APIs for VBASoftware
Provider DRG
API Reference
Accounting
Check Batches
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Funding
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Issue Duration Value Detail
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Plan Accumulator Benefits
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VBAssist
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Context4Health Cost Containment CaseIndex
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Image
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Yes No List
Zelis Cost Containment Claim Detail Repricing
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Disenroll Log
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Enrollment Accumulators
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Member Account Plan Payments
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Member Plan Years
Member Pre-existing Diagnostic Codes
Member PreEx Disclosed Diags
Member Prior Accumulators
Member Provider Alternates
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Member Taxes
Member Tooth
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Member VBA Plan Type IDs
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Subscriber Accumulators
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Events
Fee Schedule Anesthesias
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Group Account Periods
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Group ACH Pulls
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Group Calculate Interest Network Options
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Group Classes
Group Company Data Ex-Code Overrides
Group Contract Network Types
Group Contract Plan Premiums
Group Contract Plan Rider External IDs
Group Contract Plan Riders
Group Contract Plans
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Group Contracts
Group Coverage Calculations
Group Day Interval
Group Disenroll Affected Claims
Group Division Captives
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Group Division Deduction Types
Group Division ID Codes
Group Divisions
Group End Coverage Age Types
Group Ex-Code Criterias
Group Flex Auto-Create
Group Flex Schedules
Group Flexes
Group IRS 1094C
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Group Multiplier Options
Group Network Add-Ons
Group Network Criteria Columns
Group Network Criterias
Group Networks
Group Participation Incentives
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Group Payor Account Benefits
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Group Payor Account Provider Federal IDs
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Group Plan Prior Accum Auto Generators
Group Plan Years
Group Premium Rate Categories
Group Price Adjustments
Group Self Admin Settings
Group Start Date Rules
Group State Surcharge
Group Student Age Settings
Group Subscriber Reimbursements
Group Tax Day Limit Types
Group Term Rules
Group UC Percent Claim Types
Group UC Percent Criterias
Group UC Percent Settings
Group VBA Plan Types
Group Volumes
Groups
ID Card Record Statuses
ID Card Request Statuses
Invoice Levels
MessageAttachment
Payment Schedules
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Tolerances
VBAGateway Messaging
Zelis Redcard
Note Attachments
Note Categories
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Process Automation
Provider CLIA Certificates
APC Schedules
Provider
Provider Account
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Provider Benefit Admin Fees
Provider Languages
Provider Network
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Provider Payees
Provider Per Diem
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Provider Practice Types
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Provider Rate Adjustments
Provider Rate Column
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Provider Rate Types
Provider Rates
Provider Roles
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Provider Suffix
Provider Taxonomy
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Reinsurance Accumulators
Reinsurance Aggregating Specific Members
Reinsurance Conditional Specific
Reinsurance Conditional Specific Detail
Reinsurance Contract Criteria Details
Reinsurance Contract Criterias
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Reinsurance Contract Templates
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Reinsurance Contracts
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Report Categories
Report Definitions
Report Queue Detail Arguments
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Report Queue Logs
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Report Request Invoice
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Security Area Objects
Security Area Overrides
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Security Field Set Details
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Security User Limit Member Claim Data
Security User Restrictions
User Field Security
Support
Authentication
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User
User Account
User Amount
User Amount Procedure
User Experience
User Group Mappings
User Groups
User LogTypes
User Note Access
UserAmount
UserStatus
VBAGateway Subscription
VBAGateway Subscription Detail
VBA Reports
VBAReporting
Workflow Details
Workflow Task Options
Workflow Task Users
Workflow Tasks
Workflow Type Task Options
Workflow Types
Workflow Users
Workflows
VBASoftware (v1)
Download OpenAPI description
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VBAPI VBASoftware
https://vbapi.vbasoftware.com/vbasoftware/
Bodyrequired
- application/json
- text/json
- application/*+json
Unique identifier for each DRG configuration setting. Note: This field is marked as NOT NULL in the database and therefore required by the API.
Indicates whether the line is applied to OON claims. Note: This field is marked as NOT NULL in the database and therefore required by the API.
Specifies a User-defined DRG cluster required for adjudication matching.
Allows the User to select an existing DRG schedule to base their pricing upon. These DRG Schedules need to be provided by the User and uploaded by VBA.
Start of the range of acceptable service dates for the rate line. Note: This field is marked as NOT NULL in the database and therefore required by the API.
When selected, if the DRG rate exceeds the Bill Price, set the price to the Bill Price Note: This field is marked as NOT NULL in the database and therefore required by the API.
If the total billed amount is greater than or equal to the ‘Outlier Amount’, the ‘Outlier Type’ calculation is considered.
This indicates the outlier calculation to be performed as part of the DRG calculation.
- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/providers/{providerID}/drgs
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X POST \
'https://vbapi.vbasoftware.com/vbasoftware/providers/{providerID}/drgs' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'Content-Type: application/json' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE' \
-d '{
"providerDRG_Key": 0,
"apply_OON": true,
"cost_To_Charge": 0.1,
"drG_Cluster": "string",
"drG_Rate": 0.1,
"drG_Schedule": "string",
"effective_Date": "2019-08-24T14:15:22Z",
"entry_Date": "2019-08-24T14:15:22Z",
"entry_User": "string",
"ex_Code": "string",
"max_Allowed_At_Billed": true,
"min_Amount": 0.1,
"network_ID": "string",
"outlier_Type": "s",
"provider_ID": "string",
"term_Date": "2019-08-24T14:15:22Z",
"trim_Point": 0.1,
"update_Date": "2019-08-24T14:15:22Z",
"update_User": "string",
"variable_Cost_Factor": 0.1
}'Response
No response example- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/providers/{providerID}/drgs
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X GET \
'https://vbapi.vbasoftware.com/vbasoftware/providers/{providerID}/drgs' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE'Response
No response example- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/providers/{providerID}/drgs/{providerDRGKey}
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X GET \
'https://vbapi.vbasoftware.com/vbasoftware/providers/{providerID}/drgs/{providerDRGKey}' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE'Response
No response example