Participant APIs | REST

A unique identifier used to identify your admin instance. This value was system generated with the admin instance was created.

Unique identifier for the employer. Note: When the employer was created, WealthCare Admin assigned the 3-character prefix; you assigned the remaining characters.

Participant Id

A unique identifier the transaction, generated by WCA when the transaction was first inserted

Date the Transaction was finalized in WCA- Settlement Date

For Card transactions, this field contains the transaction sequence number received from the Card terminal. For transactions you perform through the WealthCare Admin UI, this field contains the sequence number WealthCare Admin assigns.

Indicate if the URI parameters are encrypted or not. 1: encrypted, 0: decrypted, default to 0.

If a returned transaction is for a dependent, this flag indicates whether to mask certain information on the transaction or not. 0: do not mask 1: mask provider information on dependent transaction. PRIVATE will be returned for the transaction description, transaction provider description, transaction provder ID, service category code, service category code description, and merchant name. 2: mask provider information on dependent transaction only if Dependency Privacy is enabled. PRIVATE will be returned for the transaction description, transaction provider description, transaction provder ID, service category code, service category code description, and merchant name.

Tax Year

Pre Tax Amount

Post Tax Amount

Represents a system generated identifier for the reimbursement which can be used to retrieve the reimbursement details in a separate request.

Represents the draft # issued by our Integrated Payment vendor.

Represents the payment method used by the participant or our Integrated Payment vendor. Valid methods include Pending, Check, Direct Deposit, External Check, External Direct Deposit, Card, Payroll, ePay-ACH, ePay-Virtual Card, and ePay-eCheck.

Error Code

Error Description

Tracking Number

Unique ID of the external claims

Service category tier if multiple SCC attached to it

Refers to claim when multiple claim submitted

CPT, HCPCS or other service procedure type. This information is stored in the system for display to the administrator and participant It is not used by the system to determine whether a claim is eligible

On an FX or TC claim or a participant added expense, this is the amount the provided billed to insurance. It is for information purposes only and is not used for adjudication. It is intended to help a participant match-up to the full billed amount for a service. For TC/FX Claims this is the summation of all claim lines.

Amount applicable for creating claims

Requested amount will be used as the participant's deductible responsibility

Reimbursed amount will be used as the participant's deductible responsibility

Amount requested by participant's coinsurance

Amount reimbursed to participant's coinsurance

Requested amount will be used as participant's copay responsibility

Reimbursed amount will be used as participant's copay responsibility

On an FX or TC, this is the requested amount that is being denied by the insurance company due to the benefit being maxed out in number of visits or limit (such as a limit of 20 Physical Therapy visits per year). WCA can be configured to reimburse this amount since it would otherwise be covered by insurance were it not for the limit.

On an FX or TC, this is the reimbursed amount that is being denied by the insurance company due to the benefit being maxed out in number of visits or limit (such as a limit of 20 Physical Therapy visits per year). WCA can be configured to reimburse this amount since it would otherwise be covered by insurance were it not for the limit.

Requested amount will be used as the participant's Excess Amount responsibility

Reimbursed amount will be used as the participant's Excess Amount responsibility

Requested amount which was not covered by the insurance plan

Reimbursed amount which was not covered by the insurance plan

On an FX or TC claim or a participant “save expense” for later, this is the reimbursed amount above the usual and customary rate – for an out of network claim, it’s the amount the provider billed minus the insurance allowed amount. WCA can be configured to reimburse this amount by service category tier.

On an FX or TC claim or a participant “save expense” for later, this is the requested amount above the usual and customary rate – for an out of network claim, it’s the amount the provider billed minus the insurance allowed amount. WCA can be configured to reimburse this amount by service category tier.

Amount paid for insurance

Unique ID of the benefit plan

The Account Type Code for the transaction, such as FSA, FS2, etc.

Date when the plan starts

Date when the plan ends

Merchant Name of merchant associated with provider

Unique identification ID for a provider or vendor

Merchant category code used to create transaction

MCC attached while initiating claim

Transaction Amount

Code to identify the nature/type of transaction

Current status of the transaction

Date when the transaction is made

Convenience Fee Payer Code: None = 1, Tpa = 2, Employer = 3, Employee = 4

Amount disbursed till now for this account

Indicates if a dependent is associated ` 1= Yes, 0 = No

Employee's Dependent ID

Date when the original transaction occurred

Sequence number to transaction when multiple transaction created

Date when the transaction settlement identified

In case of split transaction, this sequence number can identify the transaction uniquely among the set of transactions

Terminal City

Terminal State

Terminal Name

Terminal Owner Name

Terminal ID

Unique identifier key to store the transaction

If WCA has this information, this will be the check number for the reimbursement.

Date when the reimbursement occurred

Method used for reimbursement Undefined = -1, None = 0, Check = 1, DirectDeposit = 2, ExternalCheck = 3, ExternalDirectDeposit = 4, Card = 5, Payroll = 6

Balance due amount

Indicates if the transaction is partially authorized. ` 1= Yes, 0 = No

Notes entered by user related to the transaction

Indicates if the Check is reissued. 1 = Yes, 0 = No

Service category code used to create transaction

Description to Service category code used to create transaction

A unique text ID of the subtype

Quick description which can show the purpose of the transaction

Amount denied in FX claim

Amount not considered for reimbursement

Reason to excluding the amount for a claim

Indicate low fund balance in account

Amount eligible for FX claim

Amount will be used as the participant's deductible responsibility

Amount provided to create pending claims

Indicates if the transaction is associated with a pay provider. ` 1= Yes, 0 = No

Proxy number of the card

Start date of the transaction

End date of the transaction

Start date of the recurring claims

End date of the recurring claim

Provides the information on how frequent the recurrent transaction occurs. Example: Daily, Weekly, Monthly

Date when the next recurrence transaction will occurr

Date when the last recurrence transaction occurred

It is equivalent to RecurrenceTotalNumber

Number of recurrence transaction pending

Description related to the HSA plan

Balance due amount from the employee account

Ineligible amount is amount denied in card transaction

Reason for ineligible amount in card transaction

Origin Code indicates which way claims initiated - Mobile/Web Portal/eClaim

Description for which way claims initiated

Reason provided for pended claims

Description for creating pended claims

Reason provided for denied claims

Comment given on denial of FX claim

Name of the pay provider

First line of the provider’s mailing address

Second line of the provider’s mailing address

City associated with the provider’s mailing address

State associated with the provider’s mailing address

Zip Code associated with the provider’s mailing address

Unique identifier key to store the on hold information of a transaction

Unique identifier key to store the task schedule

On hold amount balance of the HSA account

Date when the transaction is posted

Card proxy number of the Participant

Origin Txn Amount is total of approved amt,pended amt and denied amt

Date when the claim was put on hold

Returns the status of a check reimbursemement. If transaction is an HSA Import, Auto Deposit, or Other deposit, this field will be empty. If the check trace number exists and has been reissued, this field return the check trace number + a superscript “r” (i.e., 1234r) If the check trace number exists and this was an external check, this field will return the check trace number + a superscript “e” (i.e., 1234e) If the transaction was submitted manually, and was not denied, this will return “Pending Reimbursement" If the transaction was submitted manually, was not denied, and the reimbursement method is card, this will return “Card” If the transaction was submitted manually, was not denied, and the reimbursement method is external check, this will return “Pending External Reimbursement” If the transaction was submitted manually, is fully offset, and fully deductible, this will return “Offset / Deductible” If the transaction was submitted manually and is fully offset and overpayment is resolved, this will return “Offset” If the transaction was submitted manually and is fully deductible, this will return “Deductible” If the transaction was submitted manually, is partially offset and the reimbursement method is external check or external direct deposit, this will return the check trace number with a superscript “e” + “ / Offset” (i.e., “1234e / Offset”) If the transaction was submitted manually, is partially offset, the reimbursement method is check or direct deposit, and the check has been reissued, this will return the check trace number with a superscript “r” + “ / Offset” (i.e., “1234r / Offset”) If the transaction was submitted manually, is partially offset, and a check trace number exists, this will return the check number + “ / Offset” (i.e., “1234 / Offset”) If the transaction was submitted manually, is partially offset, the reimbursement method is external check or external direct deposit, and a check trace number doesnot exist, this will return “Pending External Reimbursement / Offset” If the transaction was submitted manually, reimbursememt method is check, direct deposit, or payroll, the transaction is partially offset, the overpayment is partially resolved, and there is no check trace number, this will return “Pending Reimbursement / Offset” If the transaction was submitted manually, reimbursement is set to “None,” the transaction is partially offset, and the overpayment is partially resolved, this will return “None / Offset” If the transaction does not meet any of the above criteria but a check trace number exists, this will return the check trace number. Otherwise, this field will be empty.

Amount of transaction which got reimbursed

Transaction amount enterd first time while creating claim

Amount approved for the Transaction

Details of attached receipt for claims