availity · Schema

ClaimStatusRequest

Properties

Name Type Description
payerId string Availity payer ID
provider object
subscriber object
claimNumber string Payer claim number
fromDate string
toDate string
View JSON Schema on GitHub

JSON Schema

availity-claimstatusrequest-schema.json Raw ↑
{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "#/components/schemas/ClaimStatusRequest",
  "title": "ClaimStatusRequest",
  "type": "object",
  "required": [
    "payerId",
    "provider",
    "subscriber"
  ],
  "properties": {
    "payerId": {
      "type": "string",
      "description": "Availity payer ID",
      "example": "BCBS001"
    },
    "provider": {
      "type": "object",
      "properties": {
        "npi": {
          "type": "string",
          "description": "National Provider Identifier",
          "example": "1234567890"
        },
        "taxId": {
          "type": "string",
          "example": "123456789"
        }
      }
    },
    "subscriber": {
      "type": "object",
      "properties": {
        "memberId": {
          "type": "string",
          "example": "MEM123456"
        },
        "firstName": {
          "type": "string",
          "example": "Jane"
        },
        "lastName": {
          "type": "string",
          "example": "Smith"
        },
        "dateOfBirth": {
          "type": "string",
          "format": "date",
          "example": "1980-01-15"
        }
      }
    },
    "claimNumber": {
      "type": "string",
      "description": "Payer claim number",
      "example": "CLM-2025-001234"
    },
    "fromDate": {
      "type": "string",
      "format": "date",
      "example": "2025-01-01"
    },
    "toDate": {
      "type": "string",
      "format": "date",
      "example": "2025-12-31"
    }
  }
}