openapi: 3.0.3
info:
  title: ABM Prepay DME Claim API-1.0.0
  version: 1.0.0
  description: 'This is a wrapper API which internally calls ABM CES API to get the claim edits and DME
    Pricing API to get the rate and then update the claim amount.

    CES calls ABM PriorAuth API to get the matching PriorAuth record with remaining claimed unit. DME
    Claim API calculates Claim amount based on remaining unit and rate. This API needs auth bearer token
    which can be retrieved using https://sandbox-apigw.optum.com/apip/auth/sntl/v1/token. Please check
    documentation under Security section to get more details on auth token.'
servers:
- url: https://sandbox-apigw.optum.com
paths:
  /abm/prepaydme/v1:
    post:
      summary: PrePay DME API Endpoint
      tags:
      - prepaydme
      requestBody:
        required: true
        content:
          application/xml:
            schema:
              type: object
              xml:
                name: request
              properties:
                environment:
                  type: string
                  xml:
                    name: environment
                enterprise-id:
                  type: string
                  xml:
                    name: enterprise-id
                claim:
                  type: object
                  xml:
                    name: claim
                  properties:
                    id:
                      type: string
                      xml:
                        name: id
                    subscriber-id:
                      type: string
                      xml:
                        name: subscriber-id
                    line:
                      type: object
                      xml:
                        name: line
                      properties:
                        id:
                          type: string
                          xml:
                            name: id
                        procedure-code:
                          type: string
                          xml:
                            name: procedure-code
              example: "<request>\n    <environment>live</environment>\n    <enterprise-id>ENTERPRISEID</enterprise-id>\n\
                \    <claim>\n        <id>ClaimId</id>\n        <subscriber-id>54654</subscriber-id>\n\
                \        <line>\n            <id>1</id>\n            <procedure-code>EXXXX</procedure-code>\n\
                \        </line>\n    </claim>\n</request>"
      responses:
        '200':
          description: Response for PREPAY DME API
          content:
            application/xml:
              schema:
                type: object
                xml:
                  name: request
                properties:
                  environment:
                    type: string
                    xml:
                      name: environment
                  enterprise-id:
                    type: string
                    xml:
                      name: enterprise-id
                  claim:
                    type: object
                    xml:
                      name: claim
                    properties:
                      id:
                        type: string
                        xml:
                          name: id
                      subscriber-id:
                        type: string
                        xml:
                          name: subscriber-id
                      line:
                        type: object
                        xml:
                          name: line
                        properties:
                          id:
                            type: string
                            xml:
                              name: id
                          procedure-code:
                            type: string
                            xml:
                              name: procedure-code
                example: "<request>\n    <environment>live</environment>\n    <enterprise-id>ENTERPRISEID</enterprise-id>\n\
                  \    <claim>\n        <id>ClaimId</id>\n        <subscriber-id>54654</subscriber-id>\n\
                  \        <line>\n            <id>1</id>\n            <procedure-code>EXXXX</procedure-code>\n\
                  \        </line>\n    </claim>\n</request>"
components:
  requestBodies:
    oauth2:
      description: payload for auth API
      required: true
      content:
        application/json:
          schema:
            type: object
            properties:
              client_id:
                type: string
                example: abm-pa-clientid
              client_secret:
                type: string
                example: abm-pa-client-secret
              grant_type:
                type: string
                example: client_credentials
  responses:
    oauth2:
      description: response for auth API
      content:
        application/json:
          schema:
            type: object
            properties:
              access_token:
                type: string
                example: token string
              expires_in:
                type: integer
                example: 3599
              ext_expires_in:
                type: integer
                example: 3599
              token_type:
                type: string
                example: Bearer
tags:
- name: ABM
  description: ABM Pre-Pay Post-Adjudication DME Claims API
x-readme:
  explorer-enabled: true
  proxy-enabled: true