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GET
/
claims
/
{id}
Get claim by ID
curl --request GET \
  --url https://api.maxcare.ai/v3/claims/{id} \
  --header 'Authorization: Bearer <token>' \
  --header 'X-Organization-Id: <x-organization-id>'
{
  "code": "success",
  "data": {
    "id": "clm_c9d0e1f2a3b44c5d6e7f8a9b0c1d2e3f",
    "claimAmount": "450.00",
    "balance": "120.00",
    "claimStatus": "accepted",
    "submittedDate": "2025-01-16",
    "claimCreatedDate": "2025-01-15",
    "billId": "bil_9a8b7c6d5e4f3a2b1c0de9f8a7b6c5d4",
    "dateOfService": "2025-01-15",
    "billHumanId": "BILL-78432",
    "patientId": "pat_c56103bcd39c46d39f3138dd2b5e05f6",
    "patientFirstName": "Sarah",
    "patientLastName": "Johnson",
    "patientDob": "1985-03-15",
    "primaryProviderName": "Dr. James Wilson",
    "billUnderName": "Dr. James Wilson",
    "facilityId": "fac_b2c3d4e5f6a74b8c9d0e1f2a3b4c5d6e",
    "facilityName": "West LA Dermatology",
    "specialty": "Dermatology",
    "primaryInsurance": "Blue Cross Blue Shield",
    "secondaryInsurance": null,
    "createdAt": "2025-01-15T09:30:00.000Z",
    "updatedAt": "2025-01-20T14:22:00.000Z",
    "primaryProviderId": "prv_d4e5f6a7b8c94d0e1f2a3b4c5d6e7f8a",
    "billUnderId": "prv_d4e5f6a7b8c94d0e1f2a3b4c5d6e7f8a",
    "cliaNumber": "05D2081496",
    "insurance": [
      {
        "payerName": "Blue Cross Blue Shield",
        "planName": "PPO Gold",
        "policyType": "PPO",
        "isPrimary": true,
        "memberId": "XYZ123456789",
        "groupNumber": "GRP-98765",
        "policyNumber": "POL-2025-001234",
        "subscriberName": "Sarah Johnson",
        "copayAmount": "30.00",
        "deductibleRemaining": "1500.00"
      }
    ]
  }
}

Documentation Index

Fetch the complete documentation index at: https://docs.maxcare.ai/llms.txt

Use this file to discover all available pages before exploring further.

Authorizations

Authorization
string
header
required

Marketplace API key

Headers

X-Organization-Id
string
required

Target clinic organization ID

Path Parameters

id
string
required

Claim ID

Response

Success

code
string
required

Response code

Example:

"success"

data
object
required