{ "opencollection": "1.0.0", "info": { "name": "Claim.MD API", "version": "1.0" }, "request": { "auth": { "type": "apikey", "key": "AccountKey", "value": "{{AccountKey}}", "in": "query" } }, "items": [ { "info": { "name": "Claims", "type": "folder" }, "items": [ { "info": { "name": "Upload a batch claim file", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/upload/", "body": { "type": "multipart-form", "data": [] } }, "docs": "Upload 1-2000 claims in 837P, 837I, CSV, JSON, XML, XLS, or XLSX format." }, { "info": { "name": "List uploaded files", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/uploadlist/", "body": { "type": "urlencoded", "data": [] } }, "docs": "List previously uploaded claim files with counts and amounts." } ] }, { "info": { "name": "Claim Status", "type": "folder" }, "items": [ { "info": { "name": "Retrieve claim status responses", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/response/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Incrementally retrieve claim status responses. Use ResponseID=0 initially." }, { "info": { "name": "Retrieve claim modification events", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/modify/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Incrementally retrieve claim field modification history." }, { "info": { "name": "Retrieve claim notes", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/notes/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Incrementally retrieve user notes attached to claims." }, { "info": { "name": "Archive a claim", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/archive/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Archive or delete one or more claims by claim identifier." } ] }, { "info": { "name": "ERA", "type": "folder" }, "items": [ { "info": { "name": "List electronic remittance advice", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/eralist/", "body": { "type": "urlencoded", "data": [] } }, "docs": "List ERA (835) with payment details and incremental retrieval via ERAID." }, { "info": { "name": "Retrieve raw 835 ERA", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/era835/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Retrieve the raw X12 835 transaction for a single ERA." }, { "info": { "name": "Retrieve structured ERA detail", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/eradata/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Retrieve claim-level remittance detail as structured XML or JSON." }, { "info": { "name": "Retrieve ERA as PDF", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/erapdf/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Retrieve a printable remittance report as a Base64-encoded PDF." } ] }, { "info": { "name": "Eligibility", "type": "folder" }, "items": [ { "info": { "name": "Submit eligibility request (270 file)", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/elig/", "body": { "type": "multipart-form", "data": [] } }, "docs": "Submit a real-time eligibility request as an X12 270 file (one per patient)." }, { "info": { "name": "Submit eligibility request (field data)", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/eligdata/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Submit a real-time eligibility request using structured field data." } ] }, { "info": { "name": "Reference", "type": "folder" }, "items": [ { "info": { "name": "Retrieve the payer directory", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/payerlist/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Look up payers and their supported service capabilities." }, { "info": { "name": "Request provider enrollment", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/enroll/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Initiate a provider enrollment request and receive an enrollment link." }, { "info": { "name": "Request a claim appeal", "type": "http" }, "http": { "method": "POST", "url": "https://svc.claim.md/services/appeal/", "body": { "type": "urlencoded", "data": [] } }, "docs": "Initiate a claim appeal and receive an appeal form link." } ] } ] }