availity · Example Payload

Claim Status Search By276 Request Example

Claim Status Search By276 Request Example is an example object payload from availity, with 8 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

payerIdpatientLastNamepatientFirstNamepatientBirthDatefromDatetoDateproviderLastNamepatientSameAsSubscriber

Example Payload

Raw ↑ 
{
  "payerId": "BCBS001",
  "patientLastName": "Smith",
  "patientFirstName": "Jane",
  "patientBirthDate": "1980-01-15",
  "fromDate": "2025-01-01",
  "toDate": "2025-12-31",
  "providerLastName": "Johnson",
  "patientSameAsSubscriber": true
}