I was surprised by the read-only aspect of the API. How do doctors/medical providers/employers submit records and or update billing information? I guess I am under the impression that when I visit the doctors office that they transmit data to my insurance provider.
Nota Bene: I dislike the malicious sentiment that often pops up in threads like this. My question is driven by pure curiosity.
Eligibility is a different beast from filing insurance claims.
Eligibility checking is performed prior to filing a claim. It tells the provider if the patient's insurance covers the requested procedure at the requested facility.
Filing claims is typically done through an EMR system that submits claims to a clearinghouse.
Nota Bene: I dislike the malicious sentiment that often pops up in threads like this. My question is driven by pure curiosity.