curl --request GET \
--url https://api.maxcare.ai/v4/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",
"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",
"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"
}
],
"patient": {
"id": "pat_c56103bcd39c46d39f3138dd2b5e05f6",
"mrn": "MRN-10042",
"firstName": "Sarah",
"lastName": "Johnson",
"middleName": "Marie",
"gender": "Female",
"dateOfBirth": "1985-03-15",
"email": "sarah.johnson@email.com",
"phone": "(555) 123-4567",
"createdAt": "2024-08-15T09:30:00.000Z",
"updatedAt": "2025-01-20T14:22:00.000Z"
},
"primaryProvider": {
"id": "prv_d4e5f6a7b8c94d0e1f2a3b4c5d6e7f8a",
"firstName": "James",
"lastName": "Wilson",
"displayFirstName": "Dr. James",
"displayLastName": "Wilson, MD",
"roles": [
"Physician",
"Surgeon"
],
"username": "jwilson",
"individualNpi": "1234567890",
"canFinalize": true,
"canCosign": false,
"createdAt": "2024-06-01T08:00:00.000Z",
"updatedAt": "2025-02-10T16:45:00.000Z"
},
"billUnderProvider": {
"id": "prv_d4e5f6a7b8c94d0e1f2a3b4c5d6e7f8a",
"firstName": "James",
"lastName": "Wilson",
"displayFirstName": "Dr. James",
"displayLastName": "Wilson, MD",
"roles": [
"Physician",
"Surgeon"
],
"username": "jwilson",
"individualNpi": "1234567890",
"canFinalize": true,
"canCosign": false,
"createdAt": "2024-06-01T08:00:00.000Z",
"updatedAt": "2025-02-10T16:45:00.000Z"
}
}
}Returns a single claim with full detail including insurance info. Requires read:claims scope.
curl --request GET \
--url https://api.maxcare.ai/v4/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",
"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",
"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"
}
],
"patient": {
"id": "pat_c56103bcd39c46d39f3138dd2b5e05f6",
"mrn": "MRN-10042",
"firstName": "Sarah",
"lastName": "Johnson",
"middleName": "Marie",
"gender": "Female",
"dateOfBirth": "1985-03-15",
"email": "sarah.johnson@email.com",
"phone": "(555) 123-4567",
"createdAt": "2024-08-15T09:30:00.000Z",
"updatedAt": "2025-01-20T14:22:00.000Z"
},
"primaryProvider": {
"id": "prv_d4e5f6a7b8c94d0e1f2a3b4c5d6e7f8a",
"firstName": "James",
"lastName": "Wilson",
"displayFirstName": "Dr. James",
"displayLastName": "Wilson, MD",
"roles": [
"Physician",
"Surgeon"
],
"username": "jwilson",
"individualNpi": "1234567890",
"canFinalize": true,
"canCosign": false,
"createdAt": "2024-06-01T08:00:00.000Z",
"updatedAt": "2025-02-10T16:45:00.000Z"
},
"billUnderProvider": {
"id": "prv_d4e5f6a7b8c94d0e1f2a3b4c5d6e7f8a",
"firstName": "James",
"lastName": "Wilson",
"displayFirstName": "Dr. James",
"displayLastName": "Wilson, MD",
"roles": [
"Physician",
"Surgeon"
],
"username": "jwilson",
"individualNpi": "1234567890",
"canFinalize": true,
"canCosign": false,
"createdAt": "2024-06-01T08:00:00.000Z",
"updatedAt": "2025-02-10T16:45:00.000Z"
}
}
}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.