What do Professional Claims Validation API responses look like?
A successful validation of a professional claim gives a response similar to the following:
{
"status": "SUCCESS",
"controlNumber": "000000001",
"tradingPartnerServiceId": "9496",
"claimReference": {
"correlationId": "201210R999898~2014364838718969",
"submitterId": "009998999898",
"customerClaimNumber": "000000001",
"patientControlNumber": "12345",
"timeOfResponse": "2020-12-10T20:07:05.4-06:00",
"claimType": "PRO",
"formatVersion": "5010"
}
}
After the API validates the claim, it's ready to submit to the payer unless you want to run further changes and checks.
Updated 8 months ago
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