i-Claim
  1. Process Claim
i-Claim
  • Process Claim
    • Process Claim Indepth
      POST
  • Reports
    • Get Claim Report
      GET
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      POST
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      DELETE
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      GET
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      POST
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      POST
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      POST
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      GET
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      POST
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    GET
  1. Process Claim

Process Claim Indepth

POST
/claim/process/indepth
This endpoint employs i-Claims' advanced algorithms to
meticulously analyze claims indepth, identifying potential fraud, errors and questionable anomalies within them.

Request

Body Params application/json

Example
{
    "member_id": "string",
    "policy_id": "string",
    "provider_id": "string",
    "period": "string",
    "auth_code": "string",
    "claim_data": [
        {
            "tariff_type": "ZRVS",
            "tariff_code": "string",
            "start_date": "string",
            "end_date": "string",
            "quantity": 0,
            "mods": "string",
            "amount_charged": 0
        }
    ],
    "additional_items": [
        {
            "code": "string",
            "item": "string",
            "charge": 0
        }
    ],
    "icd_codes": [
        "string"
    ],
    "date_submitted": "string",
    "reason": "string",
    "notes": "string"
}

Request Code Samples

Shell
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Ruby
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Request Request Example
Shell
JavaScript
Java
Swift
curl --location --request POST '/claim/process/indepth' \
--header 'Content-Type: application/json' \
--data-raw '{
    "member_id": "string",
    "policy_id": "string",
    "provider_id": "string",
    "period": "string",
    "auth_code": "string",
    "claim_data": [
        {
            "tariff_type": "ZRVS",
            "tariff_code": "string",
            "start_date": "string",
            "end_date": "string",
            "quantity": 0,
            "mods": "string",
            "amount_charged": 0
        }
    ],
    "additional_items": [
        {
            "code": "string",
            "item": "string",
            "charge": 0
        }
    ],
    "icd_codes": [
        "string"
    ],
    "date_submitted": "string",
    "reason": "string",
    "notes": "string"
}'

Responses

🟢200OK
application/json
Successful Response
Body

Example
null
🟠422Parameter Error
Modified at 2024-12-07 17:10:47
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