CAcairhealth

POST /api/eligibility/cob/v1

Changed on

Provides coordination of benefits (COB) information for a patient, including primary and secondary insurance details.

Request

  • Base URL
    https://forecaster.cairhealth.com
  • URL
    https://forecaster.cairhealth.com/api/eligibility/cob/v1
  • Auth
    HTTP bearer

Request body

patientFirstNamestring required

Patient first name

patientLastNamestring required

Patient last name

patientDOBstring

Patient Date of Birth, formatted as MM-DD-YYYY

patientMemberIdstring

Member ID of patient's insurance policy. For a successful check, you MUST provide either the member ID or the SSN.

patientSSNstring

Patient's Social Security Number. For a successful check, you MUST provide either the member ID or the SSN.

dateOfCoveragestring required

Date to request coverage information. Formatted as MM-DD-YYYY

payerIdstring required

Payer ID. Accepts either the Stedi Payer ID (e.g. 'KMQTZ', 'HGJLR') or the Primary Payer ID (e.g. '87726') from the platform or the Fetch Enrollments API

providerIdstring required

Billing Provider ID. Accepts either the CAIR logical provider ID (from /admin/provider/<id>) or the clearinghouse provider ID from the Fetch Enrollments API

dependentFirstNamestring

Dependent's first name if checking coverage for a dependent

dependentLastNamestring

Dependent's last name if checking coverage for a dependent

dependentDOBstring

Dependent's Date of Birth, formatted as MM-DD-YYYY

serviceTypeCodesstring[]

Service type codes to request coverage information for

Response

COB check successful

cobCodestring

Code indicating the type of coordination of benefits

Changes

  • b32380ccde9aRevision changes
    • info

      added the optional property to the response with the status

    • info

      added the optional property to the response with the status

    • info

      added the optional property to the response with the status