data.outcome.authorization_expiration
for “Approval” resultdata.outcome.result
data.outcome
responses to show corresponding result
, detail
, and detail_code
values.data.outcome.detail_code
.data.outcome.result
field.data.submission
field.date_created
field in Evidence, Questionnaire, and Visit Notes.is_training_data
field to the CreatePriorAuthRequest
object to indicate whether the request is for training purposes.
is_training_data
is set to true
, the request will not be processed.is_training_data
is set to false
or omitted, the request will be processed as normal.first_name
in Patient
and PatientInfo
last_name
in Patient
and PatientInfo
internal_id
in Patient
first_name
in Provider
and ProviderInfo
last_name
in Provider
and ProviderInfo
npi
in Provider
and ProviderInfo
phone
in PatientInfo
phone
in Provider
and ProviderInfo
drug_history
field to the CreateBenefitVerificationRequest
object to allow for the submission of a patient’s drug history.insurance_content
field to the CreateBenefitVerificationRequest
object to allow for the submission of insurance details.
insurance
.not_specified
option to the Gender
enum.
Insurance Unable to Provide Information
Unable to Gather Benefits
Insurance Card OCR Failure
Insurance Card Member ID OCR Failure
and
covers a broader range of OCR failures.other
detail code for the data.outcome.detail_code
field.priority
field to the CreatePriorAuthRequest
object.use_patient_plan_fund_source_check
field to the benefit verification creation endpoint.
false
.patient_plan_fund_source
field.
commercial
: The patient’s plan is commercial insurance.government
: The patient’s plan is government-funded.question_not_asked
: The patient’s plan funding source was not asked. Typicallyunable_to_determine
: The patient’s plan funding source was asked, but could not be determined.question_not_asked
.determination_details
field to the benefit verification response for each drug that contains additional information about the determination.discrete_content
field to insurance objects in GET /benefit-verification/{id}
and GET /prior-authorization/{id}
.insurance_content.rx_bin
field in POST /benefit-verification
and POST /prior-authorization
.POST /benefit-verification/{id}/cancel
endpoint to cancel a benefit verification request.