GET
/
benefit-verification
/
{id}
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
  }
}

Retrieve details of a specific benefit verification request.

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 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.