API for Submitting Insurance Adjustments (Deductible & Coverage)

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induced
Posts: 4
Joined: Tue Sep 17, 2024 1:13 am

API for Submitting Insurance Adjustments (Deductible & Coverage)

Post by induced » Tue Sep 17, 2024 1:17 am

Need help identifying the correct API endpoint to submit insurance adjustments (specifically Insurance used and deductible used). The benefits API doesn't work for this purpose. Example of failed attempt:

await makeApiRequest('POST', '/benefits', {
PlanNum: planNum,
BenefitType: 'Deductible',
MonetaryAmt: MaximumsAndDeductibles.IndividualAnnualDeductible,
TimePeriod: 'CalendarYear',
CoverageLevel: 'Individual',
});

It should ideally be seen here:
Image

Which API should I use instead?

DerekR
Posts: 95
Joined: Wed Aug 31, 2022 1:13 pm

Re: API for Submitting Insurance Adjustments (Deductible & Coverage)

Post by DerekR » Tue Sep 17, 2024 7:44 am

You can submit insurance adjustments by using the ClaimProcs POST InsAdjust, or ClaimProcs PUT InsAdjust methods. See API ClaimProcs for more information.

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