Claim.MD · Eligibility, Coverage or Benefit Inquiry

Implementation notes for feeding the 270 transaction to Claim.MD.

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "receiverId": "CLAIMMD",
  "versionId": "005010X279A1",
  "gsCode": "HS",
  "usageIndicator": "P"
}

Required fields

NM1/NM109 — Payer ID from Claim.MD payer list

Fixed values

None.

Endpoint: Claim.MD REST /eligibility