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

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.

This API returns a list of pharmacies within a given zip code range with the lowest price for a given NDC and suggests appropriate generic NDC options.

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

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.

Effortlessly check a patient’s pharmacy coverage for benefits details and pricing information for specific drugs with hundreds of payers through our RESTful API using JSON components.

Effortlessly check a patient’s pharmacy eligibility and obtain plan benefit details with hundreds of PBMs through our proprietary RESTful API using JSON components.

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.

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.

This implementation guide provides implementers with FHIR profiles and guidance to create, use, and share Clinical Notes. This guide is based on FHIR Version 3.0.1.

The Argonaut Data Query Implementation Guide is based upon the core FHIR DSTU2 API and documents security and authorization, data element query of the ONC Common Clinical Data Set and Document query of static documents.

The Argonaut project Provider Directory guide is based upon the FHIR STU3 API and contains the foundation for a robust provider directory. The components developed in this guide are intended to provide a foundation for a central or distributed Provider or Healthcare Directory.

The goal of the Argonaut Questionnaire Project is to develop guidance to support interchange of simple forms based on FHIR Version 3.0.1 and specifically the Questionnaire and QuestionnaireResponse resources.

The Argonaut Scheduling Project is a vendor agnostic specification providing FHIR RESTful APIs and guidance for access to and booking of appointments for patients by both patient and practitioner end users.

This specification describes a 'hook'-based pattern for invoking decision support from within a clinician's workflow. The API supports synchronous, workflow-triggered CDS calls returning information and suggestions as well as launching of a user-facing SMART app when CDS requires additional interaction.

The SMART App Launch Framework connects third-party applications to Electronic Health Record data, allowing apps to launch from inside or outside the user interface of an EHR system.