Integrated Rules Professional FAQ

The Integrated Rules Professional API is an enabling tool for making complex provider claims more accurate, and more likely to be accepted and adjudicated by the payer. The FAQ subsections describe key elements used by this API and how to use it.

NOTE: The Change Healthcare Integrated Rules Professional API requires the use of the Professional Claims API for submission of claims to the payer. If you have another workflow for claims submissions, you may use that instead.

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