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EOB

 

ExplanationOfBenefit

The Explanation of Benefit (EOB) API enables members to share written explanation of benefits with an authenticated app or user. Explanation of benefits include the payments made on behalf of a member and a description of the healthcare services provided to the member. No records prior to January 1, 2016 will be returned.

HL7 FHIR interactions

Read Interaction:

GET [base]/ExplanationOfBenefit/[id]

Search-Type Interaction:

GET [base]/ExplanationOfBenefit?[parameter=value]

ParameterConformanceSample SearchNotes
typeMust[base]/ExplanationOfBenefit?type=[claim type]claim type: https://terminology.hl7.org/2.1.0/CodeSystem-claim-type.html
_id and typeMAY[base]/ExplanationOfBenefit?_id={id]&type=[claim type]claim type: https://terminology.hl7.org/2.1.0/CodeSystem-claim-type.html
member number identifier and
type		MAY[base]/ExplanationOfBenefit?identifier=[member number]&type=[claimtype]
 		member number - internal member number
_lastUpdated and typeMAY[base]/ExplanationOfBenefit?_lastUpdated=eq[_lastUpdated]&type=[claimtype]
 		 
service-date and typeMAY[base]/ExplanationOfBenefit?service- date=eq[servicedate]&type=[claim type] 
patientMAY[base]/ExplanationOfBenefit?patient=[patient id]Patient id in JWT id token

 

URLs

Sandbox

https://apipreprod.arkbluecross.com/blueware/V1/FHIR/ExplanationOfBenefit

Production

https://api.arkbluecross.com/blueware/V1/FHIR/ExplanationOfBenefit

 

Headers

ACCEPT: application/json
AUTHORIZATION: Bearer {ACCESS_TOKEN}

 

Sample Request

curl -X GET \https://apipreprod.arkbluecross.com/blueware/V1/FHIR/ExplanationOfBenefit \
-H 'Accept: application/json' \
-H 'Authorization: Bearer {your access token}' \

 

Sample Response

Coming soon!