Developers.changehealthcare.com

Trading Partners (Payer List) and Attachments Support

WebFor non-electronic payers, always use the actual Payer ID and Payer Name. You can look up the complete list of Payer IDs and their names on the Optum Payer IDs page. RH …

Actived: 7 days ago

URL: https://developers.changehealthcare.com/eligibilityandclaims/docs/trading-partners-payer-list-and-attachments-support

Change Healthcare Developer Portal

WebWe’re using Change Healthcare’s Eligibility API to verify new applicants across multiple payers and deliver speedy implementation for our customers." – Nathan Swartley, …

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API Health Check

WebThe /healthcheck endpoint checks the operating status of our APIs. It is a ping for the API entry points to ensure the entry points are accessible. This is the first thing you can do if …

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Access the Optum APIs

WebSandbox test environment, which is a testbed where you can test our API capabilities.; Create a sandbox account; Sandbox predefined fields and values; Eligibility sandbox API …

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Professional Claims FAQs

WebThe Professional Claims API uses a POST request. Responses to our Medical Network APIs can be lengthy due to the many data points that a payer or trading partner provides …

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Interoperability Provider Directory API

WebAs part of the CMS Interoperability and Patient Access final rule (CMS-9115-F), payers must make provider information available. These APIs are required to retrieve the provider …

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Claim Processing and Reporting Workflow

WebFX - Notification Report — notification of the file transmission delay to payer, exception basis. Indicates the problem claims removed from batch file and rejection reason. a. …

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Getting started with Change Healthcare APIs

WebRequest a Quote. When you are ready to purchase the API that meets your needs, you can buy it directly by 1) selecting the "Marketplace" option at the top which will take you …

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Attachments Submission FAQs

WebThe traceId specifies the attachment transaction in your query path. It supports the most accurate queries. It requires use of the traceId values that the Optum system applies to …

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Professional Claims JSON-to-EDI Contents

WebProfessional Claims JSON-to-EDI Contents. Use our OpenAPI Spec JSON file as a reference for development. Notes on the data in the following sections include: The …

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Get Started with Optum APIs

WebGet Started with Optum APIs. If you are a developer building or extending healthcare applications and services through the use of APIs, you have come to the right place. We …

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Payer Finder Tool for Payer Search

WebUse the following steps. Enter your payer name or alternative payer name in the topmost first box. To use additional parameters to search the payer list, click Advanced Search …

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