POST
/
api
/
claim
/
healthie
/
v1
curl --request POST \
  --url https://forecaster.cairhealth.com/api/claim/healthie/v1 \
  --header 'Authorization: Bearer <token>' \
  --header 'Content-Type: application/json' \
  --data '{
  "id": "12345",
  "date_of_service": "2025-03-15",
  "total_charge": "250.00",
  "patient": {
    "id": "P98765",
    "first_name": "John",
    "last_name": "Doe",
    "name": "John Doe",
    "gender": "male",
    "dob": "1980-05-15",
    "location": {
      "city": "San Francisco",
      "country": "USA",
      "line1": "123 Main St",
      "line2": "Apt 4B",
      "state": "CA",
      "zip": "94105"
    },
    "policies": [
      {
        "id": "POL123",
        "group_num": "GRP456",
        "name": "Premium Health Plan",
        "holder_first": "John",
        "holder_last": "Doe",
        "holder_relationship": "self",
        "insurance_plan": {
          "payer_name": "Blue Cross",
          "payer_id": "BCBS123",
          "name_and_id": "Blue Cross (BCBS123)"
        }
      }
    ]
  },
  "billing_provider": {
    "name": "Medical Group Inc",
    "npi": "1234567890",
    "tax_id": "12-3456789",
    "location": {
      "city": "San Francisco",
      "country": "USA",
      "line1": "456 Health Ave",
      "state": "CA",
      "zip": "94107"
    }
  },
  "rendering_provider": {
    "id": "DR12345",
    "first_name": "Jane",
    "last_name": "Smith",
    "npi": "5432167890",
    "name": "Jane Smith, MD"
  },
  "cpt_codes_cms1500s": [
    {
      "cpt_code": {
        "code": "99213"
      }
    },
    {
      "cpt_code": {
        "code": "85025"
      }
    }
  ],
  "icd_codes_cms1500s": [
    {
      "icd_code": {
        "code": "J20.9"
      }
    },
    {
      "icd_code": {
        "code": "R50.9"
      }
    }
  ]
}'
{
  "resourceType": "OperationOutcome",
  "issue": [
    {
      "severity": "information",
      "code": "informational",
      "diagnostics": "Claim created successfully"
    }
  ]
}

Authorizations

​
Authorization
string
header
required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Query Parameters

​
attachmentId
string

Optional ID of document references to associate with the claim. Can be specified multiple times. This id will be returned from the Create Claim Attachment endpoint.

Body

application/json
Healthie CMS 1500 claim data

The body is of type object.

Response

200
application/json
Claim created successfully

A FHIR standard response format for operations