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API Use Cases

Overview

This section provides practical examples demonstrating how to combine multiple API calls to achieve specific objectives. Whether you are an experienced developer or new to our API, these use cases will guide you in effectively leveraging our system.

Covered use cases include:

  • Adding a Claim
  • Adjudicating or Processing Claims
  • Loading an Authorization
  • Adding an Enrollment

Each use case is broken into sequential steps with example requests to ensure clarity and ease of implementation.

Adding an Enrollment

Pre-requisites:

  1. Create a BillingCycle
  2. Create a Group
  3. Create a GroupDivision
  4. Create GroupContract

Enrollment Process

  1. Create a Subscriber
  2. Create a Member
  3. Call Subscriber Add Enrollment

Adding a Plan

  1. Create PlanType
  2. Create Plan
  3. Create SubEnrollmentPlan

By following these use cases, you can efficiently integrate VBAPI into your workflow, ensuring smooth processing and automation of claims, authorizations, and enrollments.

 
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