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ALL Clinical Exchange
Clinical Exchange ePrescribe v1Clinical Exchange Orders & Results v1
Clinical Network
Clinical Document Collector API v1
Connected Consumer Health
Interoperability Patient Access API Admin v0.5Interoperability Patient Access API Admin v1Interoperability Patient Access API Clinical v0.5Interoperability Patient Access API Financial v0.5Interoperability Patient Access API Financial v1Interoperability Provider Directory API Formulary v0.5Interoperability Provider Directory API Provider v0.5Interoperability Provider Directory API Provider v1
Imaging
Medical Imaging Remote Reading Bundle v1
Interoperability
Allergy Intolerance API v0.5Capability Statement API v0.5Care Plan API v0.5Care Team API v0.5Condition API v0.5Diagnostic Report for Laboratory Results API v0.5Diagnostic Report for Notes Exchange API v0.5Document Reference API v0.5Encounter API v0.5Explanation Of Benefit API v0.5Formulary Coverage Plan API v0.5Formulary Drug API v0.5Goal API v0.5Immunization API v0.5Implantable Device API v0.5Laboratory Result Observation API v0.5Location API v0.5Medication API v0.5Medication Request API v0.5Organization API v0.5Patient API v0.5Pediatric BMI for Age Observation API v0.5Pediatric Head OFC Percentile API v0.5Pediatric Weight for Height Observation API v0.5Plan Net Endpoint API v0.5Plan Net Healthcare Service API v0.5Plan Net Insurance Plan API v0.5Plan Net Location API v0.5Plan Net Network API v0.5Plan Net Organization Affiliation API v0.5Plan Net Organization API v0.5Plan Net Practitioner API v0.5Plan Net Practitioner Role API v0.5Practitioner API v0.5Practitioner Role API v0.5Procedure API v0.5Provenance API v0.5Pulse Oximetry API v0.5Smoking Status Observation API v0.5Vital Signs API v0.5Who Am I API v0.5
Medical Network
Attachments Request v1Attachments Retrieval v1Attachments Status v1Attachments Submission v1Claim Status v2Claims Lifecycle AI v2Claims Responses and Reports v1Eligibility v3Institutional Claims v1Professional Claims v3Rules as a Service Institutional v1Rules as a Service Professional v1
Payments
Adjustments v1Ambulatory Payment Classification v1Claims v2Member Payment Status v1Transactions v2
Pharmacy
Member Benefits Services v1
Revenue Cycle Management
Patient Responsibility Estimator v2
Security
Security and Authorization v1Security and Authorization v2
Telehealth
Telehealth Lab Orders, Results, and ePrescribe Bundle v1Telehealth Medical Eligibility and Claims Management Bundle v1

Telehealth Medical Eligibility and Claims Management Bundle v1

  
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This grouping of APIs is designed to specifically address challenges faced by telehealth vendors and patients. Streamline your patient intake process with APIs for eligibility checking, claims submission and status, as well as responses and reporting. Powered by AWS.

Eligibility v3

Seamlessly check a member’s eligibility and health plan benefit details with thousands of payers through our proprietary RESTful API using JSON components. This transaction is an alternative to the ANSI X12 270-271.

Professional Claims v3

Quickly and easily submit professional claims to payers through a RESTful API using JSON. This API can be used as the alternative to the X12 837P transaction.

Institutional Claims v1

Submit a claim for validation and submission to the clearinghouse. Validation will produce immediate feedback on the structure of the claim. Submit will validate and then submit to the payer if the claim is accepted

Claim Status v2

Check on the status of a submitted claim, in real time, with thousands of payers through this RESTful API using JSON. This API can be used as an alternative to the X12 276/277 claim status transaction.

Claims Responses and Reports v1

Retrieve valuable claim responses and reports from payers to see claim status updates, remittance advice, and other acknowledgements in order to resolve errors and stay up to date with the most recent information.

 
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