Beta

Get insurance adjudication

GET

/api/insurance-adjudications/v1/:insurance_adjudication_id

GET

1 curl https://api.joincandidhealth.com/api/insurance-adjudications/v1/d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32 \
2      -H "Authorization: Bearer <token>"

Play

200Retrieved

1 {
2   "insurance_adjudication_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
3   "payer_uuid": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
4   "check_date": "2023-01-01",
5   "claims": {
6     "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32": [
7       {
8         "claim_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
9         "service_lines": {
10           "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32": [
11             {
12               "service_line_adjudication_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
13               "carcs": [
14                 {
15                   "group_code": "CO",
16                   "reason_code": "1",
17                   "amount_cents": 0
18                 }
19               ],
20               "rarcs": [
21                 {
22                   "reason_code": "M1"
23                 }
24               ],
25               "denial_reason": "Authorization Required",
26               "insurance_allowed_amount_cents": 0,
27               "insurance_paid_amount_cents": 0,
28               "deductible_amount_cents": 0,
29               "coinsurance_amount_cents": 0,
30               "copay_amount_cents": 0
31             }
32           ]
33         },
34         "carcs": [
35           {
36             "group_code": "CO",
37             "reason_code": "1",
38             "amount_cents": 0
39           }
40         ],
41         "insurance_allowed_amount_cents": 0,
42         "insurance_paid_amount_cents": 0,
43         "charge_amount_cents": 0,
44         "payer_claim_number": "string"
45       }
46     ]
47   },
48   "post_date": "2023-01-01",
49   "check_number": "string",
50   "note": "string"
51 }

Retrieves a previously created insurance adjudication by its insurance_adjudication_id.

Path parameters

insurance_adjudication_idUUIDRequired

Response

This endpoint returns an object.

insurance_adjudication_idUUID

payer_uuidUUID

check_datedate

claimsmap from UUIDs to lists of objects

post_datedateOptional

check_numberstringOptional

notestringOptional

Path parameters

Headers

Response