Query Claims

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 submission status of claims
• for a given patient
• submitted by the organisation sending the query.

Results include:
• claim ID, the unique identifier for this submitted claim
• claim number, the ACC45 number
• the date the claim request was submitted
• the submission status, that is Failed or Receipted
• patient’s first name and family name
• the names of the facility and the treatment provider.

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 claims with a given claim number, submitted by the organisation sending the query.

Results include:
• claim ID, the unique identifier for this submitted claim
• claim number, the ACC45 number
• the date the claim request was submitted
• the submission status, that is Failed or Receipted
• patient’s first name and family name
• the names of the facility and the treatment provider.

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 registration status for a list of claims submitted by the organisation sending the query.

Relevant status values are ‘Receipted’ and ‘Failed’.

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.