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API ReferencePre Encounter Eligibility Checks V1

Pre Encounter Eligibility Checks V 1 Batch

Sends a batch of eligibility checks to payers through Stedi.

Authentication

AuthorizationBearer
Send your Taiga API key as a Bearer token. Create and manage keys in the Taiga developer portal.

Request

This endpoint expects a list of objects.
payer_idstringRequired

Supported payer ID values can be found here.

providerobjectRequired
subscriberobjectRequired

The primary policyholder for the insurance plan or a dependent with a unique member ID.

If a dependent has a unique member ID, include their information here and leave dependent undefined.

submitter_transaction_identifierstring or nullOptional

A unique identifier for the eligibility check within the batch. Taiga returns this identifier in the response for the /batch/{batch_id} polling endpoint so you can correlate benefit responses with the original eligibility check.

dependentobject or nullOptional
If a dependent has a unique member ID, include their information as subscriber and leave this field undefined.
encounterobject or nullOptional
get_existing_check_initiated_afterdatetime or nullOptional

If not provided, this endpoint will run a fresh eligibility check. If provided, it will return an existing successful eligibility check if one exists that was initiated after provided date with the same parameters (Date of Service, Payer ID, Provider, Subscriber, Dependent, and Encounter).

sourcestring or nullOptional
portal_passwordstring or nullOptional
The password that the provider uses to log in to the payer's portal. This is not commonly used.
portal_usernamestring or nullOptional
The username that the provider uses to log in to the payer's portal. This is not commonly used.

Response

batch_idstring
submitted_atdatetime