08 · Submit

Check the claim before closing.

Run it before you close. Records the run; close is refused until the last run passed. No body. Checks a primary diagnosis linked to each billed line of a used cover, a doctor on the visit, and that every Slade claim has at least one bill line. ready: false is still a 200. Pass claim_ref to check one claim only; that run is not recorded and does not satisfy close.

Keep from the response: ready

Taught in: 08 · Submit

Close the visit and dispatch its claims.

Spends the visit_end consent, ends the encounter and dispatches every claim on the visit: one comprehensive claim for a SHA cover, under the invoice_number sent at open, and one claim per invoice number for a Slade cover. There is no per-claim submit. Needs a passing claim preflight first and a settled copay. A payer refusal is reported on that cover's claim (state needs_more, refusal) without aborting the others. A purely clinical visit closes with no claims. idempotency_key is accepted but not read.

Keep from the response: claims[].claim_ref

Taught in: 08 · Submit

Resubmit claims that missed the payer.

Re-dispatches the covers whose claim missed the payer, stuck in DRAFT or returned needs_more, after the desk fixed what the payer asked for. Works on a closed visit. Takes the close request, since it spends a fresh visit_end consent. A cover already submitted or decided is reported untouched.

Keep from the response: claims[].resubmitted

Taught in: 08 · Submit