Skip to main content
API Reference

Billing API

Claims submission, payment processing, and revenue cycle management.

Endpoints

POST/claimsSubmit claim
GET/claims/{id}Get claim status
GET/claims/{id}/eobGet explanation of benefits
POST/eligibility/verifyVerify insurance
POST/paymentsRecord payment
GET/remittanceGet ERA/835

Submit Claim

Request
POST /healthcare/v1/claims
Content-Type: application/json

{
  "patient_id": "patient_abc123",
  "encounter_id": "enc_xyz789",
  "payer_id": "payer_bcbs",
  "service_lines": [
    {
      "procedure_code": "99213",
      "diagnosis_codes": ["G44.209"],
      "units": 1,
      "charge_amount": 150.00,
      "service_date": "2024-12-04"
    }
  ],
  "provider_npi": "1234567890",
  "place_of_service": "11"
}

Claim Status Codes

Pending
Submitted
Paid
Denied

Next Steps

Patients API

Patient demographics

HIPAA Compliance

Security requirements