POST  api/bill/ID/{billID}/wcb Back to API Home

Submits the bill to WCB. Accepts input parameters in JSON format. In order to submit the bill WCB the bill should already be accepted by NYSIF. This submission requires additional data that should be sent as a JSON to this end point. A successful submission sends you success response with 200.
Note: If you have requested us for the bill document generation while submitting the bill to NYSIF using our /new end point, you might already have given some of these fields. You can ignore such fields and provide only the other required fields.

Resource URL

https://www.efilenysclaims.com/NYSIF/api/bill/ID/{billID}/wcb

Request Format

Request format should be JSON.

Parameters

optional Insured's ID Number (for Insurance Type)
required Insured's last name.
required Insured's first name.
optional Insured's middle name.
required Patient's date of birth in "mm/dd/yyyy" format.
optional Patient's Sex. M or F
required Patient's Address(No. and Street).
required Patient's City.
required Patient's State. A valid US state.
required Patient's zip. Should be a 5-digit number.
optional Patient's Telephone. A valid 10 digit phone number.
required Insured's address(No. and street).
required Insured's City.
required Insured's State. Should be a valid US state.
required Insured's Zip. Should be a 5-digit number.
optional Insured's Telephone. A valid 10 digit phone number.
required Pass "Yes" if there is another health benefit plan.
optional Other Insured's Last name. It is considered if "otherHealthBenefitPlan" is set to "Yes".
optional Other Insured's First name. It is considered if "otherHealthBenefitPlan" is set to "Yes".
optional Other Insured's Middle name. It is considered if "otherHealthBenefitPlan" is set to "Yes".
optional Other Insured's Policy Number.
optional Other Insured's Plan or Program name. It is considered if "otherHealthBenefitPlan" is set to "Yes".
optional If patient condition is related to employment, pass "Yes" to this property.
required If patient condition is related to Auto Accident, pass "Yes" to this property.
required If patient condition is related to Other Accident, pass "Yes" to this property.
optional Auto accident state. Please provide it if patient condition is related to Auto Accident.
optional Other Date (if patient has had same or similar, give first date). Should be a valid date in "mm/dd/yyyy" format.
optional Date Patient unable to work From. Should be a valid date in "mm/dd/yyyy" format.
optional Date Patient unable to work To. Should be a valid date in "mm/dd/yyyy" format.
optional Hospitalization Date From. Should be a valid date in "mm/dd/yyyy" format.
optional Hospitalization Date To. Should be a valid date in "mm/dd/yyyy" format.
optional Outside Lab Flag. Pass "Yes" or "No".
optional Outside Lab charges.
optional Resubmission Code.
optional Prior Authorizations Number.
optional Provider Accept Assignment flag. Pass "Yes" or "No".
required This value can be either DQ or DN or DK.
required Name of Referring provider or other source.
conditional Referring provider NPI. Required if qualifier is DQ.
conditional Referring provider Other Id. Required if qualifier is DQ.
required Report Type value. It can be 06 or 09. Value 06 represents Initial Report and 09 represents Progress Report.
required Patient or Authorized Person's Signature date. A valid date in format "mm/dd/yyyy".
required Signature date of Physician or Supplier. A valid date in format "mm/dd/yyyy".
required Billing Provider Name. Required if the provider is not enrolled previously.
required Billing Provider Address. Required if the provider is not enrolled previously.
required Billing Provider City. Required if the provider is not enrolled previously.
required Billing Provider State. Required if the provider is not enrolled previously.
required Billing Provider Telephone. Required if the provider is not enrolled previously.
optional Service Facility Name. Required if not given while bill submission.
Conditional Billing Provider NPI Number required, if exist.
Conditional Treating Provider NPI Number, if exist.
Conditional Treating Provider License number is Required if Treating Provider NPI is not known.
Conditional Billing Provider License number is required if Billing Provider NPI is not known

Example Request

POST https://www.efilenysclaims.com/NYSIF/api/bill/ID/20190000001/wcb

{
    	"insuredLastName": "Insured LName",
    	"insuredFirstName": "Insured FName",
    	"patientDOB": "04/08/1987",
    	"patientAddress": "Patient Address",
    	"patientCity": "Patient City",
    	"patientState": "NY",
    	"patientZip": "12345",
    	"insuredAddress": "Insured Address",
    	"insuredCity": "Insured City",
    	"insuredState": "NY",
    	"insuredZip": "54321",
    	"referringProviderQual": "DQ",
    	"referringProviderName": "Referring Provider Name",
    	"medicalSignDt": "01/01/2019",
    	"physicianSignDt": "01/01/2019",
    	"reportType": "06",
    	"referringProviderNpi": "1234567890",
    	"referringProviderOtherId": "12345"
}
Error Response

For invalid requests (Eg:- a request with invalid request format will be refused by server), a string error message will be sent in response and with response code 4xx or 5xx. For data validation failures (Eg:- a valid request format but with insufficient data), a JSON string will be sent in response with key "errors". Multiple error messages are separated with comma. Each error message contains a description of failure.

{
    "errors": [
        "This bill is not Accepted by NYSIF. You cannot submit this bill to WCB."
    ]
}