Optum

Optum APC Calculator APIs API

The APC Calculator APIs API from Optum — 1 operation(s) for apc calculator apis.

Documentation GitHub OpenAPI

Business capability

Healthcare Revenue Cycle Management BC-2870

Operations 1

POST /api/optum/facility/outpatient-claims/ Fetches the data of APC calculator #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Optum Common Facility APC Calculator APIs API
  description: MicroService that contains Optum module-related information
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: v1.0
servers:
- url: /v1/optumcommonms
tags:
- name: APC Calculator APIs
paths:
  /api/optum/facility/outpatient-claims/:
    post:
      tags:
      - APC Calculator APIs
      summary: Fetches the data of APC calculator
      operationId: outpatientClaims
      parameters:
      - name: yyyy-MM-dd
        in: header
        description: Date for which historical data is required
        required: false
        schema:
          type: string
          format: yyyy-MM-dd
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/ApcCalculatorRequest'
        required: true
      responses:
        '200':
          description: 'POST: Fetches APC calculator '
          content:
            application/json:
              example:
                provider: '010001'
                fromDateStr: '2024-06-27'
                thruDateStr: '2024-06-27'
                gender: M
                age: '40'
                zipCode: ''
                dxCode: I10
                dxCodeType: icd10
                tobCode: '0131'
                conditionCode: ''
                claimLineList:
                - cptHcpcs: '99213'
                  unit: '1'
                  revCode: 0278
                  modifiers: ''
                  dateStr: '2024-06-27'
                  charge: '100'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /optumcommonms/outpatient-claims
        '500':
          description: Interal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-28T06:36:22.518+00:00'
                path: /optumcommonms/outpatient-claims/
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      security:
      - bearerAuth: []
components:
  schemas:
    Notification:
      type: object
      properties:
        error:
          type: array
          items:
            type: string
        warning:
          type: array
          items:
            type: string
        info:
          type: array
          items:
            type: string
    ApcCalculatorRequest:
      required:
      - dxCode
      - dxCodeType
      - fromDateStr
      - gender
      - provider
      - thruDateStr
      type: object
      properties:
        provider:
          maxLength: 2147483647
          minLength: 1
          type: string
          description: Terms to search for
        fromDateStr:
          type: string
        thruDateStr:
          type: string
        gender:
          pattern: ^([MFUI])$
          type: string
        age:
          pattern: ^\d{1,3}$
          type: string
        zipCode:
          pattern: ^(\d{1,5}|)$
          type: string
        dxCode:
          type: string
        dxCodeType:
          pattern: ^(icd9|icd10)$
          type: string
        tobCode:
          pattern: ^(.{0,4}|)$
          type: string
        conditionCode:
          pattern: ^(.{1,2}|)$
          type: string
        claimLineList:
          type: array
          items:
            $ref: '#/components/schemas/ClaimLine'
    ClaimLine:
      type: object
      properties:
        cptHcpcs:
          type: string
        unit:
          type: string
        revCode:
          type: string
        modifiers:
          type: string
        dateStr:
          type: string
        charge:
          type: string
        cptHcpcsDesc:
          type: string
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-readme:
  explorer-enabled: true
  proxy-enabled: true