> For clean Markdown of any page, append .md to the page URL. > For a complete documentation index, see https://docs.joincandidhealth.com/llms.txt. > For AI client integration (Claude Code, Cursor, etc.), connect to the MCP server at https://docs.joincandidhealth.com/_mcp/server. # Create insurance refund POST https://api.joincandidhealth.com/api/insurance-refunds/v1 Content-Type: application/json Creates a new insurance refund record and returns the newly created `InsuranceRefund` object. The allocations can describe whether the refund is being applied toward a specific service line, claim, or billing provider. Reference: https://docs.joincandidhealth.com/api-reference/insurance-refunds/v-1/create ## Authentication - OAuth2 — send the obtained token as `Authorization: Bearer ` ## Servers - `https://api.joincandidhealth.com` (Production, default) - `https://api-staging.joincandidhealth.com` (Staging) - `https://sandbox-api.joincandidhealth.com` (CandidSandbox) - `https://staging-api.joincandidhealth.com` (CandidStaging) - `http://localhost:5050` (Local) ## Request ### Body (application/json) This endpoint expects an InsuranceRefundCreate. - `payer_identifier` (PayerIdentifier, required) - `amount_cents` (integer, required) - `allocations` (list of AllocationCreate, required) - `refund_timestamp` (datetime, optional) - `refund_note` (string, optional) - `refund_reason` (enum, optional) - Allowed values: `OVERCHARGED`, `ENTERED_IN_ERROR`, `TRANSFER` ## Response ### 200 - `insurance_refund_id` (UUID, required) - `payer` (Payer, required) - `amount_cents` (integer, required) - `allocations` (list of Allocation, required) - `refund_timestamp` (datetime, optional) - `refund_note` (string, optional) - `refund_reason` (enum, optional) - Allowed values: `OVERCHARGED`, `ENTERED_IN_ERROR`, `TRANSFER` ## Errors ### 404 Entity Not Found Error - `errorName` ("EntityNotFoundError", required) - `content` (EntityNotFoundErrorMessage, required) ### 403 Unauthorized Error - `errorName` ("UnauthorizedError", required) - `content` (UnauthorizedErrorMessage, required) ### 422 Unprocessable Entity Error - `errorName` ("UnprocessableEntityError", required) - `content` (UnprocessableEntityErrorMessage, required) ## Types ### PayerIdentifier - `type`: `payer_info` - `payer_id` (string, required) - `payer_name` (string, required) - `type`: `payer_uuid` - `value` (UUID, required) ### AllocationCreate Allocations are portions of payments that are applied to specific resources, known as targets. Each allocation has and amount, defined in cents, and a target. - `amount_cents` (integer, required) - `target` (AllocationTargetCreate, required) — Allocation targets describe whether the portion of a payment is being applied toward a specific service line, claim, billing provider, or is unallocated. - `earmark` (AllocationEarmarkType, optional) — If enabled for your organization, optional earmarking configuration for patient prepayments. When provided on unattributed allocations, holds the payment for future auto-allocation to matching encounters. ### Payer - `payer_uuid` (UUID, required) — Auto-generated ID set on creation. - `payer_id` (string, required) — The primary national payer ID of the payer. - `payer_name` (string, required) — The primary display name of the payer. - `availity_payer_name` (string, optional) — The name of the payer as it appears in Availity. - `availity_claims_payer_id` (string, optional) — The ID of the payer as it appears in Availity. - `availity_eligibility_id` (string, optional) — The eligibility ID of the payer as it appears in Availity. - `availity_remittance_payer_id` (string, optional) — The remittance ID of the payer as it appears in Availity. - `street_address` (StreetAddressLongZip, optional) ### Allocation - `amount_cents` (integer, required) - `target` (AllocationTarget, required) — Allocation targets describe whether the portion of a payment is being applied toward a specific service line, claim, billing provider, or is unallocated. - `allocation_id` (UUID, optional) - `earmark` (BalanceEarmark, optional) — The active earmark created by this allocation, if any. Only present when this allocation created an earmark for future auto-allocation and the earmark has not been deleted. - `allocated_on` (datetime, optional) ### EntityNotFoundErrorMessage - `id` (string, required) ### UnauthorizedErrorMessage - `message` (string, optional) ### UnprocessableEntityErrorMessage - `message` (string, optional) ### AllocationTargetCreate Allocation targets describe whether the portion of a payment is being applied toward a specific service line, claim, billing provider, or is unallocated. - `type`: `service_line_by_id` - `value` (UUID, required) - `type`: `claim_by_id` - `value` (UUID, required) - `type`: `claim_by_encounter_external_id` - `value` (string, required) - `type`: `billing_provider_by_id` - `value` (UUID, required) - `type`: `appointment_by_id_and_patient_external_id` - `appointment_id` (string, required) - `patient_external_id` (string, required) - `type`: `unattributed` ### AllocationEarmarkType If enabled for your organization, defines how a patient prepayment allocation should be earmarked for future auto-allocation. Earmarks hold the allocation until a matching encounter is created, then attempt to allocate to that encounter. Only applicable for unattributed allocations. - `type`: `date_of_service` - `value` (string, required) — ISO 8601 date; formatted YYYY-MM-DD (i.e. 2012-02-01) - `type`: `external_encounter_id` - `value` (string, required) ### StreetAddressLongZip - `address1` (string, required) - `city` (string, required) - `state` (enum, required) - Allowed values: `AA`, `AE`, `AP`, `AL`, `AK`, `AS`, `AZ`, `AR`, `CA`, `CO`, `CT`, `DC`, `DE`, `FL`, `FM`, `GA`, `GU`, `HI`, `ID`, `IL`, `IN`, `IA`, `KS`, `KY`, `LA`, `ME`, `MD`, `MA`, `MH`, `MI`, `MN`, `MP`, `MS`, `MO`, `MT`, `NE`, `NV`, `NH`, `NJ`, `NM`, `NY`, `NC`, `ND`, `OH`, `OK`, `OR`, `PA`, `PR`, `PW`, `RI`, `SC`, `SD`, `TN`, `TX`, `UT`, `VI`, `VT`, `VA`, `WA`, `WV`, `WI`, `WY`, `FC` - `zip_code` (string, required) — 5-digit zip code - `zip_plus_four_code` (string, required) — 4-digit zip add-on code https://en.wikipedia.org/wiki/ZIP_Code#ZIP+4 - `address2` (string, optional) ### AllocationTarget Allocation targets describe whether the portion of a payment is being applied toward a specific service line, claim, billing provider, or is unallocated. - `type`: `service_line` - `claim_id` (UUID, required) - `encounter_id` (UUID, required) - `service_line_id` (UUID, required) - `type`: `claim` - `claim_id` (UUID, required) - `encounter_id` (UUID, required) - `type`: `billing_provider_id` - `billing_provider_id` (UUID, required) - `type`: `appointment` - `appointment_id` (string, required) - `patient_external_id` (string, required) - `type`: `unattributed` ### BalanceEarmark Represents an active balance earmarking record that holds allocated funds for future auto-allocation. Earmarks are created when funds are allocated but should be held for a specific encounter or date of service. Only active (non-deleted) earmarks are returned. - `id` (UUID, required) - `target` (AllocationEarmarkType, required) — The target for this earmark (date of service or external encounter ID) - `amount_earmarked_cents` (integer, optional) — The amount earmarked in cents for future allocation - `created_by_allocation_id` (UUID, optional) — The ID of the allocation that created this earmark ## Examples **Request** ```json { "payer_identifier": { "type": "payer_info", "payer_id": "payer_id", "payer_name": "payer_name" }, "amount_cents": 1, "allocations": [ { "amount_cents": 1, "target": { "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" } }, { "amount_cents": 1, "target": { "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" } } ] } ``` **Response** ```json { "insurance_refund_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "payer": { "payer_uuid": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "payer_id": "payer_id", "payer_name": "payer_name", "availity_payer_name": "availity_payer_name", "availity_claims_payer_id": "availity_claims_payer_id", "availity_eligibility_id": "availity_eligibility_id", "availity_remittance_payer_id": "availity_remittance_payer_id", "street_address": { "address1": "address1", "city": "city", "state": "AA", "zip_code": "zip_code", "zip_plus_four_code": "zip_plus_four_code", "address2": "address2" } }, "amount_cents": 1, "allocations": [ { "amount_cents": 1, "target": { "type": "service_line", "claim_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "service_line_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" }, "allocation_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "earmark": { "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "target": { "type": "date_of_service", "value": "target" }, "amount_earmarked_cents": 1, "created_by_allocation_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" }, "allocated_on": "2024-01-15T09:30:00Z" }, { "amount_cents": 1, "target": { "type": "service_line", "claim_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "service_line_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" }, "allocation_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "earmark": { "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "target": { "type": "date_of_service", "value": "target" }, "amount_earmarked_cents": 1, "created_by_allocation_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" }, "allocated_on": "2024-01-15T09:30:00Z" } ], "refund_timestamp": "2024-01-15T09:30:00Z", "refund_note": "refund_note", "refund_reason": "OVERCHARGED" } ``` **SDK Code** ```python import requests url = "https://api.joincandidhealth.com/api/insurance-refunds/v1" payload = { "payer_identifier": { "type": "payer_info", "payer_id": "payer_id", "payer_name": "payer_name" }, "amount_cents": 1, "allocations": [ { "amount_cents": 1, "target": { "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" } }, { "amount_cents": 1, "target": { "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" } } ] } headers = { "Authorization": ".", "Content-Type": "application/json" } response = requests.post(url, json=payload, headers=headers) print(response.json()) ``` ```javascript const url = 'https://api.joincandidhealth.com/api/insurance-refunds/v1'; const options = { method: 'POST', headers: {Authorization: '.', 'Content-Type': 'application/json'}, body: '{"payer_identifier":{"type":"payer_info","payer_id":"payer_id","payer_name":"payer_name"},"amount_cents":1,"allocations":[{"amount_cents":1,"target":{"type":"service_line_by_id","value":"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32"}},{"amount_cents":1,"target":{"type":"service_line_by_id","value":"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32"}}]}' }; try { const response = await fetch(url, options); const data = await response.json(); console.log(data); } catch (error) { console.error(error); } ``` ```go package main import ( "fmt" "strings" "net/http" "io" ) func main() { url := "https://api.joincandidhealth.com/api/insurance-refunds/v1" payload := strings.NewReader("{\n \"payer_identifier\": {\n \"type\": \"payer_info\",\n \"payer_id\": \"payer_id\",\n \"payer_name\": \"payer_name\"\n },\n \"amount_cents\": 1,\n \"allocations\": [\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n },\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n }\n ]\n}") req, _ := http.NewRequest("POST", url, payload) req.Header.Add("Authorization", ".") req.Header.Add("Content-Type", "application/json") res, _ := http.DefaultClient.Do(req) defer res.Body.Close() body, _ := io.ReadAll(res.Body) fmt.Println(res) fmt.Println(string(body)) } ``` ```ruby require 'uri' require 'net/http' url = URI("https://api.joincandidhealth.com/api/insurance-refunds/v1") http = Net::HTTP.new(url.host, url.port) http.use_ssl = true request = Net::HTTP::Post.new(url) request["Authorization"] = '.' request["Content-Type"] = 'application/json' request.body = "{\n \"payer_identifier\": {\n \"type\": \"payer_info\",\n \"payer_id\": \"payer_id\",\n \"payer_name\": \"payer_name\"\n },\n \"amount_cents\": 1,\n \"allocations\": [\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n },\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n }\n ]\n}" response = http.request(request) puts response.read_body ``` ```java import com.mashape.unirest.http.HttpResponse; import com.mashape.unirest.http.Unirest; HttpResponse response = Unirest.post("https://api.joincandidhealth.com/api/insurance-refunds/v1") .header("Authorization", ".") .header("Content-Type", "application/json") .body("{\n \"payer_identifier\": {\n \"type\": \"payer_info\",\n \"payer_id\": \"payer_id\",\n \"payer_name\": \"payer_name\"\n },\n \"amount_cents\": 1,\n \"allocations\": [\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n },\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n }\n ]\n}") .asString(); ``` ```php request('POST', 'https://api.joincandidhealth.com/api/insurance-refunds/v1', [ 'body' => '{ "payer_identifier": { "type": "payer_info", "payer_id": "payer_id", "payer_name": "payer_name" }, "amount_cents": 1, "allocations": [ { "amount_cents": 1, "target": { "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" } }, { "amount_cents": 1, "target": { "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" } } ] }', 'headers' => [ 'Authorization' => '.', 'Content-Type' => 'application/json', ], ]); echo $response->getBody(); ``` ```csharp using RestSharp; var client = new RestClient("https://api.joincandidhealth.com/api/insurance-refunds/v1"); var request = new RestRequest(Method.POST); request.AddHeader("Authorization", "."); request.AddHeader("Content-Type", "application/json"); request.AddParameter("application/json", "{\n \"payer_identifier\": {\n \"type\": \"payer_info\",\n \"payer_id\": \"payer_id\",\n \"payer_name\": \"payer_name\"\n },\n \"amount_cents\": 1,\n \"allocations\": [\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n },\n {\n \"amount_cents\": 1,\n \"target\": {\n \"type\": \"service_line_by_id\",\n \"value\": \"d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32\"\n }\n }\n ]\n}", ParameterType.RequestBody); IRestResponse response = client.Execute(request); ``` ```swift import Foundation let headers = [ "Authorization": ".", "Content-Type": "application/json" ] let parameters = [ "payer_identifier": [ "type": "payer_info", "payer_id": "payer_id", "payer_name": "payer_name" ], "amount_cents": 1, "allocations": [ [ "amount_cents": 1, "target": [ "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" ] ], [ "amount_cents": 1, "target": [ "type": "service_line_by_id", "value": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" ] ] ] ] as [String : Any] let postData = JSONSerialization.data(withJSONObject: parameters, options: []) let request = NSMutableURLRequest(url: NSURL(string: "https://api.joincandidhealth.com/api/insurance-refunds/v1")! as URL, cachePolicy: .useProtocolCachePolicy, timeoutInterval: 10.0) request.httpMethod = "POST" request.allHTTPHeaderFields = headers request.httpBody = postData as Data let session = URLSession.shared let dataTask = session.dataTask(with: request as URLRequest, completionHandler: { (data, response, error) -> Void in if (error != nil) { print(error as Any) } else { let httpResponse = response as? HTTPURLResponse print(httpResponse) } }) dataTask.resume() ```