Get insurance adjudication

Beta

GET

/api/insurance-adjudications/v1/:insurance_adjudication_id

GET

/api/insurance-adjudications/v1/:insurance_adjudication_id

1 import requests
2 
3 url = "https://api.joincandidhealth.com/api/insurance-adjudications/v1/d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32"
4 
5 headers = {"Authorization": "<token>."}
6 
7 response = requests.get(url, headers=headers)
8 
9 print(response.json())

Try it

200Retrieved

1 {
2   "insurance_adjudication_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
3   "payer_uuid": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
4   "check_date": "2023-01-15",
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": 1
18                 },
19                 {
20                   "group_code": "CO",
21                   "reason_code": "1",
22                   "amount_cents": 1
23                 }
24               ],
25               "rarcs": [
26                 {
27                   "reason_code": "M1"
28                 },
29                 {
30                   "reason_code": "M1"
31                 }
32               ],
33               "denial_reason": "Authorization Required",
34               "insurance_allowed_amount_cents": 1,
35               "insurance_paid_amount_cents": 1,
36               "deductible_amount_cents": 1,
37               "coinsurance_amount_cents": 1,
38               "copay_amount_cents": 1
39             },
40             {
41               "service_line_adjudication_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
42               "carcs": [
43                 {
44                   "group_code": "CO",
45                   "reason_code": "1",
46                   "amount_cents": 1
47                 },
48                 {
49                   "group_code": "CO",
50                   "reason_code": "1",
51                   "amount_cents": 1
52                 }
53               ],
54               "rarcs": [
55                 {
56                   "reason_code": "M1"
57                 },
58                 {
59                   "reason_code": "M1"
60                 }
61               ],
62               "denial_reason": "Authorization Required",
63               "insurance_allowed_amount_cents": 1,
64               "insurance_paid_amount_cents": 1,
65               "deductible_amount_cents": 1,
66               "coinsurance_amount_cents": 1,
67               "copay_amount_cents": 1
68             }
69           ]
70         },
71         "carcs": [
72           {
73             "group_code": "CO",
74             "reason_code": "1",
75             "amount_cents": 1
76           },
77           {
78             "group_code": "CO",
79             "reason_code": "1",
80             "amount_cents": 1
81           }
82         ],
83         "insurance_allowed_amount_cents": 1,
84         "insurance_paid_amount_cents": 1,
85         "charge_amount_cents": 1,
86         "payer_claim_number": "payer_claim_number"
87       },
88       {
89         "claim_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
90         "service_lines": {
91           "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32": [
92             {
93               "service_line_adjudication_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
94               "carcs": [
95                 {
96                   "group_code": "CO",
97                   "reason_code": "1",
98                   "amount_cents": 1
99                 },
100                 {
101                   "group_code": "CO",
102                   "reason_code": "1",
103                   "amount_cents": 1
104                 }
105               ],
106               "rarcs": [
107                 {
108                   "reason_code": "M1"
109                 },
110                 {
111                   "reason_code": "M1"
112                 }
113               ],
114               "denial_reason": "Authorization Required",
115               "insurance_allowed_amount_cents": 1,
116               "insurance_paid_amount_cents": 1,
117               "deductible_amount_cents": 1,
118               "coinsurance_amount_cents": 1,
119               "copay_amount_cents": 1
120             },
121             {
122               "service_line_adjudication_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32",
123               "carcs": [
124                 {
125                   "group_code": "CO",
126                   "reason_code": "1",
127                   "amount_cents": 1
128                 },
129                 {
130                   "group_code": "CO",
131                   "reason_code": "1",
132                   "amount_cents": 1
133                 }
134               ],
135               "rarcs": [
136                 {
137                   "reason_code": "M1"
138                 },
139                 {
140                   "reason_code": "M1"
141                 }
142               ],
143               "denial_reason": "Authorization Required",
144               "insurance_allowed_amount_cents": 1,
145               "insurance_paid_amount_cents": 1,
146               "deductible_amount_cents": 1,
147               "coinsurance_amount_cents": 1,
148               "copay_amount_cents": 1
149             }
150           ]
151         },
152         "carcs": [
153           {
154             "group_code": "CO",
155             "reason_code": "1",
156             "amount_cents": 1
157           },
158           {
159             "group_code": "CO",
160             "reason_code": "1",
161             "amount_cents": 1
162           }
163         ],
164         "insurance_allowed_amount_cents": 1,
165         "insurance_paid_amount_cents": 1,
166         "charge_amount_cents": 1,
167         "payer_claim_number": "payer_claim_number"
168       }
169     ]
170   },
171   "post_date": "2023-01-15",
172   "check_number": "check_number",
173   "note": "note"
174 }

Retrieves a previously created insurance adjudication by its insurance_adjudication_id.

Authentication

AuthorizationBearer

OAuth authentication of the form <token>.

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_datedate or null

check_numberstring or null

notestring or null