curl --request POST \
--url https://sandbox.rcintell.com/v1/knowledge/resolve \
--header 'Content-Type: application/json' \
--header 'X-API-Key: <api-key>' \
--data '
{
"care_setting": "outpatient",
"ccn": "170001",
"dx": [
"M17.11",
"E11.9"
],
"lines": [
{
"code": "99213",
"units": 1
},
{
"code": "36415",
"units": 1
}
],
"payer": "Medicare"
}
'import requests
url = "https://sandbox.rcintell.com/v1/knowledge/resolve"
payload = {
"care_setting": "outpatient",
"ccn": "170001",
"dx": ["M17.11", "E11.9"],
"lines": [
{
"code": "99213",
"units": 1
},
{
"code": "36415",
"units": 1
}
],
"payer": "Medicare"
}
headers = {
"X-API-Key": "<api-key>",
"Content-Type": "application/json"
}
response = requests.post(url, json=payload, headers=headers)
print(response.text)const options = {
method: 'POST',
headers: {'X-API-Key': '<api-key>', 'Content-Type': 'application/json'},
body: JSON.stringify({
care_setting: 'outpatient',
ccn: '170001',
dx: ['M17.11', 'E11.9'],
lines: [{code: '99213', units: 1}, {code: '36415', units: 1}],
payer: 'Medicare'
})
};
fetch('https://sandbox.rcintell.com/v1/knowledge/resolve', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://sandbox.rcintell.com/v1/knowledge/resolve",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_POSTFIELDS => json_encode([
'care_setting' => 'outpatient',
'ccn' => '170001',
'dx' => [
'M17.11',
'E11.9'
],
'lines' => [
[
'code' => '99213',
'units' => 1
],
[
'code' => '36415',
'units' => 1
]
],
'payer' => 'Medicare'
]),
CURLOPT_HTTPHEADER => [
"Content-Type: application/json",
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"strings"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/knowledge/resolve"
payload := strings.NewReader("{\n \"care_setting\": \"outpatient\",\n \"ccn\": \"170001\",\n \"dx\": [\n \"M17.11\",\n \"E11.9\"\n ],\n \"lines\": [\n {\n \"code\": \"99213\",\n \"units\": 1\n },\n {\n \"code\": \"36415\",\n \"units\": 1\n }\n ],\n \"payer\": \"Medicare\"\n}")
req, _ := http.NewRequest("POST", url, payload)
req.Header.Add("X-API-Key", "<api-key>")
req.Header.Add("Content-Type", "application/json")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.post("https://sandbox.rcintell.com/v1/knowledge/resolve")
.header("X-API-Key", "<api-key>")
.header("Content-Type", "application/json")
.body("{\n \"care_setting\": \"outpatient\",\n \"ccn\": \"170001\",\n \"dx\": [\n \"M17.11\",\n \"E11.9\"\n ],\n \"lines\": [\n {\n \"code\": \"99213\",\n \"units\": 1\n },\n {\n \"code\": \"36415\",\n \"units\": 1\n }\n ],\n \"payer\": \"Medicare\"\n}")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/knowledge/resolve")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Post.new(url)
request["X-API-Key"] = '<api-key>'
request["Content-Type"] = 'application/json'
request.body = "{\n \"care_setting\": \"outpatient\",\n \"ccn\": \"170001\",\n \"dx\": [\n \"M17.11\",\n \"E11.9\"\n ],\n \"lines\": [\n {\n \"code\": \"99213\",\n \"units\": 1\n },\n {\n \"code\": \"36415\",\n \"units\": 1\n }\n ],\n \"payer\": \"Medicare\"\n}"
response = http.request(request)
puts response.read_body{
"ccn": "<string>",
"layers": [
{
"data": {},
"layer": "<string>",
"source": "<string>"
}
],
"audit_tier": "<string>",
"coverage_info": {
"conditions": [
"<string>"
],
"coverage_status": "<string>",
"lcd_ncd_reference": "<string>",
"notes": "<string>"
},
"dx": [
"<string>"
],
"facility_name": "<string>",
"lines": [
{
"code": "<string>",
"line_id": "<string>",
"coverage": {
"code": "<string>",
"coverage_status": "<string>",
"dx_required": false,
"lcd_id": "<string>",
"matched_dx": [
"<string>"
],
"ncd_id": "<string>",
"source_url": "<string>"
},
"l5": {},
"l6": {},
"modifier": "<string>",
"place_of_service": "<string>",
"units": 1
}
],
"ncci_clean": true,
"ncci_conflicts": [
{
"code1": "<string>",
"code2": "<string>",
"claim_type": "<string>",
"col1_proc_cd": "<string>",
"col2_proc_cd": "<string>",
"edit_scope": "<string>",
"effective_date": "<string>",
"is_bundled": true,
"modifier_allowed": true,
"modifier_indicator": "<string>",
"payer": "<string>",
"program": "<string>",
"ptp_rationale": "<string>",
"state": "<string>"
}
],
"payment_estimate": {
"conversion_factor": 123,
"estimated_payment": 123,
"methodology": "<string>",
"mp_gpci": 123,
"mp_rvu": 123,
"pe_gpci": 123,
"pe_rvu": 123,
"pw_gpci": 123,
"total_rvu": 123,
"work_rvu": 123
}
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Resolve full knowledge stack
Resolve the full L1-L6 knowledge stack for a facility.
Given a CCN (Medicare Provider Number) plus either a single cpt or
claim-shaped lines[] + dx[], returns L1–L6 including GPCI, payment
system, billing form, payer rules, per-line service group, RVU estimate,
LCD DX match, and NCCI PTP across the claim.
curl --request POST \
--url https://sandbox.rcintell.com/v1/knowledge/resolve \
--header 'Content-Type: application/json' \
--header 'X-API-Key: <api-key>' \
--data '
{
"care_setting": "outpatient",
"ccn": "170001",
"dx": [
"M17.11",
"E11.9"
],
"lines": [
{
"code": "99213",
"units": 1
},
{
"code": "36415",
"units": 1
}
],
"payer": "Medicare"
}
'import requests
url = "https://sandbox.rcintell.com/v1/knowledge/resolve"
payload = {
"care_setting": "outpatient",
"ccn": "170001",
"dx": ["M17.11", "E11.9"],
"lines": [
{
"code": "99213",
"units": 1
},
{
"code": "36415",
"units": 1
}
],
"payer": "Medicare"
}
headers = {
"X-API-Key": "<api-key>",
"Content-Type": "application/json"
}
response = requests.post(url, json=payload, headers=headers)
print(response.text)const options = {
method: 'POST',
headers: {'X-API-Key': '<api-key>', 'Content-Type': 'application/json'},
body: JSON.stringify({
care_setting: 'outpatient',
ccn: '170001',
dx: ['M17.11', 'E11.9'],
lines: [{code: '99213', units: 1}, {code: '36415', units: 1}],
payer: 'Medicare'
})
};
fetch('https://sandbox.rcintell.com/v1/knowledge/resolve', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://sandbox.rcintell.com/v1/knowledge/resolve",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_POSTFIELDS => json_encode([
'care_setting' => 'outpatient',
'ccn' => '170001',
'dx' => [
'M17.11',
'E11.9'
],
'lines' => [
[
'code' => '99213',
'units' => 1
],
[
'code' => '36415',
'units' => 1
]
],
'payer' => 'Medicare'
]),
CURLOPT_HTTPHEADER => [
"Content-Type: application/json",
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"strings"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/knowledge/resolve"
payload := strings.NewReader("{\n \"care_setting\": \"outpatient\",\n \"ccn\": \"170001\",\n \"dx\": [\n \"M17.11\",\n \"E11.9\"\n ],\n \"lines\": [\n {\n \"code\": \"99213\",\n \"units\": 1\n },\n {\n \"code\": \"36415\",\n \"units\": 1\n }\n ],\n \"payer\": \"Medicare\"\n}")
req, _ := http.NewRequest("POST", url, payload)
req.Header.Add("X-API-Key", "<api-key>")
req.Header.Add("Content-Type", "application/json")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.post("https://sandbox.rcintell.com/v1/knowledge/resolve")
.header("X-API-Key", "<api-key>")
.header("Content-Type", "application/json")
.body("{\n \"care_setting\": \"outpatient\",\n \"ccn\": \"170001\",\n \"dx\": [\n \"M17.11\",\n \"E11.9\"\n ],\n \"lines\": [\n {\n \"code\": \"99213\",\n \"units\": 1\n },\n {\n \"code\": \"36415\",\n \"units\": 1\n }\n ],\n \"payer\": \"Medicare\"\n}")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/knowledge/resolve")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Post.new(url)
request["X-API-Key"] = '<api-key>'
request["Content-Type"] = 'application/json'
request.body = "{\n \"care_setting\": \"outpatient\",\n \"ccn\": \"170001\",\n \"dx\": [\n \"M17.11\",\n \"E11.9\"\n ],\n \"lines\": [\n {\n \"code\": \"99213\",\n \"units\": 1\n },\n {\n \"code\": \"36415\",\n \"units\": 1\n }\n ],\n \"payer\": \"Medicare\"\n}"
response = http.request(request)
puts response.read_body{
"ccn": "<string>",
"layers": [
{
"data": {},
"layer": "<string>",
"source": "<string>"
}
],
"audit_tier": "<string>",
"coverage_info": {
"conditions": [
"<string>"
],
"coverage_status": "<string>",
"lcd_ncd_reference": "<string>",
"notes": "<string>"
},
"dx": [
"<string>"
],
"facility_name": "<string>",
"lines": [
{
"code": "<string>",
"line_id": "<string>",
"coverage": {
"code": "<string>",
"coverage_status": "<string>",
"dx_required": false,
"lcd_id": "<string>",
"matched_dx": [
"<string>"
],
"ncd_id": "<string>",
"source_url": "<string>"
},
"l5": {},
"l6": {},
"modifier": "<string>",
"place_of_service": "<string>",
"units": 1
}
],
"ncci_clean": true,
"ncci_conflicts": [
{
"code1": "<string>",
"code2": "<string>",
"claim_type": "<string>",
"col1_proc_cd": "<string>",
"col2_proc_cd": "<string>",
"edit_scope": "<string>",
"effective_date": "<string>",
"is_bundled": true,
"modifier_allowed": true,
"modifier_indicator": "<string>",
"payer": "<string>",
"program": "<string>",
"ptp_rationale": "<string>",
"state": "<string>"
}
],
"payment_estimate": {
"conversion_factor": 123,
"estimated_payment": 123,
"methodology": "<string>",
"mp_gpci": 123,
"mp_rvu": 123,
"pe_gpci": 123,
"pe_rvu": 123,
"pw_gpci": 123,
"total_rvu": 123,
"work_rvu": 123
}
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Authorizations
Body
Resolve the full L1-L6 knowledge stack for a facility and optional claim.
Two equivalent input shapes (both valid):
- Single-code (legacy):
cpt+ optionaldx_codes - Claim-shaped (locked):
lines[]+dx[]— same line object asPOST /v1/knowledge/payment-calc/claim
When lines is present it is authoritative; cpt is ignored.
dx wins over the legacy dx_codes alias when both are sent.
6-digit Medicare Provider Number (CCN)
^\d{6}$"170001"
Care setting context
"outpatient"
Single CPT/HCPCS code (legacy). Ignored when lines[] is sent.
^[A-Za-z0-9]{5}$"99213"
YYYY-MM-DD for NCCI versioning
ICD-10-CM diagnosis codes for the claim (preferred over dx_codes)
Legacy DX alias. Prefer dx[].
["M17.11", "E11.9"]
Claim procedure lines (max 25). Same shape as payment-calc/claim.
25Show child attributes
Show child attributes
Payer name or identifier
"Medicare"
Claim-level POS default (e.g. 11, 22)
"22"
Response
Complete L1-L6 resolution with optional payment estimate
Full knowledge resolution result across all applicable layers.
layers + payment_estimate stay the single-code view (first line)
for existing clients. dx / lines / ncci_* are the locked
claim-shaped fields.
The queried CCN
Resolved L1-L6 layer data
Show child attributes
Show child attributes
SENTINEL audit tier (green/yellow/red)
Coverage context if payer was provided
Show child attributes
Show child attributes
Normalized claim DX
Resolved facility name
Per-line L5/L6/coverage. Empty when no CPT/lines were sent.
Show child attributes
Show child attributes
Show child attributes
Show child attributes
Physician RVU estimate for the first line (legacy)
Show child attributes
Show child attributes