Developers.changehealthcare.com

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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URL: https://developers.changehealthcare.com/

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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Response Body Contents

WebbenefitAmount is added based on the timeQualifier, so the daily benefit amount of the Skilled Nursing Care service is $164.50. Identification and Policy ConfirmationThis topic …

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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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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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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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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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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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AAA Error Codes Requests and Possible Resolutions

WebThis may also be represented with AAA 79 for Invalid Participant Identification. AAA 42/80 — These indicate something is wrong like a transaction time out or an exception that …

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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 …

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Look up Provider NPI & Trading Partner Service ID

WebUse the Payer Finder API to view the payer list. Control Number: 000000001 — is set by you, this is a unique number that follows the transaction from start to finishTrading …

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Use Claim Filing Indicator Code

Web1484 – Use code OF when submitting Medicare Part D claims. Claim Filing Indicator Code O 1 ID 1/2Code identifying type of claim📘314 SITUATIONAL RULERequired prior to …

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