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POST
Pre-submission claim validation

Authorizations

X-API-Key
string
header
required

Body

application/json

Pre-submission claim validation — lighter than encounter check.

cpt_codes
string[]
required

Finalized CPT/HCPCS codes on the claim

Required array length: 1 - 25 elements
date_of_service
string
required

Date of service (YYYY-MM-DD)

payer_slug
string
required

Payer slug

claim_type
string
default:professional

Claim type: professional, institutional, dental

locality
string | null

GPCI locality code

plan_type
string | null

Plan type for filing rule overrides

state
string | null

State code for filing rule overrides

Response

Successful Response

Pre-submission claim validation result.

codes
string[]
required
date_of_service
string
required
payer_slug
string
required
submit_ready
boolean
required

True when no blockers found (NCCI clean + filing valid)

filing_status
ClaimFilingStatus · object | null

Timely filing status for the claim.

ncci_clean
boolean
default:true
ncci_conflicts
NCCIBatchConflict · object[]
payer_name
string | null
payment_estimates
EncounterPaymentEstimate · object[]
total_estimated_payment
number
default:0
warnings
EncounterWarning · object[]