Claim.Patient.PlanName Text PegaHC-API claimsInquiry.claimHeader.planID String No Contract ID PegaHC-CLM-Work ContractID Text PegaHC-API claimsInquiry.claimHeader.contractInformation.ID String No Attachment URL Work- pyURL String PegaHC-API claimsInquiry.attachmentURL String No Group Number PegaHC-CLM-Work GroupNumber Text PegaHC-API claimsInquiry.groupNumber String No Exchange Indicator PegaHC-CLM-Work-Claimsinquiry ExchangeIndicator Text PegaHC-API claimsInquiry.exchangeIndicator String No
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