GET api/claimadjustment?claimNo={claimNo}

Gets a collection of claim adjustments for the company

Request Information

URI Parameters

NameDescriptionTypeAdditional information
claimNo

ClaimNo

integer

Required

Body Parameters

None.

Response Information

Resource Description

A list of claim adjustments for the claimNo

Collection of ClaimAdjustmentResponseModel
NameDescriptionTypeAdditional information
RxCPersonID

Gets or sets the RxClearinghouse Person ID

integer

None.

DateOfBirth

Gets or sets the member's Date of Birth.

date

None.

CardholderID

Gets or sets the member's cardholder Id

string

None.

PlanPaidAmount

Gets or sets the amount paid by the plan.

decimal number

None.

PatientPayAmount

Gets or sets the amount paid by the patient.

decimal number

None.

AmountAppliedToPeriodicDeductible

Gets or sets the amount applied to the periodic deductible.

decimal number

None.

AmountEligibleTowardsDeductible

Gets or sets the amount eligible towards the deductible.

decimal number

None.

AmountEligibleTowardsOutOfPocketLimit

Gets or sets the amount eligible towards the out-of-pocket limit.

decimal number

None.

PlanIncentiveAmount

Gets or sets the plan incentive amount.

decimal number

None.

AmountOfCopay

Gets or sets the amount of copay.

decimal number

None.

AmountOfCoinsurance

Gets or sets the amount of coinsurance.

decimal number

None.

AmountOfCopayCoinsurance

Gets or sets the amount of copay and coinsurance combined.

decimal number

None.

AmountAttributedToProductSelection

Gets or sets the amount attributed to product selection.

decimal number

None.

AmountExceedingPeriodicBenefitMaximum

Gets or sets the amount exceeding the periodic benefit maximum.

decimal number

None.

Note

Gets or sets additional notes.

string

None.

CreatedOn

Gets or sets created on timestamp.

date

None.

Url

Gets or sets the link representing a link back to the resource

string

None.

ID

Gets or sets the identifier for the resource

integer

None.

Response Formats

application/json, text/json, application/json-patch+json

Sample:
[
  {
    "url": "sample string 14",
    "id": 15,
    "rxCPersonID": 1,
    "dateOfBirth": "2025-05-30T21:08:45.3620726-05:00",
    "cardholderID": "sample string 1",
    "planPaidAmount": 2.0,
    "patientPayAmount": 3.0,
    "amountAppliedToPeriodicDeductible": 4.0,
    "amountEligibleTowardsDeductible": 5.0,
    "amountEligibleTowardsOutOfPocketLimit": 6.0,
    "planIncentiveAmount": 7.0,
    "amountOfCopay": 8.0,
    "amountOfCoinsurance": 9.0,
    "amountOfCopayCoinsurance": 10.0,
    "amountAttributedToProductSelection": 11.0,
    "amountExceedingPeriodicBenefitMaximum": 12.0,
    "note": "sample string 13",
    "createdOn": "2025-05-30T21:08:45.3630728-05:00"
  },
  {
    "url": "sample string 14",
    "id": 15,
    "rxCPersonID": 1,
    "dateOfBirth": "2025-05-30T21:08:45.3620726-05:00",
    "cardholderID": "sample string 1",
    "planPaidAmount": 2.0,
    "patientPayAmount": 3.0,
    "amountAppliedToPeriodicDeductible": 4.0,
    "amountEligibleTowardsDeductible": 5.0,
    "amountEligibleTowardsOutOfPocketLimit": 6.0,
    "planIncentiveAmount": 7.0,
    "amountOfCopay": 8.0,
    "amountOfCoinsurance": 9.0,
    "amountOfCopayCoinsurance": 10.0,
    "amountAttributedToProductSelection": 11.0,
    "amountExceedingPeriodicBenefitMaximum": 12.0,
    "note": "sample string 13",
    "createdOn": "2025-05-30T21:08:45.3630728-05:00"
  }
]