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DVA Claim — Pathology

How do I lodge a DVA claim for pathology services?

Use this endpoint. Each medical event must meet the referral requirement below.

Submit a DVA pathology claim. Set serviceTypeCode to P.

A pathology service can carry a collection date and time (collectionDateTime) and an accession date and time (accessionDateTime). Send both or neither. Both are required on every service in a medical event where any service sets s4b3ExemptInd.

Referral Requirement

Each medical event must satisfy one of:

  • A pathology request (referral with typeCode: P)
  • referralOverrideCode: N (not required)
  • selfDeemedCode: SD on at least one service

Claim ID

On success, a pathology claim submitted in hospital returns a claimId prefixed with #, for example #9876@. An out-of-hospital pathology claim returns a letter prefix, for example D0744@.

For the status codes, including what to do on 9777 and 3004, see Status codes. If a claim gets no response, follow When a claim gets no response, which also gives the client timeout to set.

Authentication

x-api-keystring
API Key authentication via header
x-minor-idstring

Your Minor ID is 3 uppercase letters followed by 5 digits, such as MDE00000. Send the Minor ID exactly as issued. A malformed value returns 400 with the text The Minor ID is not valid. on every endpoint.

Headers

x-minor-idstringRequired

The Minor ID of the clinic you act for. See Keys, Minor ID and environments.

Request

This endpoint expects an object.
claimobjectRequired
correlationIdstringOptionalformat: "^urn:uuid:[A-Z]{3}[0-9]{5}[A-Za-z0-9]{16}$"=33 characters

Your identifier for this claim, 33 characters: urn:uuid:, then the Minor ID you send in x-minor-id, then 16 letters or digits, as in urn:uuid:MDE00000a1b2c3d4e5f6a7b8.

Send your own on every claim, and store it before you send. You fetch the claim’s processing and payment reports with it. If you omit it, RebateRight generates one. When to use a new value and when to reuse one is set out in Correlation ID.

Response

OK
claimIdstringOptional

Unique claim identifier. Its prefix is set out under Claim ID above.

statusstringOptional

Always SUCCESS on a successful submission.

correlationIdstringOptional

Errors

400
Bad Request Error