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Creates or deletes adjustments on a given claim

Submit claim data to get the Outpatient Prospective Payment System (OPPS) results for hospital outpatient services with this RESTful API using JSON.

Service is used to receive the attachment request submitted to Change Healthcare.

Service used to retrieve an attachment submitted to Change Healthcare. This can be used in combination wtih Attachments Submission.

Digitally submit supporting documentation for claims through this RESTful API using JSON. This API can be used as an alternative to the X12 275 transaction.

Check on the status of a submitted claim, in real time, with thousands of payers through this RESTful API using JSON. This API can be used as an alternative to the X12 276/277 claim status transaction.

Using artificial intelligence, Claims Lifecycle AI proactively identifies claims at risk for denial and provides a score for a particular payer’s likelihood to deny along with insight based on denial category.

Retrieve valuable claim responses and reports from payers to see claim status updates, remittance advice, and other acknowledgements in order to resolve errors and stay up to date with the most recent information.

Creates a claim in the Change Healthcare Payments system

A cloud-based interoperability solution for payers that want real-time access to the industry’s leading EHR systems, nationwide, to quickly and easily retrieve clinical documents.

An electronic prescription application for providers that want to save time and improve patient safety by connecting to pharmacies for secure prescription generation and routing.

A connectivity solution for healthcare systems that want to speed workflow with efficient, electronic order generation and results delivery between laboratories, hospitals, and physician practices.

Seamlessly check a member’s eligibility and health plan benefit details with thousands of payers through our proprietary RESTful API using JSON components. This transaction is an alternative to the ANSI X12 270-271.

Submit a claim for validation and submission to the clearinghouse. Validation will produce immediate feedback on the structure of the claim. Submit will validate and then submit to the payer if the claim is accepted

Two APIs necessary to understand and use the other APIs. The Who Am I API returns the PatientFhirID field, which is used to retrieve person-specific resources. The CapabilityStatement API describes the resources and endpoints in more detail.

The Explanation Of Benefit resource provides details on claims submitted by a provider, as well as details on final payer adjudication of each claim.

Provider-related resources include insurance plan information, locations, healthcare services, and networks required to deliver provider directory information. Provider directory information also includes pharmacies.

Free Interoperability Solution from Change Healthcare Connected Consumer Health™ Helps Health Plans Comply with CMS Mandates.

COVID-19 has dramatically increased the need for radiologists to read studies from home. Change Healthcare offers hardware bundles for Radiology Solutions™ seeking to augment remote reading capacity.

Multi-Functional API for pharmacy claims processing customers, for test claim pricing, and coupon/voucher maintenance functions, replacing legacy socket communication services.

Retrieves the claim details for claim or member and payer passed in the request

Patient Responsibility Estimator, or PRE for short, provides real-time estimates of patient out-of-pocket costs to healthcare providers.

Quickly and easily submit professional claims to payers through a RESTful API using JSON. This API can be used as the alternative to the X12 837P transaction.

Quickly and easily run validation for institutional claims requests through a RESTful API using JSON. This API also supports x12 Validation.

Quickly and easily run validation for professional claims requests through a RESTful API using JSON. This API also supports x12 Validation.

DEPRECATED: This API is used to obtain an access token, which is required to access other APIs on the platform.

This API is used to obtain an access token, which is required to access other APIs on the platform.

These solutions are designed to specifically address connectivity challenges faced by telehealth vendors to order lab tests and prescribe medications. Leverage our extensive network to streamline electronic order generation and results delivery and connect to our network of labs, pharmacies, and radiology sites.

This grouping of APIs is designed to specifically address challenges faced by telehealth vendors and patients. Streamline your patient intake process with APIs for eligibility checking, claims submission and status, as well as responses and reporting. Powered by AWS.

Retrieves payment transactions for a given claim