CAcairhealth

POST /api/optimizer-x12-denials

Changed on

Processes X12 denials and returns associated claim IDs.

Request

  • Base URL
    https://forecaster.cairhealth.com
  • URL
    https://forecaster.cairhealth.com/api/optimizer-x12-denials
  • Auth
    HTTP bearer

Request body

edistring[] required

Array of EDI strings to be processed. Each string should be either a valid 837 or 835 EDI transaction, with the ISA headers included. The order of the edi strings does not matter, but the Cair Optimizer will only process 837s for which there exists a matching 835 somewhere else in the request.

patientControlNumbersstring[]

Array of patient control numbers. Optional, only use if you want to kick off the optimizer for only the claims with these PCNs

Response

Array of objects containing data of processed claims.

idstring

Unique identifier for the claim. The ID returned can be used to poll for results using the Poll Optimizer Results API. Output can also be configured to be sent through webhooks using Webhook Delivery.

patientControlNumberstring

Control number assigned to the patient. This is extracted from your EDI and is a unique identifier for the claim.

apiStatusstring

Status of the API processing for the claim. Typically at this point the response will be PROCESSING_EDI. Refer to API Status for possible values

createdAtstring date-time

Timestamp when the claim was created

Changes