Administrative APIs | REST

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Download Open API Specification

Submit TPS Claim

https://api.wealthcare.com/system/Services/Tps/claim

  • tpsProcessorId string Required

    ID of the TPS processor.

    Min Length: 0
    Max Length: 18
  • claimType enum<string> Required
    Possible values: Pharmacy Medical Dental Vision
  • participantAmt number <double> Required

    Amount the participant is responsible for.

  • claimTransDte string <date-time>

    Date the transaction took place. YYYYMMDD format.

  • cardholderId string Required

    Cardholder's ID as it appears in WCA.

  • providerId string Required

    ID of the provider associated with the transaction.

  • providerName string

    Full name of the provider associated with the transaction.

  • providerCity string

    City associated with provider's address.

  • providerState string

    Two digit abbreviation associated with provider's address.

  • providerCountry string

    Country associated with provider's address.

  • providerZip string

    Zip code associated with provider's address.

  • providerPhone string

    Provider's phone number including area code.

  • claimId string Required

    Unique identifier for the claim.

  • claimDispCde enum<string>
    Possible values: None Original Modified Reversal Void
  • serviceStartDte string <date-time> Required

    Date the services started. YYYYMMDD format.

  • serviceEndDte string <date-time>

    Date the services ended. YYYYMMDD format.

  • cardholderFirstName string

    Cardholder's first name.

  • cardholderLastName string

    Cardholder's last name.

  • verboseMode boolean
  • ClaimId string

    Unique identifier for the claim.

  • CardholderId string

    Cardholder's ID as it appears in WCA.

  • ErrorCode integer <int32>
  • ErrorDescription string