For AI agents: a documentation index is available at the root level at /llms.txt. Append /llms.txt to any URL for a page-level index, or .md for the markdown version of any page.
Send your Taiga API key as a Bearer token. Create and manage keys in the Taiga developer portal.
Request
This endpoint expects an object.
claim_idstringRequiredformat: "uuid"
quantitystringRequired
String representation of a Decimal that can be parsed by most libraries.
For professional claims, a ServiceLine quantity cannot contain more than one digit of precision
(Example: 1.1 is valid, 1.11 is not). For institutional claims, a ServiceLine quantity cannot contain
more than three decimal digits of precision.
unitsenumRequired
Allowed values:
charge_amount_centsinteger or nullOptional
The total amount charged for this service line, factoring in quantity. The system will attempt to set it based on the chargemaster configuration and the service line’s quantity. For example, if a single unit has an entry of 100 cents and 2 units were rendered, the charge_amount_cents will be set to 200. If there is no chargemaster entry, the system will default to the amount set via this field.
custom_procedure_codestring or nullOptional
Represents and preserves the custom CPT code received on this service line. Custom CPT codes are specific to your organization and are primarily used for rules and reporting purposes.
date_of_servicedate or nullOptional
denial_reasonobject or nullOptional
The reason a given service line was denied within a given time range. A service line may be denied for different reasons over time, but only one reason at a time.
descriptionstring or nullOptional
A free-form description to clarify the related data elements and their content. Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.
diagnosis_id_onestring or nullOptionalformat: "uuid"
diagnosis_id_threestring or nullOptionalformat: "uuid"
diagnosis_id_twostring or nullOptionalformat: "uuid"
diagnosis_id_zerostring or nullOptionalformat: "uuid"
drug_identificationobject or nullOptional
end_date_of_servicedate or nullOptional
external_idstring or nullOptional
An external identifier for this service line. This is not used in the EDI 837, but can be used to identify the service line in external systems. This field should not contain PHI. Must be unique on a given claim.
has_epsdt_indicatorboolean or nullOptional
Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500.
If the value is true, the box will be populated with “Y”. Otherwise, the box will not be populated.
has_family_planning_indicatorboolean or nullOptional
Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
If the value is true, the box will be populated with “Y”. Otherwise, the box will not be populated.
modifierslist of enums or nullOptional
notestring or nullOptional
Maps to NTE02 loop 2400 on the EDI 837.
ordering_providerobject or nullOptional
Required when the service or supply was ordered by a provider who is different than the rendering provider for this service line. If not required by this implementation guide, do not send.
place_of_service_codeenum or nullOptional
837p Loop2300, SV105. This enum is not used or required in 837i claims. If your organization does not intend to submit claims with a different place of service at the service line level, this field should not be populated. 02 for telemedicine, 11 for in-person. Full list here.
prior_authorization_numberstring or nullOptional
Prior authorization number for this service line. Maps to the appropriate REF segment on Loop 2400 of the EDI 837p. This is not used for institutional claims (EDI 837i).
procedure_codestring or nullOptional
Pass null to create the service line as uncoded, which is valid for institutional (837i) claims that bill by
revenue code rather than a CPT/HCPCS code.
revenue_codestring or nullOptional
A 4 digit code that specifies facility department or type of service arrangement for institutional service line items (837i). This code is not required for professional claim billing (837p).
test_resultslist of objects or nullOptional
Contains a list of test results. Test result types may map to MEA-02 on the 837-P (ex: Hemoglobin, Hematocrit).
This is unused by 837-i and ignored for institutional service lines.
No more than 5 MEA-02 test results may be submitted per service line.
Response
created_atdatetime
service_line_idstringformat: "uuid"
procedure_codestring
quantitystring
String representation of a Decimal that can be parsed by most libraries.
For professional claims, a ServiceLine quantity cannot contain more than one digit of precision
(Example: 1.1 is valid, 1.11 is not). For institutional claims, a ServiceLine quantity cannot contain
more than three decimal digits of precision.
unitsenum
Allowed values:
claim_idstringformat: "uuid"
date_of_service_rangeobject
A range of dates of service for this service line. If the service line is for a single date, the end date will be empty.
date_of_servicedate
modifierslist of enums or nullOptional
charge_amount_centsinteger or nullOptional
allowed_amount_centsinteger or nullOptional
insurance_balance_centsinteger or nullOptional
patient_balance_centsinteger or nullOptional
paid_amount_centsinteger or nullOptional
primary_paid_amount_centsinteger or nullOptional
secondary_paid_amount_centsinteger or nullOptional
tertiary_paid_amount_centsinteger or nullOptional
patient_responsibility_centsinteger or nullOptional
copay_centsinteger or nullOptional
coinsurance_centsinteger or nullOptional
deductible_centsinteger or nullOptional
diagnosis_id_zerostring or nullOptionalformat: "uuid"
diagnosis_id_onestring or nullOptionalformat: "uuid"
diagnosis_id_twostring or nullOptionalformat: "uuid"
diagnosis_id_threestring or nullOptionalformat: "uuid"
drug_identificationobject or nullOptional
service_line_era_dataobject or nullOptional
service_line_manual_adjustmentslist of objects or nullOptional
related_invoiceslist of objects or nullOptional
related_invoice_infolist of objects or nullOptional
denial_reasonobject or nullOptional
The reason a given service line was denied within a given time range. A service line may be denied for different reasons over time, but only one reason at a time.
place_of_service_codeenum or nullOptional
837p Loop2300, SV105. This enum is not used or required in 837i claims. If your organization does not intend to submit claims with a different place of service at the service line level, this field should not be populated. 02 for telemedicine, 11 for in-person. Full list here.
place_of_service_code_as_submittedenum or nullOptional
837p Loop2300, SV105. 02 for telemedicine, 11 for in-person. Full list here.
custom_procedure_codestring or nullOptional
Represents and preserves the custom CPT code received on this service line. Custom CPT codes are specific to your organization and are used for rules and reporting purposes.
ordering_providerobject or nullOptional
revenue_codestring or nullOptional
A 4 digit code that specifies facility department or type of service arrangement for institutional service line items (837i). This code is not required for professional claim billing (837p).
descriptionstring or nullOptional
A free-form description to clarify the related data elements and their content. Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.
end_date_of_servicedate or nullOptional
test_resultslist of objects or nullOptional
Contains a list of test results. Test result types may map to MEA-02 on the 837-P (ex: Hemoglobin, Hematocrit).
This is unused by 837-i and ignored for institutional service lines.
No more than 5 MEA-02 test results may be submitted per service line.
has_epsdt_indicatorboolean or nullOptional
Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500.
If the value is true, the box will be populated with “Y”. Otherwise, the box will not be populated.
has_family_planning_indicatorboolean or nullOptional
Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
If the value is true, the box will be populated with “Y”. Otherwise, the box will not be populated.
notestring or nullOptional
Maps to NTE02 loop 2400 on the EDI 837.
prior_authorization_numberstring or nullOptional
Prior authorization number for this service line. Maps to the appropriate REF segment on Loop 2400 of the EDI 837p. This is not used for institutional claims (EDI 837i).
external_idstring or nullOptional
An external identifier for this service line. This is not used in the EDI 837, but can be used to identify the service line in external systems. This field should not contain PHI. Must be unique on a given claim.
