---
title: "Create adjustment"
method: POST
path: "/adjustments"
tags: ["Adjustments"]
---

# Create adjustment

`POST /adjustments`

This endpoint enqueues a write-back that records the adjustment in the integrated health record system

## Query parameters

- `subdomain` string, required
- `location_id` integer, required

## Headers

- `Nex-Api-Version` string, required

## Request body

- PostAdjustments — Create adjustment
  - `adjustment` object, required — Adjustment details
    - `patient_id` integer, required — NexHealth Patient ID
    - `amount` number, double, required — Adjustment amount in decimal dollars
    - `currency` string — Currency
    - `adjustment_type_id` integer — ID of the adjustment type.
    - `transaction_id` string, required — The transaction ID of the adjustment with a prefix identifying the API originator this ID will be used to identify the adjustment created in the EHR. Max length is 50 characters.
    - `adjusted_at` string, date-time — Adjustment datetime
    - `charge_splits` object — Charge splits hash with NexHealth charge IDs and corresponding amounts in decimal dollars
    - `provider_splits` object — Provider splits hash with NexHealth provider IDs and corresponding amounts in decimal dollars
    - `notes` string — Notes that will be saved into the EHR. note: some EHRs may truncate overlong notes

## Response `202`

Create adjustment

## Other responses

- `400` — Bad Request
- `401` — Unauthorized
- `403` — Forbidden
- `500` — Internal Server Error

---

[API](https://skmtc.net/nexhealth/apis/nexhealth-api.md) · [All operations](https://skmtc.net/nexhealth/apis/nexhealth-api/llms.txt) · [OpenAPI document](https://skmtc-service-staging.skmtc.workers.dev/v1/apis/nexhealth/nexhealth-api/revisions/a180e830b672/schema)