Seamless API Access for EHR & EMR Platforms
Modern REST APIs, Built for Real Developers
Integrate in Hours, Not Weeks
Everything You Need in One API
Complete Feature Parity
Get instant access to:
- → Claim creation & submission
- → Eligibility verification
- → Real time claim status
- → ERA retrieval
- → Denial insights
- → Analytics & reporting data
Skip the EDI Complexity
You never have to parse, generate, or even look at complex EDI transaction sets. ClaimRev handles claim submission, eligibility verification, claim status inquiries, and remittance advice behind the scenes.
Your integration speaks clean JSON. We handle EDI conversion, payer routing, and standards compliance automatically. Focus on building great software, not decoding cryptic formats.
Clear Documentation
The entire ClaimRev API is documented with Swagger/OpenAPI, giving your developers a live, interactive reference. Explore endpoints, view sample requests and responses, and test calls in real time before writing a single line of code.
Every endpoint includes request and response examples, error code explanations, and field-level descriptions.
Built for Multi Tenant EMR Platforms
Every practice account in ClaimRev has its own client ID and secret. Your EMR passes the appropriate credentials per account and the API automatically scopes all requests to the correct practice. No custom routing logic. No shared data between accounts.
This architecture is designed for EMR platforms managing claims across dozens or hundreds of provider accounts from a single integration point.
Why Developers Choose ClaimRev API
Fast Integration
Secure by Default
Full Transparency
Supported Transactions
The ClaimRev API covers the full healthcare claims transaction set. Every major EDI workflow is accessible through clean, documented REST endpoints that accept and return JSON.
Claims Submission — 837P & 837I
Submit professional (837P) and institutional (837I) claims programmatically. Pass patient demographics, provider details, procedure codes, and diagnosis codes as JSON. ClaimRev handles EDI generation, payer routing, and acknowledgment tracking automatically.
Real-Time Eligibility — 270/271
Verify patient coverage before billing with real-time eligibility transactions. Pass patient and payer identifiers and receive a structured response in milliseconds — active coverage status, copay, deductible, coinsurance, and plan limits.
Claim Status — 276/277
Query claim status programmatically without logging into payer portals. The API returns current adjudication status, payer acknowledgment codes, and any rejection reasons — surfaced automatically without portal-hopping.
ERA Retrieval — 835
Retrieve Electronic Remittance Advice files as structured JSON. ERA data is delivered automatically when payers release payment decisions, with each claim line item broken out for easy posting to your practice management system. No manual file downloads.
Developer FAQ
What transactions does the API support?
Claim submission (837P and 837I), real-time eligibility (270/271), claim status (276/277), and electronic remittance advice (835). All handled server-side — you send and receive JSON.
How do I handle multiple practices in one integration?
Each practice account has its own client ID and secret. Your platform passes the appropriate credentials per account and the API scopes all data automatically. No custom routing logic required.
How does ERA data get delivered?
ERA files are retrieved automatically from payers when payment decisions are made. Poll the ERA endpoint or configure webhook notifications — no manual downloads required.
What payers are supported?
Major commercial payers, Medicare, Medicaid (state-specific), Tricare, Workers Comp, and IHS. See the full payer list.
What does API access cost?
API access is available on ClaimRev subscription plans, with pricing based on submission volume. See pricing or discuss your volume needs when you book a demo.
Ready to Integrate?
Talk to our team about API access and see how easy it is to add ClaimRev to your platform.