Claim and Query Claim Status
GET
claims/status/filter
Description
One of a series of APIs that allows software vendors to give the ability for the Provider to see whether a claim has been accepted & what are the latest diagnoses if other Providers have been referred to.
This specific API returns the status of a selected claim submitted by the organisation sending the query.
A valid, authorised query from the following endpoint returns filtered 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.
*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 |
|
URL |
https://provider.api-compliance.acc.co.nz/api/v2/claims/status/filter | |
Supporting Documentation
Query Parameters
| Name | Values | Description |
|---|---|---|
|
vendorId
(required) |
vendorId |
|
|
providerId
(required) |
providerId |
|
|
nhi
(required) |
nhi |
|
|
dateOfBirth
(required) |
dateOfBirth |