Tross
AVAILITY

Fetch Claims

Fetch claims in Availity

POSThttps://api.ontross.com/api/integrations/availity/fetch-claims
Request Fields
input
object
required
Input object.
input.first_name
string
First name
input.last_name
string
Last name
input.member_id
string
Member id
input.date_of_service
string
Date of service
input.date_of_birth
string
Date of birth
input.payer
string
Payer
input.org_name
string
required
Org name
auth_id
string
required
Auth id
Output Fields
claims
array
List of claims.
claims[].claimNumber
string
Claim number
claims[].claimType
string
Claim type
claims[].status
string
Status
claims[].statusCode
string
Status code
claims[].statusCodeDescription
string
Status code description
claims[].categoryCode
string
Category code
claims[].categoryCodeDescription
string
Category code description
claims[].receivedDate
string
Received date
claims[].finalizedDate
string
Finalized date
claims[].fromDate
string
From date
claims[].toDate
string
To date
claims[].billedAmt
string
Billed amt
claims[].allowedAmt
string
Allowed amt
claims[].paidAmt
string
Paid amt
claims[].copayAmt
string
Copay amt
claims[].coinsuranceAmt
string
Coinsurance amt
claims[].deductibleAmt
string
Deductible amt
claims[].patientResponsibilityAmt
string
Patient responsibility amt
claims[].otherInsurancePaidAmt
string
Other insurance paid amt
claims[].patientFirstName
string
Patient first name
claims[].patientLastName
string
Patient last name
claims[].patientBirthDate
string
Patient birth date
claims[].patientGender
string
Patient gender
claims[].patientMemberId
string
Patient member id
claims[].patientAccountNumber
string
Patient account number
claims[].subscriberFirstName
string
Subscriber first name
claims[].subscriberLastName
string
Subscriber last name
claims[].subscriberMemberId
string
Subscriber member id
claims[].payerId
string
Payer id
claims[].payerName
string
Payer name
claims[].payerPhone
string
Payer phone
claims[].providerName
string
Provider name
claims[].providerNpi
string
Provider npi
claims[].providerTaxId
string
Provider tax id
claims[].checkNumber
string
Check number
claims[].checkDate
string
Check date
claims[].checkAmount
string
Check amount
claims[].checkStatus
string
Check status
claims[].serviceLines
array
List of service Lines.
claims[].serviceLines[].lineNumber
integer
Line number
claims[].serviceLines[].procedureCode
string
Procedure code
claims[].serviceLines[].procedureCodeDescription
string
Procedure code description
claims[].serviceLines[].quantity
string
Quantity
claims[].serviceLines[].status
string
Status
claims[].serviceLines[].statusCode
string
Status code
claims[].serviceLines[].statusCodeDescription
string
Status code description
claims[].serviceLines[].categoryCode
string
Category code
claims[].serviceLines[].categoryCodeDescription
string
Category code description
claims[].serviceLines[].billedAmt
string
Billed amt
claims[].serviceLines[].allowedAmt
string
Allowed amt
claims[].serviceLines[].paidAmt
string
Paid amt
claims[].serviceLines[].copayAmt
string
Copay amt
claims[].serviceLines[].coinsuranceAmt
string
Coinsurance amt
claims[].serviceLines[].deductibleAmt
string
Deductible amt
claims[].serviceLines[].fromDate
string
From date
claims[].serviceLines[].toDate
string
To date
claims[].serviceLines[].diagnosisCodes
array
List of diagnosis Codes.
claims[].serviceLines[].customRemarks
array
List of custom Remarks.
claims[].comment
string
Comment
claims[].lineOfBusiness
string
Line of business
Code
curl --request POST \
  --url https://api.ontross.com/api/integrations/availity/fetch-claims \
  --header 'X-API-Key: REPLACE_KEY_VALUE' \
  --header 'content-type: application/json' \
  --data '{"input":{"first_name":"value","last_name":"value","member_id":"value","date_of_service":"value","date_of_birth":"value","payer":"value","org_name":"string"},"auth_id":"auth_uuid_here"}'
Request BODY
{
  "input": {
    "first_name": "value",
    "last_name": "value",
    "member_id": "value",
    "date_of_service": "value",
    "date_of_birth": "value",
    "payer": "value",
    "org_name": "string"
  },
  "auth_id": "auth_uuid_here"
}