Open Dental Claims API

openapi: 3.0.3
info:
  title: Open Dental Accounts & Ledger Claims API
  description: 'REST API for Open Dental dental practice management software. The web service is hosted at Open Dental headquarters and lets approved third-party applications read and write practice data on behalf of Open Dental customers. Requests authenticate with a per-application Developer Key and a per-customer Customer Key, sent together in a single header as "Authorization: ODFHIR {DeveloperKey}/{CustomerKey}". The full published specification documents 130+ resource groups; this document models a representative, load-bearing subset. The paths under Patients, Appointments, Providers, ProcedureLogs (Procedures), Claims, and Payments are grounded in the published per-resource reference pages and are marked CONFIRMED below. The remaining resource groups (Accounts/Ledger, Fees & Fee Schedules, Recalls, Documents, Medications & Prescriptions, Referrals, Sheets) follow Open Dental''s standard REST CRUD convention and are marked MODELED - verify exact paths and fields against the live spec before use. A separate local API Service (talks to the on-premises Open Dental program without routing through Open Dental servers) and a FHIR interface also exist and are out of scope for this document.'
  version: v1
  contact:
    name: Open Dental Software Vendor Relations
    url: https://www.opendental.com/site/apispecification.html
    email: vendor.relations@opendental.com
  license:
    name: Open Dental (proprietary; source viewable under Open Dental license)
    url: https://www.opendental.com/site/sourcecode.html
servers:
- url: https://api.opendental.com/api/v1
  description: Open Dental cloud-hosted API service (headquarters)
security:
- odfhirAuth: []
tags:
- name: Claims
  description: CONFIRMED. Insurance claims and claim workflow.
paths:
  /claims/{ClaimNum}:
    get:
      tags:
      - Claims
      summary: Get a claim
      description: CONFIRMED.
      parameters:
      - $ref: '#/components/parameters/ClaimNum'
      responses:
        '200':
          $ref: '#/components/responses/Ok'
        '404':
          $ref: '#/components/responses/NotFound'
    put:
      tags:
      - Claims
      summary: Update a claim
      description: CONFIRMED.
      parameters:
      - $ref: '#/components/parameters/ClaimNum'
      requestBody:
        $ref: '#/components/requestBodies/Generic'
      responses:
        '200':
          $ref: '#/components/responses/Ok'
    delete:
      tags:
      - Claims
      summary: Delete a claim
      description: CONFIRMED.
      parameters:
      - $ref: '#/components/parameters/ClaimNum'
      responses:
        '200':
          $ref: '#/components/responses/Ok'
  /claims:
    get:
      tags:
      - Claims
      summary: List claims
      description: CONFIRMED.
      parameters:
      - name: PatNum
        in: query
        schema:
          type: integer
      - name: ClaimStatus
        in: query
        schema:
          type: string
      - name: ClaimType
        in: query
        schema:
          type: string
      - name: PlanNum
        in: query
        schema:
          type: integer
      responses:
        '200':
          $ref: '#/components/responses/Ok'
    post:
      tags:
      - Claims
      summary: Create a claim
      description: CONFIRMED.
      requestBody:
        $ref: '#/components/requestBodies/Generic'
      responses:
        '201':
          $ref: '#/components/responses/Created'
  /claims/{ClaimNum}/Status:
    put:
      tags:
      - Claims
      summary: Update claim status
      description: CONFIRMED.
      parameters:
      - $ref: '#/components/parameters/ClaimNum'
      requestBody:
        $ref: '#/components/requestBodies/Generic'
      responses:
        '200':
          $ref: '#/components/responses/Ok'
  /claims/{ClaimNum}/Split:
    put:
      tags:
      - Claims
      summary: Split a claim
      description: CONFIRMED.
      parameters:
      - $ref: '#/components/parameters/ClaimNum'
      requestBody:
        $ref: '#/components/requestBodies/Generic'
      responses:
        '200':
          $ref: '#/components/responses/Ok'
components:
  responses:
    Created:
      description: Created. Typically returns a Location header and the created object.
      content:
        application/json:
          schema:
            type: object
            additionalProperties: true
    NotFound:
      description: The requested resource was not found.
    Ok:
      description: Success. Returns one item or an array of items.
      content:
        application/json:
          schema:
            oneOf:
            - type: object
              additionalProperties: true
            - type: array
              items:
                type: object
                additionalProperties: true
  parameters:
    ClaimNum:
      name: ClaimNum
      in: path
      required: true
      description: Primary key of the claim.
      schema:
        type: integer
  requestBodies:
    Generic:
      description: Resource fields as a JSON object. See the per-resource reference page on opendental.com/site/apispecification.html for exact field names.
      required: true
      content:
        application/json:
          schema:
            type: object
            additionalProperties: true
  securitySchemes:
    odfhirAuth:
      type: apiKey
      in: header
      name: Authorization
      description: Send "ODFHIR {DeveloperKey}/{CustomerKey}" - the per-application Developer Key issued by Open Dental Vendor Relations combined with the per-customer Customer Key. Some endpoints also accept HTTP Basic auth with the Developer Key as username and the Customer Key as password.