Create Calculation

Calculates the expected payment for service lines under a state fee schedule. Your organization needs Calculation API access, otherwise the request returns 401. Each successful calculation is billed as usage.

type must be one of the state's calculation types:

  • CA: PhysicianService, OutpatientAsc, Pharmacy, Pathology, Dme, CopyService, MedicalLegal
  • NY: Medical, Psychology, Podiatry, Chiropractic
  • OWCP: Professional
  • TX: PhysicianService, when enabled for your organization

Some types need more fields, otherwise the request returns 400:

  • OWCP Professional: zip_code, place_of_service_type
  • NY types: zip_code, place_of_service_type_code
  • CA PhysicianService: type_of_specialty, place_of_service_type
  • CA MedicalLegal: type_of_specialty
  • TX PhysicianService: type_of_specialty, place_of_service_type, zip_code
  • CA Pharmacy: product_type; for compounds also dosage_form, route_of_administration, number_of_containers
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Notes:

Access to this endpoint requires a specific subscription. Please contact [email protected] for more information.

This endpoint is not stable and is therefore subject to change

Body Params
calculation
object
required
Responses

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Credentials
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Response
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application/json