Potential Query API Solutions

This page shows the potential solutions status for Query APIs, as well as any future projections.   

We would appreciate feedback on whether you feel this adds value, or on how we could improve this to add value.

 

Possible customer problems you can solve now

Query API available in 6 Months: Put on your RoadMap

Considering making available in 6- 18 Mths: Will be influenced by feedback

 

Possible customer problems you can solve now

The ACC Contact Centre gets a lot of phone calls regards the details shown in the table below.  We suggest checking with your customers, maybe they would get value out of not needing to make the call?

Claim Query API Available Now

Here's How

Extract from https://developer.acc.co.nz/products

Distinctions

Is claim registered and accepted? Submission Status = Failed / Receipted GET claims/summary/patient
https://provider.api-compliance.acc.co.nz/api/v2/claims/summary/patient

GET claims/summary/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/summary/status

GET claims/summary/{claimnumber}
https://provider.api-compliance.acc.co.nz/api/v2/claims/summary/{claimNumber}
One client, multiple claims


All provider submitted claims


One client, one claim
Only by org that submitted the claim
Registration Status = Investigating / Provisional / Approved / Declined

Cover Status = Not applicable / Interim Accept / Accept / Pending Accept / Accredited Employer / Pending Accredited Emp / Decline / Pending Decline / Duplicate / Pending Held / Held / Investigating Gradual Process
POST claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status/filter
https://provider.api-compliance.acc.co.nz/api/v2/claims/status/filter
Multiple clients, multiple claims


One client, multiple claims


One client, one claim
Any claim
What is the ACC45/claim number? Claim Number:                   7 alphanumeric (see 3.1 of Claim Spec)
ACC45 Or Eos Number:  11 numeric
Claim ID:                           40 character
POST claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status/filter
https://provider.api-compliance.acc.co.nz/api/v2/claims/status/filter
Multiple clients, multiple claims


One client, multiple claims


One client, one claim
Any claim
What is the date of injury? Accident date POST claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status/filter
https://provider.api-compliance.acc.co.nz/api/v2/claims/status/filter
Multiple clients, multiple claims


One client, multiple claims


One client, one claim
Any claim
What are the diagnosis codes? Read / ICD / SNOMED POST claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status
https://provider.api-compliance.acc.co.nz/api/v2/claims/status

GET claims/status/filter
https://provider.api-compliance.acc.co.nz/api/v2/claims/status/filter
Multiple clients, multiple claims


One client, multiple claims


One client, one claim
Any claim

Query API available in 6 Months: Put on your RoadMap

Treatments

  • How many physio, chiro, acupuncture etc have been invoiced to date?
  • How many treatments are remaining?
GET initial treatment information: Intent
  • This query is used to identify how many treatments remaining from the initial base of 16 (regulated), or 50 (contracted) treatment amounts against a claim.
GET additional treatment information: Intent
  • The function of this query is to allow a provider to check ACC32s, how many treatments remaining on each ACC32 and when the services on the ACC32 were consumed.
  • The provider needs to specify their Vendor ID – as this information is vendor specific.
  • The provider also needs to specify the type of treatments and the claim number they are querying.

Considering making available in 6 - 18 Mths: Will be influenced by feedback

Claim

  • What is the accident scene?
  • What is the accident location?
  • What is the mechanism of injury?
  • Was this a work injury?
  • What is the AE details?
  • Injection queries (have we been invoiced for an RU27?)
  • Case manager or team details

Invoice

  • Claim is now registered so release payment
  • Change the service code or date
  • PO has now been amended
  • Please set up PO
  • Change PO approval dates
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