Payer Finder V1 API Parameters
Try Payer Finder APIs.
Payer Finder user interface (UI) and API parameters
| Parameter | Description |
|---|---|
parStatus | A valid parCode is required to get parStatus. |
parCode | An access code required to view the parStatus in the Payer Finder user interface (UI) and API📝 Contact Change Healthcare support for an access code. |
businessName | Labeled Payer Name. |
Alias | Labeled alternative Payer Name. |
serviceId | Labeled Payer ID. |
planType | One or more from Auto, Blue Cross Blue Shield, Commercial, Delta Dental, Dental, HMO, Medicaid, Medicaid MCO, Medicare, Medicare Advantage, Medicare Supplement, Transportation, Optical, Tricare/Champus, Work Comp. |
states | 📝 States match on both, a single entry and a comma-separated list. A wildcard match on either a single two-letter abbreviation or a comma-separated list of more than abbreviation. For example, states=FL would match records with a states value of FL and FL,GA,AL; states=AZ would match on an entry of “AZ” as well as “AZ,CA,PA”. |
serviceName(TransactionTypes) | One or more from Claims Status, Claims, Real-Time Claims, Claims Attachments, Electronic Funds Transfer, Eligibility, Health Services Review Inquiry, Health Services Review Request, Medical Attachments, Notice of Admission, Remittance (ERA), Remittance Images. |
lineOfBusiness | One or more from Dental, Hospital, Medical. |
clearingHouse (Suite/ClearingHouse) | Acceptable values are:
📝 Only one value can be submitted in a query. Not including it will result in npd being used. Using more than one will generate an error. |
wildcard=true/false |
📝 The default value is true. But the API users may want to set it to false. |
serviceModifiedGte | Filters a search/export for only those payers whose serviceModified date is greater than or equal to the value provided. If the date is in any format other than YYYY-MM-DD, example: serviceModifiedGte=2022-12-02, an “invalid date format” error is returned. |
start | The record number to begin at. '0' is the first number. This is only meaningful if the size is supplied. |
size | The number of records to return. This is important. For example, searching on “21st century insurance” (wildcard=false) yields over 1,000 records that all have the same serviceId so, a user would only be interested in the first one. Setting size=1 would only return one record instead of more than 1,000 records. |
sort | The column name to sort on, and ascending (asc) or descending (desc) order. sort=alias,asc orsort=serviceModified,desc. |
total | How many hits the query matched. |
Available Fields in the Columns drop-down
| Field | Description |
|---|---|
serviceDate | Date of the service. |
acceptsSecondary | Letter "Y" or "N" denoting if the payer accepts secondary. |
reportLevel | — |
serviceModified | Labeled date last modified. |
enrollmentStatus | Labeled enrollment. |
serviceNotes/serviceNotes1 | — |
parStatus | 📝 A valid parCode is required to get parStatus. |
passThroughFee | Letter "Y" or "N" denoting whether the payer has a pass through fee or not. |
payerSearchOptionsURL | 📝 Shows when clearinghouse is CAP/RPA and Service is Eligibility or Claim Status. |
enrollmentAuthorizationURL | 📝 Shows when clearinghouse is CAP/RPA and Service is Eligibility or Claim Status. |
Updated 4 months ago