GET
/
prior-authorization
/
{id}

Prior Authorization Statuses

Below are the possible statuses for a prior authorization request, along with a description of each status.

Status Descriptions

  • processing: The prior authorization request has been received and is currently being processed. This is the initial status indicating that the system is handling the request. Generally it will only be in this state for up to a few minutes.

  • awaiting_review: Processing has completed and the AI answers have been generated. The prior authorization will remain in this state until submitted by a user in the platform.

  • awaiting_outcome: The request has been submitted to the payer or pharmacy benefit manager and is awaiting an outcome.

  • validating_outcome: An outcome has been received but requires additional validation by the Develop Health team to ensure accuracy before finalizing the result back to you. This is a short lived status that occurs in some cases, and should generally be resolved in a few hours or less. If an issue is found during validation, the prior authorization will be transitioned back to the awaiting_outcome status while our team corrects the issue. You should wait until receiving a completed/failed status before relaying any outcomes to the patient.

  • completed: The prior authorization process has completed successfully, with an approval or denial outcome.

  • failed: The prior authorization has failed due to an error or unexpected outcome. This status may require attention to resolve any issues.

  • cancelled: The prior authorization request has been cancelled by the user, and no further processing will occur.

See the diagram below for a visual representation of the status workflow.

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

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

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

data
object

Contains the data from your prior authorization request, or None if an error occurred.

error
object
status
default:
success
Available options:
success