curl --request POST \
--url https://forecaster.cairhealth.com/api/claim/professional/v1 \
--header 'Authorization: Bearer <token>' \
--header 'Content-Type: application/json' \
--data '
{
"accept_assignment": true,
"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",
"claim_filing_indicator": "CI",
"priority_type": "primary",
"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",
"taxonomy_code": "207Q00000X",
"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",
"taxonomy_code": "207Q00000X",
"name": "Jane Smith, MD"
},
"service_location": {
"city": "San Francisco",
"state": "CA",
"zip": "94107",
"name": "Medical Group Inc",
"place_of_service": {
"code": "11",
"name": "Office",
"code_name": "11 - Office"
}
},
"cpt_codes_cms1500s": [
{
"cpt_code": {
"code": "99213"
},
"fee": "150.00",
"units": "1"
},
{
"cpt_code": {
"code": "85025"
},
"fee": "100.00",
"units": "1"
}
],
"icd_codes_cms1500s": [
{
"icd_code": {
"code": "J20.9"
}
},
{
"icd_code": {
"code": "R50.9"
}
}
],
"claim_condition_codes": [
{
"code": "01"
}
],
"claim_additional_information": [
{
"code": "A1",
"text": "Additional information"
}
],
"injury_cause_reasons": {
"employment_related": false,
"auto_accident": false,
"other": false
},
"patient_paid_amount": 50
}
'