Index
A
- AAAError codes
- About Change Healthcare
- Access the CHC APIs
- Annotated EDI 275 submission
- API collections
- Eligibility v3 API collection
- Professional Claims v3 API collection
- Institutional Claims v1 API collection
- Claims Responses and Reports v2 API collection
- Integrated Rules Institutional v1 API collection
- Integrated Rules Professional v1 API collection
- Claims Status v2 API collection
- Attachments Submission v1 API collection
- Attachment Status v1 API collection
- Attachment Retrieval v1 API collection
- Dental Benefits Advisor v1 API collection
- Payer Finder v1 API collection
- API test environment
- API components
- API credentials
- API healthcheck
- API categories
- Attachments Retrieval v1
- Attachment status v1
- Attachment submission v1
- Care Cost Estimator
- Claims status v2
- Claims response & reports v2
- Dental benefits advisor
- Eligibility v3
- Institutional claims v1
- Integrated rules professional v1
- Payer finder v1
- Professional claims v3
- API request header
- API reference
- Ask a question
- API URLs
- Attachment file requirements
- Attachments in EDI
- Attachments status v1
- Attachment Status endpoints
- Metadata search
- Using metadata search
- Required metadata search values
- Filtering metadata searches
- Metadata search responses
- Statuscode and message fields
- Attachment submission v1
- Authorization token
- Available claims responses and reports v2
B
- Best practices & workflow for Eligibility API
- Batch attachment electronic interchange companion guide
- Batch 275 submission requirements
- Attachment file requirements
- Attachment file EDI requirements
- Basic requirements for batch 275 submissions
- Building the batch 275 submission
- Exclusions for batch 275
- Bearer token
- Bearer token lifespan
- Bearer token request header
- Bearer token request
- Browse by product
C
- Care Cost Estimator
- Client checklist
- Change log
- Claims file retrieval best practices
- ClaimReference information
- ClaimReference object fields
- Claim Status code
- Claim status versus claim reports & responses
- Client SDK
- ConnectCenter
- Contents of claim status request
- Contents of eligibility request
- Contents of eligibility response
D
- Definitions
- Dental benefits advisor
- Developer community
- Developer community Q&A
- Developer tutorials
- Difference
E
- EDI
- Endpoints
- Environments
- Error messages
- AAAerror codes and resolutions
- Attachment submission
- Generic unable to process
- Submitted ID is not passed in header
- Wrong payer specified
- File attachment missing in transaction
- File attachment contains virus
- PayerAddress missing in solicited attachment transaction
- Entire payerAddress block missing
- Typo in controlNumber or missing digit
- ControlNumber missing
- Missing files in solicited transaction
- Invalid characters in request
- File type not supported
- Eligibility
- HTTP errors
- Institutional claims
- Professional claims
- Elements of eligibility request
- Elements of eligibility object
- Elements of provider object
- Elements of subscriber object
- Elements of dependents object
- Elements of encounter object
- Elements of eligibility response
- Identification & policy confirmation
- Elements of eligibility object
- Elements of subscriber object
- Elements of payer object — Identifying the payer
- Elements of planStatus object
- Elements of benefitsInformation object — navigating the insurance codes
- Elements of serviceType segment
- Eligibility error messages
- Eligibility v3
- Best practices & workflow
- Retrievable Eligibility information
- Eligibility API functionality
- Eligibility request body
- API components
- Endpoints
- X12 EDI
- Institutional claims v1 error messages
- Professional claims error messages
- Typo in diagnosisTypeCode
- DiagnosisTypeCode's associated diagnosisCode is incorrect
- Incorrect value in service line chargeable amount
- 999 errors
E (continued)
- Examples
- AAAerror message examples
- Attachment submission query
- Attachments submission request
- Bearer token example
- Claim status request
- EDI to JSON translation
- Eligibility request
- Raw-X12 endpoint
- Shorter request
- Longer request
- Request with known tradingPartnerServiceId
- X12 Eligibility EDI request
- Eligibility response
- Institutional claims v1 request
- Institutional claims v1 response
- Integrated rules institutional submission
- Integrated rules institutional response
- Integrated rules institutional validation API
- Sandbox examples
- X12 EDI examples
F
- Frequently Asked Questions
- Attachment status
- A typical payer response
- Query for specific attachment transaction
- Use traceID in query path
- Use fieldset parameter in query
- What does my status message mean?
- Attachment submission
- Attach multiple files in one transaction
- A typical attachments request
- A typical attachments response
- Check status of submission
- Fax number & attachments submission
- File attachment format types supported
- Handling payer submissions for unsupported 275 transaction & unaccepted faxes
- JSON-to-EDI mapping for attachments submission
- Query for specific attachments transaction
- Solicited versus unsolicited attachments
- Successful attachments transaction response
- Sending fax to payer
- What are statusCode attributes?
- Batch 275 submissions FAQ
- Non-CHC medical attachment submission
- File format supported
- File size limitation
- Worker's compensation versus medical attachments
- Claims responses & reports v2
- Retrievable report file types
- Endpoint for Claims responses & reports v2
- Search for a file
- Translate 277 EDI file to JSON
- Translate 835 EDI file to JSON
- Endpoint to delete a file
- Types of files from mailbox
- A typical request and response
- Understand EDI to JSON translation
- Convert EDI file to JSON
- Important contents of 277 and 835 reports
- Information in the 277 file
- Claims status
- Claim status Raw-X12 endpoint
- Claim status versus claim reports & responses
- EDI to JSON translation
- Hierarchical level (HL) segments
- Integrity of X-12 transmissions
- Raw X-12 EDI coding for API call
- Request header information
- Sequence of segments
- STC segments
- What is tracking number field
- Limitation to check pending claims status
- A typical claim status request
- A typical claim status response
- Eligibility v3
- A typical Eligibility API request
- A typical Eligibility API response
- Information received from payer
- Search options to optimize queries
- X12 EDI support
- Raw-X12 eligibility request & response
- Ensure integrity of X12 transactions
- X12 EDI request example
- X12 EDI 271 response
- Using Dependent object in submissions
F (Continued)
- General FAQs
- Institutional claims v1
- What is a typical institutional claims v1 request
- A typical institutional claims v1 response>
- Institutional claims for Medicare
- Institutional claims versus professional claims
- ClaimReference field in submission response
- Electronically billing worker's compensation
- Cache/draft feature
- Integrated rules institutional v1
- How to submit edited claims
- Integrated rules institutional submissions
- A typical integrated rules institutional response
- Integrated rules professional
- A typical integrated rules professional request
- A typical integrated rules professional response
- How to submit an edited claims
- Does it have submission endpoint
- Raw-X12 validation request and response
- Integrated rules versus regular institutional claims
- Professional claim versus institutional claim
- Standard professional claims API versus integrated rules professional API
- Payer finder
- Professional claims v3
- Q&A 2021 developer community
- Q&A 2022 developer community
- Q&A 2023 developer community
- Query specific attachments transaction
- Remediate attachment transaction issues
G
H
- How to's
- How to interpret a 999 response?
- How to generate client SDK?
- How to handle mailed attachments?
- How to translate EDI to JSON?
- How to try our APIs?
- How to map JSON-to-EDI?
- How to use predefined fields and values?
- How to use the sandbox?
- How to use test payers in sandbox?
- HIPAA validation support
- How can I check the operating status of the APIs?
- How does a Raw-X12 Validation request and response work?
- HTTP error code response
- How can serviceType codes be used to identify business groupings?
I
- Interpreting a 999 response
- Institutional claims v1
- Institutional claims FAQs
- Institutional claims v1 request
- Institutional claims v1 response
- Error responses
- Institutional rules institutional v1
J
- JSON-to-EDI mapping
- JSON-to-EDI API contents
- Attachments Retrieval JSON-to-EDI
- Attachments Status JSON-TO-EDI
- Attachment Submissions JSON-to-EDI contents
- Claims Status v2 JSON-to-EDI
- Eligibility JSON-to-EDI
- Institutional Claims v1 JSON-to-EDI
- Integrated Rules Institutional Claims JSON-to-EDI
- Integrated Rules Professional JSON-to-EDI
- Professional Claims JSON-to-EDI
K
- Key Claim information attributes
- Key components of Claim status response
- Key JSON elements in solicited attachment transaction
- Key JSON elements in unsolicited attachment transaction
- Ket JSON attributes of multiple payouts in 835 report
- Ket JSON attributes of multiple payouts in 277 report
- Key parameters to verify patient's medical coverage
- Key terminology — Batch attachment EDI interchange
- Key values of Claims response
L
M
- Mapping JSON to EDI
- Metadata search
- Using metadata search
- Required metadata search values
- Filtering metadata searches
- Metadata search request
- Metadata search response
- StatusCode & statusMessage fields
- Office hours
- OpenAPI Spec: Click the required API link in the API reference section to download the OpenAPI spec
O
P
- Payer finder v1
- Try it
- Postman collection
- Attachment retrieval
- Attachment status
- Attachments submission v1
- Claims responses & reports v2
- Claims status API
- Eligibility v3
- Institutional claims
- Integrated rules institutional
- Integrated rules professional
- Payer Finder
- Professional claims
- Professional Claims v3
- Endpoints
- Elements
- Try it
- Claims validation endpoint
- Claim submission endpoint
- Claim submission X12 endpoint
- Claim validation X12 endpoint
- Professional claims v3 API healthcheck endpoint
- Using the healthcheck endpoint
- Using the validation endpoint
- Request body elements
- Production users
Q
S
- SD & SF reports mapping
- Security & Authorization v2
- Security & Authorization v2 OpenAPI spec
- Search options
- Service type codes
- Sign up for API testing
- StatusCode response
- Standard attachment transaction statusCode responses
- Transaction received by Change Healthcare clearinghouse
- Transaction accepted by Change Healthcare clearinghouse
- Successful reception of Attachment by payer
- Acknowledgement of Attachment reception by payer
- Acceptance of Attachment by payer
- Partial acceptance of multiple Attachments
- Rejection of attachment transaction by Change Healthcare clearinghouse
- Rejection of Attachment by payer
- Rejection of Attachment due to request validation Error
- Successful tax transmission
- Rejected/failed fax transmissions
- Successful fax transmission
- Failures to fax transmission
- Failed mail attachments
- Mailed attachments
- Tracking information for sent transactions
- Submitter ID
- Support
T
- Test payer IDs
- Test responses
- Tips
- Token automization
- TradingPartnerServiceID
- Troubleshoot APIs with metadata
- TRY our APIs
U
- Using
V
- Validation endpoint
W
- What does a typical Attachments response from the payer look like?
- What do the statusCode Attributes mean?
- What do the status messages mean?
- What is a typical Attachments API request?
- What is a typical Attachments response from payer?
- What is the difference between Solicited and Unsolicited Attachments?
- What is a successful Attachments transaction response?
- What are the JSON-To-EDI mappings for the Attachments Submission request?
- Which file formats does Attachments Submission API support?
- What information goes in the API request header?
- What is authorization token endpoint?
- What are the guidelines to predict the rate of unique claims submitted for a practice?
- What is an Integrated Rules Institutional Submission?
- What is the difference between Institutional Claim and Professional Claim?
- What is the difference between Integrated Rules API and Institutional Claims?
- What is the trackingNumber field?
- Where are the controNumbers from?
- What grants types are supported?
- What if my API includes user context?
- What is the difference between OAuth v1 and v2?
- What is a typical Eligibility API request?
- What is a typical Eligibility API response?
W (Continued)
- What does Eligibility information look like when received from the payere?
- When do I need to use a Dependednt object in my submissions?
- What about cases where a subscriber/patient has no/is not covered by a medical/associated plan?
- What is a typical Professional Claims API request?
- What is a typical Professional Claims validation API response?
- What is claimReference field in the Submission response?
- What is a typical Institutional Claims API request?
- What is a typical Institutional Claims response?
- What are Institutional Claims errors?
- What is s tradingPartnerServiceId?
- What is a typical Integrated Rules Professional API request?
- What a typical Integrated Rules Professional API response?
- What is the biggest value add of Integrated Rules Institutional API?
- What is a typical Integrated Rules Institutional API response?
- What is the difference between Professional Claims and Institutional Claims?
- What is the difference between the Integrated Rules Professional API and Professional Claims API?
- What is a typical Claim Status API request?
- What is a typical Claim Status API response?
- What is the difference between Claims Status and Claims Responses and Reports
- What types of files does the Claims Responses & Reports API get from mailbox?
- What is a typical Claims Responses & Reports API request and response?
W (Continued)
- What is filename structure?
- What are the most important contents of the 277 and 835 Reports?
- What is Payer Finder v1 API
- What is happening to Trading Partner v7 API?
- Which payer lists does Payer Finder API support?
- What is a typical Payer Finder v1 API request?
- What is a typical Payer Finder v1 API response?
- Which search data files/JSON attributes can be used in the Pyer Finder API?
- Which search data files/JSON elements does the Payer Finder API return?
- What are the Payer Finder API error types and formats?
- What is Batch Attachment Electronic Interchange companion guide?
- What is Y, N, U, and W?