Insurance AdjudicationsV1

Get insurance adjudication

Beta

GET

Retrieves a previously created insurance adjudication by its insurance_adjudication_id.

Path parameters

insurance_adjudication_idUUIDRequired

Response

This endpoint returns an object

insurance_adjudication_id

UUID

payer_uuid

UUID

check_date

date

claims

map from UUIDs to lists of objects

post_date

dateOptional

check_number

stringOptional

note

stringOptional

GET

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

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 }

Built with

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

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	}