Telehealth Medical Eligibility and Claims Management Bundle v1

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.