Claim Note

Claim note feature allows the user to view, add, and modify notes documented in the claim for a patient.

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Endpoints

Primary

POST

Create new claim
notes

GET

View all notes for a
claim

PUT

Update/Override existing note for a
claim

Create new claim notes

POST

/v1/{practiceid}/claims/{claimid}/note

Creates a new note for a specific claim

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Input Parameters

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❙ required

practiceid integer practiceid

claimid integer claimid

Content-Type string Content type of the payload

❙ Request Body

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claimnote string The text of the note.

Output Parameters

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errormessage string If the operation failed, this will contain any error messages.

success string Whether the operation was successful.

Example Code

View all notes for a claim

GET

/v1/{practiceid}/claims/{claimid}/claimnotes

Retrieves the list of notes for a specific clinical document

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Input Parameters

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❙ required

practiceid integer practiceid

claimid integer claimid

showholdonly boolean Return only claimnotes that currently have a HOLD or HOLD-like status. Defaults to 'false'.

pendingflags string Select claimnotes based on pendingflag values. 'All' selects claimnotes with any pendingflag ('Y', 'O', 'N', or null); pending claimnotes have a pendingflag of 'Y'; overridden claimntoes have a pendingflag of 'O'. Default is 'All'.

Output Parameters

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athenakickcode string The athena-internal kick code used to bin biller-submitted kick codes into like groups

athenakickcodename string The name for the athena-internal kick code on this claim

claimnote string A user-entered value associated with this claim note

claimnoteid integer The athena-internal ID given to this claimnote

fixtext string A description of why the claim note is active and preventing the claim from dropping. Sometimes also includes instructions for fixing the problem causing the hold.

globalclaimruleid integer The athena-internal ID for a global rule on this claim note

globalclaimrulename string The athena-internal name for a global rule on this claim note

kickcode integer The kick code returned from the biller

kickcodename string The athena-internal name for a kick code on this claim

kickcodenextsteps string The next steps associated with this kick code

localclaimruleid integer The athena-internal ID for a local rule on this claim note

localclaimrulename string The athena-internal name for a local rule on this claim note

networkclaimruleid integer The athena-internal ID for a network rule on this claim note

networkclaimrulename string The athena-internal name for a network rule on this claim note

overrideable string Whether the claim is overridable. Either 'Y' or null

pendingflag string The status of whether this claim is pending. One of 'Y', 'N', 'O' or null

status string The claim status as a result of this claim note. Can be different across claim notes

Example Code

Update/Override existing note for a claim

PUT

/v1/{practiceid}/claims/{claimid}/claimnotes/override

Modifies an existing note for a specific claim

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