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Creates or deletes adjustments on a given claim

AllergyIntolerance API covers data regarding an individual’s allergy or intolerance. Covers data fields like clinicalStatus, verificationStatus, Code, Patient, Reations.

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.

Service is used to retrieve the attachment status submitted to Change Healthcare.

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.

The Capability Statement resource documents the functionality implemented from the HL7 FHIR standard.

CarePlan API covers assessment and plan of treatment data that is associated with a patient.

Care Team are the team people who participate in the delivery of care for a patient.

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.

Condition API covers detail information about condition, problem, diagnosis that have risen to a level of concern.

Diagnostic Report for Laboratory Results API covers information related to laboratory tests and laboratory results. This API is based upon FHIR DiagnosticReport resource.

Diagnostic Report for Notes Exchange API covers data related to patient diagnostic reports and note.

Document Reference API covers data related to patient document.

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.

An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

The Explanation Of Benefit (EOB) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. The Explanation of Benefit API data can be used for data analysis as this API covers data related to claims, Claims response, and coverage/Eligibility information.

The Manager for resources of type CoveragePlan: provides services to manage the collection of all the CoveragePlan instances.

The Manager for resources of type FormularyDrug: provides services to manage the collection of all the FormularyDrug instances.

The Goal API describes intended objective for a patient.

Immunization profile covers data related to patient current and historical vaccines and immunization event information across all healthcare disciplines.

Implantable Device API provides information regarding Unique Device Identification (UDI) that is associated with the patient.

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.

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.

These are the clinical resources that include patient-related information, administrative information, or infrastructure components used to support the technical exchange of information.

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

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

The two resources in this category can provide complete payer formulary information. Coverage information from the WhoAmI endpoint can retrieve details of a specific member’s plan formulary.

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

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

Laboratory Result Observation API represent the laboratory results of an individual.

Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

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.

The Manager for resources of type Medication: provides services to manage the collection of all the Medication instances

MedicationRequest API covers Information related to Patient medication profile. MedicationRequest API covers data related all provider prescribed, inpatient, and outpatient administered and patient self-prescribed medications list

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

Organization is a grouping of people or organizations with common purpose.

The Patient API provides general demographic information about a person receiving health care services from a specific organization.

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

Pediatric BMI for Age Observation API returns pediatric body mass index(BMI) per age and gender of a patient.

Pediatric Head Occipital-frontal Circumference Percentile API returns pediatric head occipital frontal circumference (OFC) percentile observations of a patient

This profile defines how to represent Weight-for-heigth per age and gender observations in FHIR using a standard LOINC code and UCUM units of measure.

Provide technical details related to Endpoints that is used for electronic services.

Plan Net Healthcare Service API covers data related to a HealthCare Service and services provided by an organization at a specific location.

Plan Net Insurance Plan API covers detail data of a Health Insurance product and plan provided by an Organization.

Plan Net Location API covers detail data and position of the physical place.

A network is a group of Health care provider which provide services through health insurance carrier (via an HMO, EPO, or PPO).

Organization Affiliation defines a relation between two separate business entities. OrganizationAffiliation API consist data of affiliated organization and specialty of the participating organization.

Organization is a grouping of people or organizations with common purpose.

A Practitioner is an individual who is licensed to provide Health care services to an individual. The Practitioner API covers demographic data of an individual.

Plan Net Practitioner Role API covers data related to type of services that a practitioner provides for an organization.

A Practitioner is an individual who is licensed to provide Health care services to an individual. The Practitioner API covers demographic data of an individual.

Practitioner Role API covers data related to type of services that a practitioner provides for an organization.

Procedure API covers data related to patient current and historical procedure details.

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.

The Manager for resources of type Provenance: provides services to manage the collection of all the Provenance instances.

This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile

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.

Smoking Status Observation API returns the smoking status data that are associated with a patient.

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

Vital Signs API returns vital signs observation data that is associated with a patient.

The WhoAmI API covers user profile data arrived in the roster file. From users Basic Profile information like name, email, phone, dependent information etc. to Detailed Profile and Full Profile – like race, ethnicity, sex, dependent information, users payer information, Group Number, Policy number, Plan Name etc.