BPCS Implementation Guide

Home
Technical Overview
APIs
General
Expand Value Set
Find Drug
Demographics
Person Search
Create Recipient
Update Recipient
Inactivate Recipient Record
Read Recipient
Recipient History
Coverage
Search Individual Recipient Coverage
Find Public Individual Coverage and Contact Information
Recipient Coverage History
Create Public Individual Recipient Coverage
Update Public Individual Recipient Coverage
Generate Public Family Coverage Application Labels
Create/Update Public Family Coverage
Find Public Family Coverage
End Family Public Coverage
Reject Public Family Coverage
Terminate Public Family Coverage
Reactivate Public Family Coverage
Delete Public Family Coverage
Search Payments
Search Recipient Income
Claims
Claim Summary
Read Claim
Create Claim
Update Claim
Delete Claim
Submit Claim
Retrieve Receipts
Retrieve Receipt Details
Retrieve Receipts Overpaid Deductible Years
Retrieve Overpaid Receipt Details
Reverse Receipts
Notes and Alerts
Find Notes
Add Note
Update Note
Find Alerts and Special Handling
Update Alert or Special Handling Flag
Benefit Reporting
Calculate Annual Expenses
Document Control Number
Find DCN
Add DCN
Examples
Scenario 1
Scenario 2
Scenario 3

APIs

  • APIs
    • General
      • Expand Value Set
      • Find Drug
    • Demographics
      • Person Search
      • Create Recipient
      • Update Recipient
      • Inactivate Recipient Record
      • Read Recipient
      • Recipient History
    • Coverage
      • Search Individual Recipient Coverage
      • Find Public Individual Coverage and Contact Information
      • Recipient Coverage History
      • Create Public Individual Recipient Coverage
      • Update Public Individual Recipient Coverage
      • Generate Public Family Coverage Application Labels
      • Create/Update Public Family Coverage
      • Find Public Family Coverage
      • End Family Public Coverage
      • Reject Public Family Coverage
      • Terminate Public Family Coverage
      • Reactivate Public Family Coverage
      • Delete Public Family Coverage
      • Search Payments
      • Search Recipient Income
    • Claims
      • Claim Summary
      • Read Claim
      • Create Claim
      • Update Claim
      • Delete Claim
      • Submit Claim
      • Retrieve Receipts
      • Retrieve Receipt Details
      • Retrieve Receipts Overpaid Deductible Years
      • Retrieve Overpaid Receipt Details
      • Reverse Receipts
    • Notes and Alerts
      • Find Notes
      • Add Note
      • Update Note
      • Find Alerts and Special Handling
      • Update Alert or Special Handling Flag
    • Benefit Reporting
      • Calculate Annual Expenses
    • Document Control Number
      • Find DCN
      • Add DCN

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