# Backwork Claims API

**Canonical:** https://apis.io/apis/backworkhealth-com/backworkhealth-com-claims-api/  
**Provider:** Backwork — https://apis.io/providers/backworkhealth-com/  
**Base URL:** https://backworkhealth.com/api/v1  
**Documentation:** https://developers.backworkhealth.com/docs/api

Backwork Claims API is one of 13 APIs that [Backwork](https://apis.io/providers/backworkhealth-com/) publishes on the [APIs.io](https://apis.io/) network, described by a machine-readable OpenAPI specification. This API exposes 6 JSON Schema definitions. Tagged areas include Claims. The published artifact set on APIs.io includes an OpenAPI specification and 6 JSON Schemas.

Claim validation and denial-risk scoring

## Operations (3)

| Method | Path | Summary |
|---|---|---|
| POST | `/claim-validation` | Validate claim coverage risk |
| POST | `/claims/validate` | Validate coverage and denial risk |
| POST | `/claims/denial-risk` | Score claim denial risk |

## Machine-readable artifacts (7)

- **OpenAPI** — https://artifacts.apis.io/backworkhealth-com/openapi/backworkhealth-com-claims-api-openapi.yml
- **JSONSchema** — https://artifacts.apis.io/backworkhealth-com/json-schema/backworkhealth-com-prior-auth-check-schema.json
- **JSONSchema** — https://artifacts.apis.io/backworkhealth-com/json-schema/backworkhealth-com-policy-detail-schema.json
- **JSONSchema** — https://artifacts.apis.io/backworkhealth-com/json-schema/backworkhealth-com-criteria-search-result-schema.json
- **JSONSchema** — https://artifacts.apis.io/backworkhealth-com/json-schema/backworkhealth-com-policy-list-item-schema.json
- **JSONSchema** — https://artifacts.apis.io/backworkhealth-com/json-schema/backworkhealth-com-coverage-evaluation-schema.json
- **JSONSchema** — https://artifacts.apis.io/backworkhealth-com/json-schema/backworkhealth-com-claim-validation-result-schema.json

## Other Backwork APIs (12)

- [Backwork Agent Tools API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-agent-tools-api/)
- [Backwork Certified Releases API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-certified-releases-api/)
- [Backwork Codes API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-codes-api/)
- [Backwork Compliance API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-compliance-api/)
- [Backwork Coverage API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-coverage-api/)
- [Backwork Drugs API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-drugs-api/)
- [Backwork Health API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-health-api/)
- [Backwork Policies API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-policies-api/)
- [Backwork Prior Auth API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-prior-auth-api/)
- [Backwork Reference API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-reference-api/)
- [Backwork Spending API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-spending-api/)
- [Backwork Webhooks API](https://apis.io/apis/backworkhealth-com/backworkhealth-com-webhooks-api/)

## Tags

Claims

---

Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/apis/backworkhealth-com/backworkhealth-com-claims-api/). The API's provider profile, Kin Score and agent-readiness rating are at https://apis.io/providers/backworkhealth-com/.