curl --request GET \
--url https://api.develophealth.ai/benefit-verification/{id} \
--header 'Authorization: Bearer <token>'
{
"status": "success",
"data": {
"id": "bv_dj3wiu",
"object": "benefit_verification",
"status": "completed",
"status_description": "The verification was successful",
"review_status": "not_reviewed",
"drugs": [
{
"name": "Wegovy",
"dosage": "0.25 mg",
"quantity": 28,
"coverage": "covered",
"coverage_detail_code": "insurer_reported_value",
"prior_authorization_required": "yes",
"copay": "$30 for 28 days supply",
"copay_options": [
{
"amount_cents": 3000,
"supply_duration_days": 28
}
],
"determination_details": {
"is_on_formulary": true
}
},
{
"name": "Ozempic",
"dosage": "0.25 mg",
"quantity": 28,
"coverage": "covered",
"coverage_detail_code": "insurer_reported_value",
"prior_authorization_required": "yes",
"copay": "$30 for 28 days supply",
"copay_options": [
{
"amount_cents": 3000,
"supply_duration_days": 28
}
],
"determination_details": {
"is_on_formulary": true
}
},
{
"name": "Mounjaro",
"dosage": "2.5 mg",
"quantity": 28,
"coverage": "covered",
"coverage_detail_code": "insurer_reported_value",
"prior_authorization_required": "yes",
"copay": "$30 for 28 days supply",
"copay_options": [
{
"amount_cents": 3000,
"supply_duration_days": 28
}
],
"determination_details": {
"is_on_formulary": true
}
}
],
"drug_history": {
"currently_taking_drugs": [
{
"name": "Metformin"
}
],
"previously_taken_drugs": [
{
"name": "Jardiance"
},
{
"name": "Rybelsus"
}
]
},
"diagnoses": [
{
"code": "E66.9"
},
{
"code": "I10"
}
],
"patient": {
"internal_id": "39dca4a2-8788-4fd6-9e31-15c56e454322",
"first_name": "John",
"last_name": "Smith",
"gender": "male",
"date_of_birth": "1980-01-01",
"address": {
"street": "123 Main St, Apt 1",
"city": "Los Angeles",
"state_province": "CA",
"zip_postal_code": "94001",
"country": "USA"
},
"phone": "555-555-5555"
},
"provider": {
"first_name": "Jane",
"last_name": "Green",
"address": {
"street": "9071 E. Mississippi Ave",
"city": "Denver",
"state_province": "CO",
"zip_postal_code": "80247",
"country": "USA"
},
"phone": "1231231234",
"npi": "0000000000",
"in_network_payers": []
},
"entity": {
"legal_name": "Test Entity",
"tax_id": "111223333"
},
"insurance": [
{
"scanned_content": {
"client_name": "Company",
"group_number": "12345678",
"member_name": "John Smith",
"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"
}
],
"patient_coverage_status": "covered",
"verification_methods": [
{
"id": "bva_23j3234",
"type": "ai_call",
"transcript": "Call transcript",
"recording_url": "https://example.com/recording"
}
],
"patient_plan_fund_source": "question_not_asked",
"patient_coverage_type": "question_not_asked",
"priority": 2
}
}
curl --request GET \
--url https://api.develophealth.ai/benefit-verification/{id} \
--header 'Authorization: Bearer <token>'
{
"status": "success",
"data": {
"id": "bv_dj3wiu",
"object": "benefit_verification",
"status": "completed",
"status_description": "The verification was successful",
"review_status": "not_reviewed",
"drugs": [
{
"name": "Wegovy",
"dosage": "0.25 mg",
"quantity": 28,
"coverage": "covered",
"coverage_detail_code": "insurer_reported_value",
"prior_authorization_required": "yes",
"copay": "$30 for 28 days supply",
"copay_options": [
{
"amount_cents": 3000,
"supply_duration_days": 28
}
],
"determination_details": {
"is_on_formulary": true
}
},
{
"name": "Ozempic",
"dosage": "0.25 mg",
"quantity": 28,
"coverage": "covered",
"coverage_detail_code": "insurer_reported_value",
"prior_authorization_required": "yes",
"copay": "$30 for 28 days supply",
"copay_options": [
{
"amount_cents": 3000,
"supply_duration_days": 28
}
],
"determination_details": {
"is_on_formulary": true
}
},
{
"name": "Mounjaro",
"dosage": "2.5 mg",
"quantity": 28,
"coverage": "covered",
"coverage_detail_code": "insurer_reported_value",
"prior_authorization_required": "yes",
"copay": "$30 for 28 days supply",
"copay_options": [
{
"amount_cents": 3000,
"supply_duration_days": 28
}
],
"determination_details": {
"is_on_formulary": true
}
}
],
"drug_history": {
"currently_taking_drugs": [
{
"name": "Metformin"
}
],
"previously_taken_drugs": [
{
"name": "Jardiance"
},
{
"name": "Rybelsus"
}
]
},
"diagnoses": [
{
"code": "E66.9"
},
{
"code": "I10"
}
],
"patient": {
"internal_id": "39dca4a2-8788-4fd6-9e31-15c56e454322",
"first_name": "John",
"last_name": "Smith",
"gender": "male",
"date_of_birth": "1980-01-01",
"address": {
"street": "123 Main St, Apt 1",
"city": "Los Angeles",
"state_province": "CA",
"zip_postal_code": "94001",
"country": "USA"
},
"phone": "555-555-5555"
},
"provider": {
"first_name": "Jane",
"last_name": "Green",
"address": {
"street": "9071 E. Mississippi Ave",
"city": "Denver",
"state_province": "CO",
"zip_postal_code": "80247",
"country": "USA"
},
"phone": "1231231234",
"npi": "0000000000",
"in_network_payers": []
},
"entity": {
"legal_name": "Test Entity",
"tax_id": "111223333"
},
"insurance": [
{
"scanned_content": {
"client_name": "Company",
"group_number": "12345678",
"member_name": "John Smith",
"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"
}
],
"patient_coverage_status": "covered",
"verification_methods": [
{
"id": "bva_23j3234",
"type": "ai_call",
"transcript": "Call transcript",
"recording_url": "https://example.com/recording"
}
],
"patient_plan_fund_source": "question_not_asked",
"patient_coverage_type": "question_not_asked",
"priority": 2
}
}
Bearer authentication header of the form Bearer <token>
, where <token>
is your auth token.
Successfully returned a benefit verification
Represents the response structure for a benefit verification query in a healthcare context.
This class extends the generic ApiResponse, specifically tailored to handle responses related to benefit verifications. It primarily includes the data attribute, which holds detailed information about the benefit verification process and its results.