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Forta Health

Forta Health Claims API

The claims API from Forta Health — 17 operation(s) for claims.

Documentation Provider Profile APIs.io OpenAPI GitHub

Forta Health Claims API is one of 34 APIs that Forta Health publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

Tagged areas include Claims. The published artifact set on APIs.io includes an OpenAPI specification and authentication docs.

This API exposes 21 operations across 17 paths, and defines 71 schemas. It is described by OpenAPI 3.2.0, at version 0.1.0.

Requests are made against the base URL https://api.prod.fortahealth.com/api/v1/.

21 operations 17 paths 71 schemas 4 DELETE3 GET5 PATCH8 POST1 PUT

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.2.0
API Version
0.1.0
Base URL
https://api.prod.fortahealth.com/api/v1/
Authentication
HTTP Bearer
Resource Areas
1

Authentication & Security 1

Forta Health Claims API declares 1 security scheme for authenticating requests. It accepts HTTP bearer tokens (HTTPBearer).

Paths & Operations 21

Across 17 paths, the API surfaces 21 operations — 4 DELETE, 3 GET, 5 PATCH, 8 POST, 1 PUT. Each is listed below with its method, path, parameters, and response codes.

claims 21
POST
/api/v1/claims/preview/
Generate Form 1500 Preview
generate_form_1500_preview_api_v1_claims_preview__post body → 200422
POST
/api/v1/claims/
Create Claim
create_claim_api_v1_claims__post body → 201422
GET
/api/v1/claims/
Get Claims
get_claims_api_v1_claims__get 15 params body → 200422
POST
/api/v1/claims/{claim_id}/resubmit/
Resubmit Claim
resubmit_claim_api_v1_claims__claim_id__resubmit__post 1 param body → 201422
GET
/api/v1/claims/{claim_id}/
Get Claim
get_claim_api_v1_claims__claim_id___get 1 param → 200422
DELETE
/api/v1/claims/{claim_id}/
Delete Claim
delete_claim_api_v1_claims__claim_id___delete 1 param → 200422
PATCH
/api/v1/claims/{claim_id}/
Patch Claim
patch_claim_api_v1_claims__claim_id___patch 1 param body → 200422
DELETE
/api/v1/claims/admin/{claim_id}/
Admin Delete Claim
admin_delete_claim_api_v1_claims_admin__claim_id___delete 1 param → 200422
PATCH
/api/v1/claims/admin/{claim_id}/status/
Admin Override Claim Status
admin_override_claim_status_api_v1_claims_admin__claim_id__status__patch 1 param body → 200422
POST
/api/v1/claims/{claim_id}/follow_up_notes/
Create Follow Up Notes
create_follow_up_notes_api_v1_claims__claim_id__follow_up_notes__post 1 param body → 201422
PATCH
/api/v1/claims/{claim_id}/follow_up_notes/{claim_follow_up_notes_id}/
Patch Follow Up Notes
patch_follow_up_notes_api_v1_claims__claim_id__follow_up_notes__claim_follow_up_notes_id___patch 2 params body → 200422
PATCH
/api/v1/claims/{claim_id}/payment_status/
Patch Claim Payment Status
patch_claim_payment_status_api_v1_claims__claim_id__payment_status__patch 1 param body → 200422
GET
/api/v1/claims/{claim_id}/procedures/download/
Download Procedure Pdfs
download_procedure_pdfs_api_v1_claims__claim_id__procedures_download__get 1 param → 200422
POST
/api/v1/claims/{claim_id}/service_lines/{service_line_id}/payments/
Create Service Line Payment
create_service_line_payment_api_v1_claims__claim_id__service_lines__service_line_id__payments__post 2 params body → 201422
PATCH
/api/v1/claims/{claim_id}/service_lines/{service_line_id}/payments/{payment_id}/
Patch Service Line Payment
patch_service_line_payment_api_v1_claims__claim_id__service_lines__service_line_id__payments__payment_id___patch 3 params body → 200422
DELETE
/api/v1/claims/{claim_id}/service_lines/{service_line_id}/payments/{payment_id}/
Delete Service Line Payment
delete_service_line_payment_api_v1_claims__claim_id__service_lines__service_line_id__payments__payment_id___delete 3 params → 200422
PUT
/api/v1/claims/{claim_id}/certify_claim/
Certify Claim
certify_claim_api_v1_claims__claim_id__certify_claim__put 1 param body → 200422
POST
/api/v1/claims/{claim_id}/eob_documents/
Create Eob Document
create_eob_document_api_v1_claims__claim_id__eob_documents__post 1 param body → 201422
DELETE
/api/v1/claims/{claim_id}/eob_documents/{eob_document_id}/
Delete Eob Document
delete_eob_document_api_v1_claims__claim_id__eob_documents__eob_document_id___delete 2 params → 200422
POST
/api/v1/claims/{claim_id}/tebra/submit/
Submit Claim To Tebra
submit_claim_to_tebra_api_v1_claims__claim_id__tebra_submit__post 1 param → 200422
POST
/api/v1/claims/admin/bulk-unbillable
Bulk Mark Notes Unbillable
bulk_mark_notes_unbillable_api_v1_claims_admin_bulk_unbillable_post body → 200422

Schemas 71

The contract defines 71 schemas that model the data the API accepts and returns. The most detailed are ClaimResponse (70 properties), ProviderResponse (29 properties), ClaimPatchRequest (24 properties), Form1500Data (21 properties). Each schema is shown below with its type and property counts.

EOBDocumentResponse
object
5 properties 5 required
LinkedClaimResponse
object
5 properties 3 required
ClaimPreview
object
9 properties 4 required
Form1500PayorInformation
object
1 property
EOBDocumentCreateResponse
object
6 properties 6 required
JobTitleEnum
string
Form1500RenderingProvider
object
5 properties 4 required
Form1500BillingProviderInfo
object
7 properties 7 required
ServiceLinePaymentPatch
object
12 properties
ServiceLineAndClaimPaymentDetailsResponse
object
2 properties 2 required
ServiceLinesDateRange
object
2 properties 2 required
ClaimPatchRequest
object
24 properties 1 required
Form1500ResubmissionCodeEnum
string
ClinicalStatusEnum
string
ServiceLineResponse
object
13 properties 5 required
PayorResponsibilityEnum
string
IsPaymentExpectedEnum
string
ClaimFollowUpNotesPatch
object
1 property 1 required
ClaimListResponse
object
20 properties 13 required
ClaimPaymentStatusPatch
object
1 property 1 required
ClaimCertificationRequest
object
3 properties 1 required
ServiceLinePaymentResponse
object
15 properties 2 required
AssociatedServiceCodeResponse
object
6 properties 5 required
ClaimCertificationResponse
object
4 properties 1 required
TebraSubmitResponse
object
API response for submitting a claim to Tebra.
4 properties 4 required
ClaimResubmit
object
2 properties
PayorVitals
object
4 properties 3 required
ClaimStatusEnum
string
ClaimFollowUpNotesCreate
object
4 properties 3 required
DetailedServiceLineResponse
object
14 properties 6 required
HTTPValidationError
object
1 property
ServiceCodeTypeEnum
string
ClaimCreationSourceEnum
string
PaymentModeEnum
string
ClientListResponse
object
6 properties 6 required
Form1500ServiceLine
object
11 properties 9 required
RejectionReason
string
Form1500PayToProviderAddress
object
5 properties 5 required
ClaimAdminStatusOverridePatch
object
5 properties
PolicyVitals
object
4 properties 4 required
PayorTypeEnum
string
Enum for payor types.
Form1500RelatedPatientConditions
object
3 properties 3 required
Form1500ClaimAndServiceLineDetails
object
3 properties 3 required
ClaimResponse
object
70 properties 26 required
ServiceLinePaymentCreate
object
12 properties
ProviderListResponse
object
6 properties 6 required
ClinicalStatusReasonEnum
string
Form1500PatientData
object
11 properties 8 required
RelationshipToPolicyHolderEnum
string
ValidationError
object
3 properties 3 required
PaymentStatusEnum
string
EmploymentTypeEnum
string
ClaimProcedureResponse
object
6 properties 6 required
Form1500InsuredData
object
9 properties 7 required
Form1500OtherInsuredData
object
3 properties 3 required
EOBDocumentCreate
object
2 properties 2 required
ClaimWithInvoiceHistoryResponse
object
10 properties 7 required
SubmissionMethod
string
QABillingStatusEnum
string
Body_bulk_mark_notes_unbillable_api_v1_claims_admin_bulk_unbillable_post
object
1 property 1 required
Form1500Data
object
21 properties 10 required
DetailedServiceLinePaymentResponse
object
17 properties 4 required
Bay
string
ProviderStatusEnum
string
ClaimCreate
object
10 properties 5 required
ProviderResponse
object
29 properties 7 required
BulkUnbillableSummary
object
5 properties 5 required
ClaimPaymentDetails
object
14 properties 2 required
Form1500ServiceFacilityAddress
object
7 properties 6 required
Sex
string
ClaimFollowUpNotesResponse
object
6 properties 5 required

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

forta-health-claims-api-openapi.yml Raw ↑

Other APIs Forta Health publishes across the network.

Forta Health Assessment Surveys API
AE Profile APIs.io
Forta Health Behavior API
AE Profile APIs.io
Forta Health Bt Supervisions API
AE Profile APIs.io
Forta Health Claim Invoices API
AE Profile APIs.io
Forta Health Client Assessments API
AE Profile APIs.io
Forta Health Client Cohort Assignments API
AE Profile APIs.io
Forta Health Client Facility Assignments API
AE Profile APIs.io
Forta Health Client Supervisions API
AE Profile APIs.io
Forta Health Clients API
AE Profile APIs.io
Forta Health Cohorts API
AE Profile APIs.io
Forta Health Email Cron Configs API
AE Profile APIs.io
Forta Health Evv API
AE Profile APIs.io
#Claims
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API Details
ID
forta-health:forta-health-claims-api
Base URL
https://api.prod.fortahealth.com/api/v1/
Docs
https://app.fortahealth.com/
Provider
Forta Health
APIs.io →  GitHub →
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