What are the APIs a Provider/Payer needs to develop to integrate with HCX?

[saurabh-singh-17]

No description provided.

[saurabh-singh-17]

Providers can make below listed calls to HCX which HCX will verify for primary checks (List of checks is available in Error codes ) and if all checks pass then it will be forwarded to the Payor System.

   /v1/coverageeligibility/check
   /v1/preauth/submit
   /v1/claim/submit
   /v1/paymentnotice/on_request

A provider system should accept following APIs calls from HXC:

  /v1/coverageeligibility/on_check
   /v1/preauth/on_submit
   /v1/claim/on_submit
   /v1/paymentnotice/request

Notifications and search APIs to come soon and specs will be updated at 0.8 version

[saurabh-singh-17]

Payors can make below listed calls to HCX which HCX will verify for primary checks (List of checks is available in Error codes ) and if all checks pass then it will be forwarded to the Provider System.

  /v1/coverageeligibility/on_check
   /v1/preauth/on_submit
   /v1/claim/on_submit
   /v1/paymentnotice/request

A payor system should accept following APIs calls from HXC:

   /v1/coverageeligibility/check
   /v1/preauth/submit
   /v1/claim/submit
   /v1/paymentnotice/on_reques

More information available at https://docs.swasth.app/hcx-specifications/hcx-technical-specifications/open-protocol/key-components-building-blocks/api-structure