Claim.MD provides an API service that allows you to generate an ANSI X12 5010 837 file containing claims that were transmitted through Claim.MD on a specified date.
What claims can be downloaded?
You can retrieve transmitted claims in the following formats:
- 837P – Professional claims
- 837I – Institutional claims
- 837D – Dental claims
You can also narrow the results by billing provider NPI, billing provider Tax ID, or payer ID.
Important: The downloaded 837 is newly generated using the claim data currently stored in Claim.MD. It is not an archived copy of the originally transmitted file. If a claim was changed after transmission, those changes may appear in the generated file. Control numbers and other envelope values may also differ from the original submission.
How many claims are returned?
Each request can return up to 1,000 claims. If more than 1,000 claims match the request, additional pages must be requested until no additional claims are available.
What information is required?
The request requires your Claim.MD AccountKey, the transmission date, and the type of claim you want to retrieve.
For request parameters, pagination instructions, response formats, and code examples, see the Download Transmitted Claims API documentation.