Patient Insurance Eligibility Information

The Patient Insurance Eligibility Information feature allows the user to add and receive eligibility information on specific patient insurances.

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Endpoints

Get patient's insurance benefit-details
GET
/v1/{practiceid}/patients/{patientid}/insurances/{insuranceid}/benefitdetails

Retrieves eligibility information for a specific insurance

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Input Parameters

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❙ required

practiceid integer practiceid
patientid integer patientid
insuranceid integer insuranceid
servicetypecode string STC Code for which we are checking the eligibility

Output Parameters

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ansi271 string 271 data from the payer.
lastcheckdate string The last time we did an eligibilty check for this patient.
Example Code
Create patient's insurance benefit-details
POST
/v1/{practiceid}/patients/{patientid}/insurances/{insuranceid}/benefitdetails

Send eligibility check for a specific insurance

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Input Parameters

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❙ required

practiceid integer practiceid
patientid integer patientid
insuranceid integer insuranceid
Content-Type string Content type of the payload

❙ Request Body

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servicetypecode string STC Code for which we are checking the eligibility

Output Parameters

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message string If success/error message with more detail.
success string True if operation was sucessful, false otherwise.
Example Code