Outbound Data (Query & Event) API's
Available APIs
Query Claim Cover Status
Returns to the organisation sending the query the cover status for a single claim.
POST
Returns the cover status of multiple ACC registered claims submitted by the organisation sending the query.
Returns to the organisation sending the query the cover status of multiple claims that are registered with ACC for a patient.
Query Claim Submission Status
Returns the submission status of claims for a given patient. Results are limited to the organisation that submitted the claims. 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.
Returns the submission status for either all the receipted, or failed claims. Results limited to the organisation that submitted the claims.
Returns the submission status for a given claim number. Results limited to the organisation that submitted the claims.
GET
Returns complete details of the selected claim request.
Query Invoices
Returns the details of the specified invoice.
Returns the status of invoices for the Vendor.
Returns the submission status (receipted or failed) of the invoices for a Vendor.
Query Payments
GET
Returns the payment details for a specified payment remittance for the requesting Vendor.
Returns the payment remittance numbers for the requesting Vendor.
GET
Returns the payment summary for a specified payment remittance for the requesting Vendor.
Under Development
1.
Introducing Event APIs
Current Status
Temporarily on Hold
2.
Treatment Injury - Provides answers to questions such as “how many treatments left?”, thus providing the potential to save the Provider having to call ACC for such an answer.
Current Status
Temporarily on Hold
3.
Query / Event APIs - Linking to Contact Centre Calls
Current Status
Temporarily on Hold
For Consideration
1.
Repackage current services into groups
.
For Example - Status: Claim Submission / Registration / Cover & Medical Certificate / Change of Diagnosis / Invoice Submission.
.
For example - Base Claim Information: 1 What is the ACC45 / claim number? 2 What is the injury date? 3 What are the diagnosis codes?
2.
Provide slim “fit for purpose” APIs rather than the current fat “more info than we need” APIs
3.
Provide more Base Claim Information options
.
For example - What is the: 1 Accident scene? 2 Location? 3 Mechanism of injury? 4 Was this a work injury? 5 What are the Accredited Employer details?
4.
Contracts / Charges / Service Codes
5.
Find a Provider with service contracts
6.
Find an ACC contact regards a claim or invoice
7.
Purchase Orders including details for a claim / client
8.
Search by NHI
9.
Return the status, etc for all claims that have changed in the last ‘X’ days.
10.
Retrieve current prices and items for contracts – to allow for faster updating.
11.
Return a list of contracts, vendor ids and providers for an organisation – using their digital certificate.
12.
Include Schedule Line number to the Retrieve Payment call .