Sandbox Predefined Fields and Values

You can edit the fields in the HTTP request body to see how Care Cost Estimator API uses those inputs to check patient’s eligibility and then uses the information to estimate patient’s out of pocket cost.

For sandbox use, you are limited to a specific set of values. Please use the predefined fields and values below to test the “estimate with payer info” scenario in our sandbox environment. Please do not use real patient data or sandbox will just return an error.

Category

Field Name in API Request Body

Values to Test in Sandbox Environment

InsuranceInfo/payer

id*

To test successful scenarios, please use one of the values:
“000045”, "000046", “000047”, “000049”, “000051”, "000052", “000054”, “000082”, “BCCTC”, “BCNJC”, "CIGNA", “UHC”

To test failed estimate scenarios, please use one of values:
“000043”, “000044”, “000050”, “000053”, “000069”, “CNTCR”

idDomain*

“TradingPartnerService”

InsuranceInfo/policyHolderInfo

memberId*

"0000000000"

firstName*

"JohnOne"

lastName*

"DoeOne"

dateOfBirth*

"1880-01-02"

InsuranceInfo/dependentMemnerInfo

memberId

"0000000000"

firstName*

"JaneOne"

lastName*

"DoeOne"

dateOfBirth*

"1880-01-02"

Service/Codes

codes*

“33” and “98” for payer id “000045”, “000047”, “000049”, “000051”, “000082”, “BCNJC”, “UHC”.

“30” for payer id “000043”, “000044”, “000046”, “000050”, “000052”, “000053”, “000069”, “CIGNA”, “CNTCR”.

valueType*

“ServiceTypeCode”

Service/Provider

id*

“Z3248882383”

idType*

“Npi”

OrganizationName*

“St. Agnes Hospital”

Costs

bundleCost*

Any numbers with up to 2 decimal points, for example, using “485.27”

*required inputs


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