Creates a professional claim from a CMS 1500 file. This schema is an augmentation of the Healthie CMS 1500 schema to support the full CMS-1500 claim format.
Documentation Index
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Bearer authentication header of the form Bearer <token>, where <token> is your auth token.
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.
Optional primary PCN to associate with the claim. You should ONLY use this in cases of submitting a secondary or tertiary claim, or in some specific denial resubmission scenarios.
CMS 1500 professional claim data
Whether the provider agrees to accept assignment
Unique identifier for the CMS 1500 form
Date when the service was provided
Total charge amount for the claim
Information about the patient
Information about the billing provider
Information about the rendering provider
CPT codes associated with the claim
ICD diagnosis codes associated with the claim
Location of the service
Claim condition codes
Additional information codes for the claim
Information about injury cause and reasons. If all are false, omit this field.
Amount paid by the patient