Claim and Query Claim Status
GET
claims/summary/claimid
Description
This API allows for a provider to query the details of a submitted claim by specifying the 40 character claim ID. Returns results limited to the organisation that submitted the claims.
The details include all the fields that were submitted within the claim.
A valid, authorised query from the following endpoint returns complete details of the selected claim request, in its submitted status whether Failed or Receipted.
Results generally include, for each claim retrieved:
- ACC45 number or Eos number
- claim number
- cover status
- injury details*
- partial NHI number*
- accident date*
- diagnoses*, including for each diagnosis:
- code type and code, with the SNOMED code if available
- diagnosis action, description, and side
- the registration status (see Table 4 for possible values)
- any error codes
- the result code (0 or 1) for each diagnosis.
To learn more about the overall API process check out Get Connected, Learn More and our Release Notes.
Other API Query related solutions you may find of interest can be found in Potential Query API Solutions and Query APIs – Detail that may assist.
* If the claim is sensitive, or the patient is working for an accredited employer, the starred details are not available.
Resource Summary |
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Security |
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Type |
application/json |
|
Category |
Query Claims |
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URL |
https://provider.api-compliance.acc.co.nz/api/v2/claims | |
Supporting Documentation
Query Parameters
| Name | Values | Description |
|---|---|---|
|
claimId
(required) |
claimId |