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Board Announces Mandatory Requirements Effective July 1, 2022.   

eFileNYSClaims API Documentation

The API allows you to check account status, refresh tokens, submit bills, validate claim numbers and enroll providers - all through a simple & secure HTTPS REST service interface.

TEST this API
Sample Code - Java
Sample Code - .NET

Account

Resource Description
GET  api/account/status Returns the status of the account.

NYSIF

Resource Description
GET  api/claim/ID/{claimNumber} Returns claim details for Claim Number provided in path.
POST  api/claim/ssn4 Returns claim details for given last four digits SSN and Last Name of patient.
POST  api/claim/doi Returns claim details for given date of injury and Last Name of patient.
POST  api/bill/new Submits new bill and returns submitted bill details with assigned Bill ID.
POST  api/bill/nysifnew Submits new bill and returns submitted bill details with assigned Bill ID.
POST  api/bill/ID/{billID}/attach Uploads attachment(s) for Bill ID provided in path.
POST  api/bill/ID/{billID}/nysifwcb Submits the NYSIF accepted bills to WCB for the given Bill ID.
POST  api/bill/status Returns Bill IDs and statuses for the most recent 1000 bills.
GET  api/bill/status/{billID} Returns status JSON for given Bill ID.
GET  api/bill/ID/{billID} Returns details for Bill ID provided in the path.
GET  api/bill/claimID/{claimNumber} Returns details for a claim number provided in the path.
PUT  api/bill/ID/{billID} Re-submits/updates existing bill and returns bill details with assigned Bill ID.
GET  api/bill/ID/{billID}/attachment Returns attachments details for the Bill ID provided in path.
DELETE  api/bill/ID/{billID}/attachment/{attachmentID} Deletes a particular attachment for Bill ID using BillID and AttachmentID provided in the path.
PUT  api/bill/ID/{billID}/release Releases bill from authenticated user.

Worker's Compensation Board

Resource Description
POST  api/bill/wcb/new Submits CMS-1500 and returns submitted claim details with assigned WCB Bill Number.
POST  api/bill/wcb/ID/{wcbBillNo}/attach Uploads attachment(s) for Wcb Bill Number provided in path.
POST  api/bill/wcb/status Returns WCB Bill Numbers and associated statuses for the most recent 1000 bills
GET  api/bill/wcb/status/{wcbBillNo} Returns status JSON for given WCB Bill Numbers.
GET  api/bill/wcb/ID/{wcbBillNo} Returns details for WCB Bill Number provided in path.
GET  api/bill/wcb/ID/{wcbBillNo}/attachment Returns attachment details for a WCB Bill Number provided in path.
GET  api/bill/wcb/paymentInfo Returns WCB payment details.
GET  api/bill/wcb/payment Processes the payment for WCB bills.

Provider Enrollment

Resource Description
GET  api/provider/lookup/npi Returns provider details for NPI Number if enrolled, otherwise it returns from data source.
GET  api/provider/lookup/wcb Returns provider details for WCB Authorization number if enrolled, otherwise it returns from data source.
POST  api/provider/lookup/ein Returns provider details for EIN if enrolled, otherwise it returns from data source.
POST  api/provider/enroll/provider Enrolls new provider for given NPI Number.
POST api/provider/enroll/individual Enrolls new provider for given WCB Authorization Number.

Tokens

Resource Description
POST  oauth/token Refreshes Access token.