Get Claim By Claim Number

Optional correlation ID associated with the request, comprised of alphanumeric or hyphen characters up to 36 characters in length.

The GUID of the person (participant)

The Claim number, an alphanumeric string, e.g. 11BPEB1210513P0000101

A unique identifier assigned to the claim.

The total amount of the claim submitted.

The current processing status of the claim.

The date the claim was submitted.

The first date services were provided for the claim.

The last date services were provided for the claim.

The date the claim was processed.

The name of the provider associated with the claim.

The amount reimbursed for the claim.

The original amount submitted for reimbursement.

Indicates whether the claim is part of a pay-the-provider process.

The reason(s) the submitted claim was denied, if applicable.

Request(s) for additional information for the submitted claim, if applicable.

The status of receipt submission for the claim.

The total amount of the claim that was denied.

The portion of the claim amount applied to a copay.

The portion of the claim amount applied to coinsurance.

The portion of the claim amount applied to a deductible.

The source of the claim submission.

The date the claim is scheduled for reimbursement.

The name of the plan year associated with the claim.

The start date of the plan year for the claim.

The name of the benefit plan for the claim.

The last date a claim can be filed for the plan year.

The unique identifier for the expense associated with the claim.

The date and time the receipt status was last updated for the claim.

The high-level category of the expense related to this claim.

The specific type of expense submitted for this claim.

The denial code description for the claim, populated only for denied claims.

The identifier of the benefit offering associated with the claim.

The person or entity designated to receive payment for this claim.

The identifier of the benefit plan to which this claim belongs.

The portion of the claim amount currently pending adjudication.

The public-facing unique identifier (UUID) for the claim, sourced from the ClaimExternal table.

The person the service was for, sourced from dbo.Claim.service_recipient.

List of invalid parameters that caused the validation error.

Human-readable validation error messages keyed by field name. Each key maps to one or more error message strings.

Field-level validation errors keyed by field name. Each key maps to one or more structured error details.

List of invalid parameters that caused the validation error.

Human-readable validation error messages keyed by field name. Each key maps to one or more error message strings.

Field-level validation errors keyed by field name. Each key maps to one or more structured error details.

List of invalid parameters that caused the validation error.

Human-readable validation error messages keyed by field name. Each key maps to one or more error message strings.

Field-level validation errors keyed by field name. Each key maps to one or more structured error details.

A URI reference that identifies the problem type.

A short, human-readable summary of the problem type.

The HTTP status code generated by the origin server.

A human-readable explanation specific to this occurrence of the problem.

A URI reference that identifies the specific occurrence of the problem.

List of invalid parameters that caused the validation error.

List of invalid parameters that caused the validation error.

Human-readable validation error messages keyed by field name. Each key maps to one or more error message strings.

Field-level validation errors keyed by field name. Each key maps to one or more structured error details.