POST
/
clinical-qualification

Checks if a patient is eligibile for multiple drugs based on their insurance plan and clinical records.

Results delivered via webhook and also accesible through GET. Documentation on response structure coming soon.

Learn more about Clinical Qualification

Authorizations

Authorization
string
header
required

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

Body

application/json

Represents a request for creating a clinical qualification check for a list of medications. This includes detailed information about the patient, their diagnosis, prescribed medication, evidence supporting the need for treatment, insurance details, and responses to relevant questionnaires.

diagnoses
object[]
required

Clinical diagnoses for the patient in ICD-10 format. i.e. 'E66.9'

drugs
object[]
required

Information regarding the drugs this clinical qualification check should be run for

insurance
object[]
required

Array of insurance documents.

patient
object
required

Demographic information for the patient

provider
object
required

Details of the healthcare provider who created the prescription.

evidence
object[]

A collection of evidence items supporting the authorization request. Any supporting evidence that doesn't belong in the other predefined fields can be added here.

questionnaires
object[]

list of questionnaires. This is the best place to send structured Q&A format data, such as intake forms, etc.

visit_notes
object[]

list of visit notes.

Response

200 - application/json

Models the response received upon creating a clinical qualification request.

data
object

Data payload of the response, containing details of the created clinical qualification request, or None if the request was unsuccessful.

error
object
status
default:
success
Available options:
success