aid: claim-md
url: https://raw.githubusercontent.com/api-evangelist/claim-md/refs/heads/main/apis.yml
name: Claim.MD
kind: company
description: Claim.MD is a medical-claims clearinghouse that connects healthcare providers
  and software vendors to thousands of payers. Its REST API (authenticated with an
  AccountKey) supports electronic claim submission (837P/837I), claim status tracking,
  electronic remittance advice (835 ERA), real-time eligibility (270/271), and file
  upload/download workflows.
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
tags:
- Healthcare
- Medical Claims
- Clearinghouse
- EDI
- X12
- Revenue Cycle
created: '2026-06-21'
modified: '2026-06-21'
specificationVersion: '0.19'
apis:
- aid: claim-md:claim-submission
  name: Claim.MD Claim Submission API
  tags:
  - Claims
  - 837
  - 837P
  - 837I
  - EDI
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  properties:
  - url: https://docs.claim.md/docs/api
    type: Documentation
  - url: https://api.claim.md/
    type: APIReference
  - url: openapi/claim-md-openapi.yml
    type: OpenAPI
  - url: collections/claim-md.postman_collection.json
    type: PostmanCollection
  - url: collections/claim-md.opencollection.json
    type: OpenCollection
  description: Upload batches of 1-2000 claims in 837P, 837I, CSV, JSON, XML, XLS,
    or XLSX format for scrubbing and routing to payers, then list and reconcile uploaded
    files.
- aid: claim-md:claim-status
  name: Claim.MD Claim Status API
  tags:
  - Claim Status
  - Tracking
  - Acknowledgements
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  properties:
  - url: https://docs.claim.md/docs/api
    type: Documentation
  - url: https://api.claim.md/
    type: APIReference
  - url: openapi/claim-md-openapi.yml
    type: OpenAPI
  - url: collections/claim-md.postman_collection.json
    type: PostmanCollection
  - url: collections/claim-md.opencollection.json
    type: OpenCollection
  description: Incrementally retrieve claim status responses, acknowledgements, and
    claim modification and note history using ResponseID-based polling.
- aid: claim-md:era-remits
  name: Claim.MD ERA / Remits API
  tags:
  - ERA
  - 835
  - Remittance
  - Payments
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  properties:
  - url: https://docs.claim.md/docs/api
    type: Documentation
  - url: https://api.claim.md/
    type: APIReference
  - url: openapi/claim-md-openapi.yml
    type: OpenAPI
  - url: collections/claim-md.postman_collection.json
    type: PostmanCollection
  - url: collections/claim-md.opencollection.json
    type: OpenCollection
  description: List electronic remittance advice (ERA) and retrieve remittance detail
    as raw 835 X12, structured XML/JSON, or a printable PDF.
- aid: claim-md:eligibility
  name: Claim.MD Eligibility API
  tags:
  - Eligibility
  - 270
  - 271
  - Benefits
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  properties:
  - url: https://docs.claim.md/docs/api
    type: Documentation
  - url: https://api.claim.md/
    type: APIReference
  - url: openapi/claim-md-openapi.yml
    type: OpenAPI
  - url: collections/claim-md.postman_collection.json
    type: PostmanCollection
  - url: collections/claim-md.opencollection.json
    type: OpenCollection
  description: Run real-time eligibility and benefit verification by submitting an
    X12 270 file or structured field data, returning a 271 response in XML or JSON
    (one request per patient).
- aid: claim-md:responses-files
  name: Claim.MD Responses & Files API
  tags:
  - Files
  - Responses
  - Payers
  - Enrollment
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  properties:
  - url: https://docs.claim.md/docs/api
    type: Documentation
  - url: https://api.claim.md/
    type: APIReference
  - url: openapi/claim-md-openapi.yml
    type: OpenAPI
  - url: collections/claim-md.postman_collection.json
    type: PostmanCollection
  - url: collections/claim-md.opencollection.json
    type: OpenCollection
  description: Look up the payer directory, manage provider enrollment and appeals,
    and receive asynchronous enrollment and appeal updates via webhook.
common:
- type: LinkedIn
  url: https://www.linkedin.com/company/claim.md
- type: Website
  url: https://www.claim.md
- type: Documentation
  url: https://docs.claim.md/docs/index
- type: Plans
  url: plans/claim-md-plans-pricing.yml
- type: RateLimits
  url: rate-limits/claim-md-rate-limits.yml
- type: FinOps
  url: finops/claim-md-finops.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com