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v2

latestOpenAPI 3.0.02026-07-2632977728.5 KB
Billing

Create billing line item for appointments

post/api/line_items

Query parameters

posted_datestring
patientinteger
officeinteger
doctorinteger
sincestring
appointmentinteger
service_datestring
use_fee_schedule_defaultsboolean

When true, resolves price and modifiers from the fee schedule before creating the line item. Only applies to CPT (C) and HCPCS (H) procedure types. Caller-supplied price and modifiers take precedence over fee schedule values.

Response

Created

codestring required
ins3_paidnumber

Amount paid by patinet's tertiary insurer

updated_atstring
posted_datestring

date of line_item creation

billing_status'' | 'Incomplete Information' | 'In Process Emdeon' | 'In Process iHCFA' | 'In Process Gateway' | 'In Process Jopari' | 'In Process Waystar' | 'In Process EPS' | 'Rejected Emdeon' | 'Rejected iHCFA' | 'Rejected Gateway' | 'Rejected Jopari' | 'Rejected Waystar' | 'Rejected EPS' | 'In Process Payer' | 'Payer Acknowledged' | 'Rejected Payer' | 'Paid in Full' | 'Partially Paid' | 'Coordination of Benefits' | 'ERA Received' | 'ERA Denied'

One of "", "Incomplete Information", "In Process Emdeon", "In Process iHCFA", "In Process Gateway", "Rejected Emdeon", "Rejected iHCFA", "Rejected Gateway", "In Process Payer", "Payer Acknowledged", "Rejected Payer", "Paid in Full", "Partially Paid", "Coordination of Benefits", "ERA Received", "ERA Denied"

pt_paidnumber

Amount paid by patient

allowednumber

Amount allowed by insurance

patientstring

Patient ID

adjustmentnumber

Adjustment from total billed

idinteger
doctorstring

Doctor ID

balance_ptnumber

Patient balance

unitsstring

Default to "UN"

balance_insnumber

Insurance balance

paid_totalstring

Total amount paid

diagnosis_pointersstring[] required

List of 4 diagnosis pointers

appointmentinteger required

Appointment ID

descriptionstring
balance_totalstring

Total balance

pricenumber

Price of procedure

expected_reimbursementnumber
ins2_paidnumber

Amount paid by patient's secondary insurer

ins1_paidnumber

Amount paid by patient's primary insurer

insurance_statusstring

This corresponds to the "Status/Adj Type" from billing detail screen

billednumber

Total billed

modifiersstring[]

List of 4 code modifiers

denied_flagboolean
ins_totalstring

Total amount paid by patient's insurers

procedure_type'C' | 'H' | 'U' | 'S' required

One of "CPT(C)", "HCPCS(H)", "Custom(U)", use 1 character identifier when using POST

service_datestring

Date on which the service was rendered

quantitynumber