GET
/
clinical-qualification
/
{id}
curl --request GET \
  --url https://api.develophealth.ai/clinical-qualification/{id} \
  --header 'Authorization: Bearer <token>'
{
  "status": "success",
  "data": {
    "id": "cq_sdkfj3f",
    "object": "clinical_qualification",
    "diagnoses": [
      {
        "code": "E66.9"
      }
    ],
    "evidence": [
      {
        "content": {
          "bmi_value": 32,
          "date_measured": "2023-11-10"
        },
        "date_created": "2023-11-10T10:15:00",
        "title": "BMI Chart"
      },
      {
        "content": {
          "medication_name": "Metformin",
          "response": "No significant weight loss"
        },
        "date_created": "2023-11-10T10:15:00",
        "title": "Previous Medication History"
      }
    ],
    "patient": {
      "address": {
        "street": "123 Health St.",
        "city": "Wellness",
        "state_province": "CA",
        "zip_postal_code": "12345",
        "country": "USA"
      },
      "date_of_birth": "1980-01-01",
      "email": "[email protected]",
      "first_name": "John",
      "last_name": "Doe",
      "gender": "male",
      "internal_id": "123456",
      "phone": "123-456-7890"
    },
    "insurance": [
      {
        "scanned_content": {
          "client_name": "Company",
          "group_number": "12345678",
          "member_name": "John Doe",
          "member_number": "12345678",
          "payer_name": "United",
          "plan_name": "Plus Plan",
          "rx_bin": "123456",
          "rx_group": "ADV",
          "rx_pcn": "FAC"
        },
        "discrete_content": {},
        "url": "https://example.com/insurance_doc"
      },
      {
        "scanned_content": {
          "error": "Unable to extract information from card"
        },
        "discrete_content": {},
        "url": "https://example.com/insurance_doc2"
      }
    ],
    "drugs": [
      {
        "days_supply": 30,
        "quantity": 2,
        "directions": "Inject subcutaneously once a week",
        "drug_name": "Wegovy",
        "strength": "0.25 mg/0.5 mL (0.25 mg dose)",
        "dose_form": "injectable",
        "route_of_administration": "subcutaneous"
      },
      {
        "days_supply": 28,
        "quantity": 1,
        "directions": "Inject subcutaneously once a week",
        "drug_name": "Ozempic",
        "strength": "0.5 mg/dose",
        "dose_form": "injectable",
        "route_of_administration": "subcutaneous"
      },
      {
        "days_supply": 28,
        "quantity": 4,
        "directions": "Inject subcutaneously once a week",
        "drug_name": "Zepbound",
        "strength": "1 mg/dose",
        "dose_form": "injectable",
        "route_of_administration": "subcutaneous"
      }
    ],
    "provider": {
      "address": {
        "street": "456 Care Blvd.",
        "city": "Healtown",
        "state_province": "CA",
        "zip_postal_code": "67890",
        "country": "USA"
      },
      "fax": "987-654-3211",
      "first_name": "Alice",
      "last_name": "Smith",
      "npi": "1234567890",
      "phone": "987-654-3210"
    },
    "questionnaires": [
      {
        "questions": [
          {
            "answer": "I usually eat a balanced diet and exercise 3 times a week.",
            "question": "Please describe your current diet and exercise routine."
          },
          {
            "answer": "Yes, I have tried metformin without significant results.",
            "question": "Have you previously tried other weight loss medications?"
          }
        ],
        "date_created": "2023-11-01T08:00:00"
      }
    ],
    "visit_notes": [
      {
        "content": "Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.",
        "date_created": "2023-11-10T10:00:00"
      }
    ],
    "results": [
      {
        "drug": {
          "days_supply": 30,
          "quantity": 2,
          "directions": "Inject subcutaneously once a week",
          "drug_name": "Wegovy",
          "strength": "0.25 mg/0.5 mL (0.25 mg dose)",
          "dose_form": "injectable",
          "route_of_administration": "subcutaneous"
        },
        "status": "qualified",
        "unqualified_reasons": []
      },
      {
        "drug": {
          "days_supply": 28,
          "quantity": 4,
          "directions": "Inject subcutaneously once a week",
          "drug_name": "Zepbound",
          "strength": "1 mg/dose",
          "dose_form": "injectable",
          "route_of_administration": "subcutaneous"
        },
        "status": "qualified",
        "unqualified_reasons": []
      },
      {
        "drug": {
          "days_supply": 28,
          "quantity": 1,
          "directions": "Inject subcutaneously once a week",
          "drug_name": "Ozempic",
          "strength": "0.5 mg/dose",
          "dose_form": "injectable",
          "route_of_administration": "subcutaneous"
        },
        "status": "unqualified",
        "unqualified_reasons": [
          {
            "description": "The patient does not have a diagnosis of type 2 diabetes."
          }
        ]
      }
    ]
  }
}

Authorizations

​
Authorization
string
header
required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Path Parameters

​
id
string
required

Response

200
application/json

Successfully returned an clinical qualification.

Represents the response structure for a GET /prior-authorization/:id request.

This class extends the generic ApiResponse, specifically tailored to handle responses related to clinical qualifications. It primarily includes the data attribute, which holds detailed information about the benefit verification process and its results.