Candid Health · Example Payload

Candid Health Eligibility Request Example

Medical BillingRevenue Cycle ManagementHealthcareClaimsEligibilityPrior AuthorizationRemittancePatient CollectionsCredentialingInsurance

Candid Health Eligibility Request Example is an example object payload from Candid Health, with 4 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

patientproviderpayerencounter

Example Payload

{
  "patient": {
    "firstName": "Jane",
    "lastName": "Doe",
    "dateOfBirth": "1985-04-15",
    "gender": "FEMALE",
    "memberId": "ABC123456789"
  },
  "provider": {
    "npi": "1234567890",
    "firstName": "John",
    "lastName": "Smith"
  },
  "payer": {
    "payerId": "00019",
    "payerName": "United Healthcare"
  },
  "encounter": {
    "date_of_service": "2026-06-12",
    "service_type_codes": [
      "30"
    ]
  }
}

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