Claims

Create a claim

post/v1/claims

Request

  • Base URL: https://api.health.curacel.co/api
  • URL: https://api.health.curacel.co/api/v1/claims
  • Auth: HTTP bearer

Request body

hmo_codestring

Required only for Provider / EMR integrations

The human friendly unique code of the Insurer who should receive this claim.

See insurer list endpoint for available Insurers

hmo_idnumber

The ID of the Insurer who should receive this claim. Used when hmo_code is not supplied

provider_codestring

Required for Insurer / HMO integrations only. This is the unique code/ID with which you(The Insurer) identify the provider within your database. NB: This code must be attached to the provider on your curacel account.

encounter_datestring date required

The date of the patient’s visit to the provider.

admission_datestring date

If the patient was admitted, date admission started.

discharge_datestring date

If the patient was admitted, date of discharge.

pa_codestring

Pre-authorization code for the claim.

is_draftboolean

Applies only to Provider / EMR integrations Always false for HMO / Insurer integrations

Determines whether the claim should be created as a draft (true) or submitted to the HMO immediately (false) after successful creation. Creating as a draft would make it possible to review and edit the claim on the curacel platform before final submission to the HMO.

refstring

Required for insurer / HMO integrations

Unique identifier for the claim as is on the source system. E.g it’s ID

auto_vetboolean

Insurer / HMO integrations only.

When true, the claim would be passed through the Curacel auto-vetting engine after successful creation.

create_missing_tariffsboolean

Insurer / HMO integrations only.

When true, new tariffs would be automatically created for items that have no match. They would be created under the account of the provider to which the claim belongs.

attachmentsinteger[]

An optional array of IDs of previously/already created attachments. Supplied Attachments must be owned by caller's organization.

Response

Success

idinteger

The ID of the created claim.

Changes

No recorded changes to this operation across all 1 revision of this API.