Availity · Schema
ClaimStatusResponse
HealthcareClearinghouseHIPAAX12 EDIEligibilityClaimsPrior AuthorizationRevenue Cycle ManagementPayersPrice Transparency
Properties
| Name | Type | Description |
|---|---|---|
| id | string | Availity transaction ID |
| status | string | |
| traceIds | object | |
| amounts | object | |
| completeCode | string | |
| errors | array |
JSON Schema
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "#/components/schemas/ClaimStatusResponse",
"title": "ClaimStatusResponse",
"type": "object",
"properties": {
"id": {
"type": "string",
"description": "Availity transaction ID",
"example": "500123"
},
"status": {
"type": "string",
"enum": [
"ACKNOWLEDGED",
"ACTION_REQUIRED",
"ADJUSTED",
"CAPITATED",
"DENIED",
"ERROR",
"FINALIZED",
"PAID",
"PENDING",
"REJECTED",
"RETURNED_TO_PROVIDER"
],
"example": "PAID"
},
"traceIds": {
"type": "object",
"properties": {
"AVAILITY_TRACE_ID": {
"type": "string",
"example": "a1b2c3d4e5f6a1b2c3d4e5f6a1b2c3d4"
},
"PAYER_TRACE_ID": {
"type": "string",
"example": "277-trace-001"
}
}
},
"amounts": {
"type": "object",
"properties": {
"billed": {
"type": "number",
"example": 250.0
},
"allowed": {
"type": "number",
"example": 200.0
},
"paid": {
"type": "number",
"example": 160.0
},
"patientResponsibility": {
"type": "number",
"example": 40.0
}
}
},
"completeCode": {
"type": "string",
"example": "COMPLETE"
},
"errors": {
"type": "array",
"items": {
"type": "object",
"properties": {
"code": {
"type": "string"
},
"message": {
"type": "string"
}
}
}
}
}
}
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