Overseas Claims #

Overseas claims are used for people who are not eligible for a Medicare card but are required to have health insurance, typically overseas students and working visa holders.

They are very similar to ECLIPSE claims in structure, but have no Medicare elements. Beyond that they are handle the same way as any other claim for processing and payment.

`POST` - Submit an overseas claim #

Confirming support of all mandatory data elements

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

Header	Value
Content-Type	application/json
Authorization	Bearer {{oauth_token}}

Params

Param	value
location	{{location_id}}

Body

{
    "type": "OVS",
    "flags": {
        "accountPaid": "N",
        "ifc": "W",
        "imcClaimType": "AG",
        "isAccident": "N",
        "serviceType": "O",
        "hospitalInd": "N"
    },
    "items": [
        {
            "chargeAmount": "144.40",
            "date": "{{today}}",
            "itemNumber": "30026"
        }
    ],
    "patient": {
        "dateOfBirth": "1951-04-24",
        "fund": {
            "eclipseId": "TST",
            "number": "12345678"
        },
        "gender": "F",
        "name": {
            "family": "POST",
            "first": "Jamee"
        }
    },
    "provider": {
        "principal": "2433411Y",
        "servicing": "2433411Y"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "type": "OVS",
    "flags": {
        "accountPaid": "N",
        "ifc": "W",
        "imcClaimType": "AG",
        "isAccident": "N",
        "serviceType": "O",
        "hospitalInd": "N"
    },
    "items": [
        {
            "chargeAmount": "144.40",
            "date": "{{today}}",
            "itemNumber": "30026"
        }
    ],
    "patient": {
        "dateOfBirth": "1951-04-24",
        "fund": {
            "eclipseId": "TST",
            "number": "12345678"
        },
        "gender": "F",
        "name": {
            "family": "POST",
            "first": "Jamee"
        }
    },
    "provider": {
        "principal": "2433411Y",
        "servicing": "2433411Y"
    }
}'

Example Response:

Body:

{
  "claimId": 182599,
  "medicareClaimId": "182599",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP000005jAK25Yw6A5GKizw"
}

Headers:

Header	Value
Server	nginx/1.19.3
Date	Tue, 08 Jun 2021 04:49:28 GMT
Content-Type	application/json
Content-Length	183
Connection	keep-alive
Access-Control-Allow-Origin	*
Access-Control-Allow-Methods	GET, POST, OPTIONS

Overseas Claims #

POST - Submit an overseas claim #

`POST` - Submit an overseas claim #