Create Prior Auth Route
curl --request POST \
--url https://api.develophealth.ai/prior-authorization \
--header 'Authorization: Bearer <token>' \
--header 'Content-Type: application/json' \
--data '
{
"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": [
{
"file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=="
},
{
"file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=="
}
],
"prescription": {
"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",
"extra": {
"prescribing_information": "Prescribed for weight management in patients with obesity"
},
"prescription_date": "2024-02-14T05:46:07.764000"
},
"provider": {
"address": {
"street": "456 Care Blvd.",
"city": "Healtown",
"state_province": "CA",
"zip_postal_code": "67890",
"country": "USA"
},
"fax": "987-654-3211",
"first_name": "Alice",
"internal_id": "provider_12345",
"last_name": "Smith",
"npi": "1234567890",
"phone": "987-654-3210"
},
"pharmacy": {
"name": "Walgreens",
"address": {
"street": "789 Pharmacy Ave.",
"city": "Medtown",
"state_province": "MD",
"zip_postal_code": "12345",
"country": "USA"
}
},
"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"
}
],
"priority": 2
}
'import requests
url = "https://api.develophealth.ai/prior-authorization"
payload = {
"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": [{ "file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==" }, { "file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==" }],
"prescription": {
"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",
"extra": { "prescribing_information": "Prescribed for weight management in patients with obesity" },
"prescription_date": "2024-02-14T05:46:07.764000"
},
"provider": {
"address": {
"street": "456 Care Blvd.",
"city": "Healtown",
"state_province": "CA",
"zip_postal_code": "67890",
"country": "USA"
},
"fax": "987-654-3211",
"first_name": "Alice",
"internal_id": "provider_12345",
"last_name": "Smith",
"npi": "1234567890",
"phone": "987-654-3210"
},
"pharmacy": {
"name": "Walgreens",
"address": {
"street": "789 Pharmacy Ave.",
"city": "Medtown",
"state_province": "MD",
"zip_postal_code": "12345",
"country": "USA"
}
},
"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"
}
],
"priority": 2
}
headers = {
"Authorization": "Bearer <token>",
"Content-Type": "application/json"
}
response = requests.post(url, json=payload, headers=headers)
print(response.text)const options = {
method: 'POST',
headers: {Authorization: 'Bearer <token>', 'Content-Type': 'application/json'},
body: JSON.stringify({
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: [
{
file_content: 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
},
{
file_content: 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
}
],
prescription: {
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',
extra: {
prescribing_information: 'Prescribed for weight management in patients with obesity'
},
prescription_date: '2024-02-14T05:46:07.764000'
},
provider: {
address: {
street: '456 Care Blvd.',
city: 'Healtown',
state_province: 'CA',
zip_postal_code: '67890',
country: 'USA'
},
fax: '987-654-3211',
first_name: 'Alice',
internal_id: 'provider_12345',
last_name: 'Smith',
npi: '1234567890',
phone: '987-654-3210'
},
pharmacy: {
name: 'Walgreens',
address: {
street: '789 Pharmacy Ave.',
city: 'Medtown',
state_province: 'MD',
zip_postal_code: '12345',
country: 'USA'
}
},
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'
}
],
priority: 2
})
};
fetch('https://api.develophealth.ai/prior-authorization', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://api.develophealth.ai/prior-authorization",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_POSTFIELDS => json_encode([
'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' => [
[
'file_content' => 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
],
[
'file_content' => 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
]
],
'prescription' => [
'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',
'extra' => [
'prescribing_information' => 'Prescribed for weight management in patients with obesity'
],
'prescription_date' => '2024-02-14T05:46:07.764000'
],
'provider' => [
'address' => [
'street' => '456 Care Blvd.',
'city' => 'Healtown',
'state_province' => 'CA',
'zip_postal_code' => '67890',
'country' => 'USA'
],
'fax' => '987-654-3211',
'first_name' => 'Alice',
'internal_id' => 'provider_12345',
'last_name' => 'Smith',
'npi' => '1234567890',
'phone' => '987-654-3210'
],
'pharmacy' => [
'name' => 'Walgreens',
'address' => [
'street' => '789 Pharmacy Ave.',
'city' => 'Medtown',
'state_province' => 'MD',
'zip_postal_code' => '12345',
'country' => 'USA'
]
],
'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'
]
],
'priority' => 2
]),
CURLOPT_HTTPHEADER => [
"Authorization: Bearer <token>",
"Content-Type: application/json"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"strings"
"net/http"
"io"
)
func main() {
url := "https://api.develophealth.ai/prior-authorization"
payload := strings.NewReader("{\n \"diagnoses\": [\n {\n \"code\": \"E66.9\"\n }\n ],\n \"evidence\": [\n {\n \"content\": {\n \"bmi_value\": 32,\n \"date_measured\": \"2023-11-10\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"BMI Chart\"\n },\n {\n \"content\": {\n \"medication_name\": \"Metformin\",\n \"response\": \"No significant weight loss\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"Previous Medication History\"\n }\n ],\n \"patient\": {\n \"address\": {\n \"street\": \"123 Health St.\",\n \"city\": \"Wellness\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n },\n \"date_of_birth\": \"1980-01-01\",\n \"email\": \"[email protected]\",\n \"first_name\": \"John\",\n \"last_name\": \"Doe\",\n \"gender\": \"male\",\n \"internal_id\": \"123456\",\n \"phone\": \"123-456-7890\"\n },\n \"insurance\": [\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n },\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n }\n ],\n \"prescription\": {\n \"days_supply\": 30,\n \"quantity\": 2,\n \"directions\": \"Inject subcutaneously once a week\",\n \"drug_name\": \"Wegovy\",\n \"strength\": \"0.25 mg/0.5 mL (0.25 mg dose)\",\n \"dose_form\": \"injectable\",\n \"route_of_administration\": \"subcutaneous\",\n \"extra\": {\n \"prescribing_information\": \"Prescribed for weight management in patients with obesity\"\n },\n \"prescription_date\": \"2024-02-14T05:46:07.764000\"\n },\n \"provider\": {\n \"address\": {\n \"street\": \"456 Care Blvd.\",\n \"city\": \"Healtown\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"67890\",\n \"country\": \"USA\"\n },\n \"fax\": \"987-654-3211\",\n \"first_name\": \"Alice\",\n \"internal_id\": \"provider_12345\",\n \"last_name\": \"Smith\",\n \"npi\": \"1234567890\",\n \"phone\": \"987-654-3210\"\n },\n \"pharmacy\": {\n \"name\": \"Walgreens\",\n \"address\": {\n \"street\": \"789 Pharmacy Ave.\",\n \"city\": \"Medtown\",\n \"state_province\": \"MD\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n }\n },\n \"questionnaires\": [\n {\n \"questions\": [\n {\n \"answer\": \"I usually eat a balanced diet and exercise 3 times a week.\",\n \"question\": \"Please describe your current diet and exercise routine.\"\n },\n {\n \"answer\": \"Yes, I have tried metformin without significant results.\",\n \"question\": \"Have you previously tried other weight loss medications?\"\n }\n ],\n \"date_created\": \"2023-11-01T08:00:00\"\n }\n ],\n \"visit_notes\": [\n {\n \"content\": \"Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.\",\n \"date_created\": \"2023-11-10T10:00:00\"\n }\n ],\n \"priority\": 2\n}")
req, _ := http.NewRequest("POST", url, payload)
req.Header.Add("Authorization", "Bearer <token>")
req.Header.Add("Content-Type", "application/json")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.post("https://api.develophealth.ai/prior-authorization")
.header("Authorization", "Bearer <token>")
.header("Content-Type", "application/json")
.body("{\n \"diagnoses\": [\n {\n \"code\": \"E66.9\"\n }\n ],\n \"evidence\": [\n {\n \"content\": {\n \"bmi_value\": 32,\n \"date_measured\": \"2023-11-10\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"BMI Chart\"\n },\n {\n \"content\": {\n \"medication_name\": \"Metformin\",\n \"response\": \"No significant weight loss\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"Previous Medication History\"\n }\n ],\n \"patient\": {\n \"address\": {\n \"street\": \"123 Health St.\",\n \"city\": \"Wellness\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n },\n \"date_of_birth\": \"1980-01-01\",\n \"email\": \"[email protected]\",\n \"first_name\": \"John\",\n \"last_name\": \"Doe\",\n \"gender\": \"male\",\n \"internal_id\": \"123456\",\n \"phone\": \"123-456-7890\"\n },\n \"insurance\": [\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n },\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n }\n ],\n \"prescription\": {\n \"days_supply\": 30,\n \"quantity\": 2,\n \"directions\": \"Inject subcutaneously once a week\",\n \"drug_name\": \"Wegovy\",\n \"strength\": \"0.25 mg/0.5 mL (0.25 mg dose)\",\n \"dose_form\": \"injectable\",\n \"route_of_administration\": \"subcutaneous\",\n \"extra\": {\n \"prescribing_information\": \"Prescribed for weight management in patients with obesity\"\n },\n \"prescription_date\": \"2024-02-14T05:46:07.764000\"\n },\n \"provider\": {\n \"address\": {\n \"street\": \"456 Care Blvd.\",\n \"city\": \"Healtown\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"67890\",\n \"country\": \"USA\"\n },\n \"fax\": \"987-654-3211\",\n \"first_name\": \"Alice\",\n \"internal_id\": \"provider_12345\",\n \"last_name\": \"Smith\",\n \"npi\": \"1234567890\",\n \"phone\": \"987-654-3210\"\n },\n \"pharmacy\": {\n \"name\": \"Walgreens\",\n \"address\": {\n \"street\": \"789 Pharmacy Ave.\",\n \"city\": \"Medtown\",\n \"state_province\": \"MD\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n }\n },\n \"questionnaires\": [\n {\n \"questions\": [\n {\n \"answer\": \"I usually eat a balanced diet and exercise 3 times a week.\",\n \"question\": \"Please describe your current diet and exercise routine.\"\n },\n {\n \"answer\": \"Yes, I have tried metformin without significant results.\",\n \"question\": \"Have you previously tried other weight loss medications?\"\n }\n ],\n \"date_created\": \"2023-11-01T08:00:00\"\n }\n ],\n \"visit_notes\": [\n {\n \"content\": \"Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.\",\n \"date_created\": \"2023-11-10T10:00:00\"\n }\n ],\n \"priority\": 2\n}")
.asString();require 'uri'
require 'net/http'
url = URI("https://api.develophealth.ai/prior-authorization")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Post.new(url)
request["Authorization"] = 'Bearer <token>'
request["Content-Type"] = 'application/json'
request.body = "{\n \"diagnoses\": [\n {\n \"code\": \"E66.9\"\n }\n ],\n \"evidence\": [\n {\n \"content\": {\n \"bmi_value\": 32,\n \"date_measured\": \"2023-11-10\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"BMI Chart\"\n },\n {\n \"content\": {\n \"medication_name\": \"Metformin\",\n \"response\": \"No significant weight loss\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"Previous Medication History\"\n }\n ],\n \"patient\": {\n \"address\": {\n \"street\": \"123 Health St.\",\n \"city\": \"Wellness\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n },\n \"date_of_birth\": \"1980-01-01\",\n \"email\": \"[email protected]\",\n \"first_name\": \"John\",\n \"last_name\": \"Doe\",\n \"gender\": \"male\",\n \"internal_id\": \"123456\",\n \"phone\": \"123-456-7890\"\n },\n \"insurance\": [\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n },\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n }\n ],\n \"prescription\": {\n \"days_supply\": 30,\n \"quantity\": 2,\n \"directions\": \"Inject subcutaneously once a week\",\n \"drug_name\": \"Wegovy\",\n \"strength\": \"0.25 mg/0.5 mL (0.25 mg dose)\",\n \"dose_form\": \"injectable\",\n \"route_of_administration\": \"subcutaneous\",\n \"extra\": {\n \"prescribing_information\": \"Prescribed for weight management in patients with obesity\"\n },\n \"prescription_date\": \"2024-02-14T05:46:07.764000\"\n },\n \"provider\": {\n \"address\": {\n \"street\": \"456 Care Blvd.\",\n \"city\": \"Healtown\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"67890\",\n \"country\": \"USA\"\n },\n \"fax\": \"987-654-3211\",\n \"first_name\": \"Alice\",\n \"internal_id\": \"provider_12345\",\n \"last_name\": \"Smith\",\n \"npi\": \"1234567890\",\n \"phone\": \"987-654-3210\"\n },\n \"pharmacy\": {\n \"name\": \"Walgreens\",\n \"address\": {\n \"street\": \"789 Pharmacy Ave.\",\n \"city\": \"Medtown\",\n \"state_province\": \"MD\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n }\n },\n \"questionnaires\": [\n {\n \"questions\": [\n {\n \"answer\": \"I usually eat a balanced diet and exercise 3 times a week.\",\n \"question\": \"Please describe your current diet and exercise routine.\"\n },\n {\n \"answer\": \"Yes, I have tried metformin without significant results.\",\n \"question\": \"Have you previously tried other weight loss medications?\"\n }\n ],\n \"date_created\": \"2023-11-01T08:00:00\"\n }\n ],\n \"visit_notes\": [\n {\n \"content\": \"Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.\",\n \"date_created\": \"2023-11-10T10:00:00\"\n }\n ],\n \"priority\": 2\n}"
response = http.request(request)
puts response.read_body{
"status": "success",
"data": {
"id": "pa_sdkfj3f"
}
}{
"status": "error",
"error": {
"title": "Unsupported Drug",
"description": "The drug you submitted is not yet supported for prior authorization.",
"code": "unsupported_drug"
}
}{
"status": "error",
"error": {
"title": "API Access Not Enabled",
"description": "Programmatic API access is not enabled for this organization.",
"code": "api_access_not_enabled"
}
}{
"status": "error",
"error": {
"title": "Prescription Already Linked",
"description": "The prescription_message_id provided is already linked to a prior authorization request that is in progress or has already been completed as approved. The existing PA request must be cancelled before submitting a new request for the same prescription.",
"code": "prescription_message_already_linked",
"existing_prior_auth_request_id": "par_example123"
}
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>"
}
]
}{
"status": "error",
"error": {
"title": "Rate Limit Exceeded",
"description": "The request exceeds the organization's configured API rate limit. Retry after the duration specified by Retry-After.",
"code": "rate_limit_exceeded"
}
}{
"status": "error",
"error": {
"title": "Service Unavailable",
"description": "The service is temporarily unavailable. Retry the request shortly.",
"code": "service_unavailable"
}
}Prior authorization
Create a prior authorization
POST
/
prior-authorization
Create Prior Auth Route
curl --request POST \
--url https://api.develophealth.ai/prior-authorization \
--header 'Authorization: Bearer <token>' \
--header 'Content-Type: application/json' \
--data '
{
"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": [
{
"file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=="
},
{
"file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=="
}
],
"prescription": {
"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",
"extra": {
"prescribing_information": "Prescribed for weight management in patients with obesity"
},
"prescription_date": "2024-02-14T05:46:07.764000"
},
"provider": {
"address": {
"street": "456 Care Blvd.",
"city": "Healtown",
"state_province": "CA",
"zip_postal_code": "67890",
"country": "USA"
},
"fax": "987-654-3211",
"first_name": "Alice",
"internal_id": "provider_12345",
"last_name": "Smith",
"npi": "1234567890",
"phone": "987-654-3210"
},
"pharmacy": {
"name": "Walgreens",
"address": {
"street": "789 Pharmacy Ave.",
"city": "Medtown",
"state_province": "MD",
"zip_postal_code": "12345",
"country": "USA"
}
},
"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"
}
],
"priority": 2
}
'import requests
url = "https://api.develophealth.ai/prior-authorization"
payload = {
"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": [{ "file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==" }, { "file_content": "iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==" }],
"prescription": {
"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",
"extra": { "prescribing_information": "Prescribed for weight management in patients with obesity" },
"prescription_date": "2024-02-14T05:46:07.764000"
},
"provider": {
"address": {
"street": "456 Care Blvd.",
"city": "Healtown",
"state_province": "CA",
"zip_postal_code": "67890",
"country": "USA"
},
"fax": "987-654-3211",
"first_name": "Alice",
"internal_id": "provider_12345",
"last_name": "Smith",
"npi": "1234567890",
"phone": "987-654-3210"
},
"pharmacy": {
"name": "Walgreens",
"address": {
"street": "789 Pharmacy Ave.",
"city": "Medtown",
"state_province": "MD",
"zip_postal_code": "12345",
"country": "USA"
}
},
"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"
}
],
"priority": 2
}
headers = {
"Authorization": "Bearer <token>",
"Content-Type": "application/json"
}
response = requests.post(url, json=payload, headers=headers)
print(response.text)const options = {
method: 'POST',
headers: {Authorization: 'Bearer <token>', 'Content-Type': 'application/json'},
body: JSON.stringify({
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: [
{
file_content: 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
},
{
file_content: 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
}
],
prescription: {
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',
extra: {
prescribing_information: 'Prescribed for weight management in patients with obesity'
},
prescription_date: '2024-02-14T05:46:07.764000'
},
provider: {
address: {
street: '456 Care Blvd.',
city: 'Healtown',
state_province: 'CA',
zip_postal_code: '67890',
country: 'USA'
},
fax: '987-654-3211',
first_name: 'Alice',
internal_id: 'provider_12345',
last_name: 'Smith',
npi: '1234567890',
phone: '987-654-3210'
},
pharmacy: {
name: 'Walgreens',
address: {
street: '789 Pharmacy Ave.',
city: 'Medtown',
state_province: 'MD',
zip_postal_code: '12345',
country: 'USA'
}
},
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'
}
],
priority: 2
})
};
fetch('https://api.develophealth.ai/prior-authorization', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://api.develophealth.ai/prior-authorization",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_POSTFIELDS => json_encode([
'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' => [
[
'file_content' => 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
],
[
'file_content' => 'iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg=='
]
],
'prescription' => [
'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',
'extra' => [
'prescribing_information' => 'Prescribed for weight management in patients with obesity'
],
'prescription_date' => '2024-02-14T05:46:07.764000'
],
'provider' => [
'address' => [
'street' => '456 Care Blvd.',
'city' => 'Healtown',
'state_province' => 'CA',
'zip_postal_code' => '67890',
'country' => 'USA'
],
'fax' => '987-654-3211',
'first_name' => 'Alice',
'internal_id' => 'provider_12345',
'last_name' => 'Smith',
'npi' => '1234567890',
'phone' => '987-654-3210'
],
'pharmacy' => [
'name' => 'Walgreens',
'address' => [
'street' => '789 Pharmacy Ave.',
'city' => 'Medtown',
'state_province' => 'MD',
'zip_postal_code' => '12345',
'country' => 'USA'
]
],
'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'
]
],
'priority' => 2
]),
CURLOPT_HTTPHEADER => [
"Authorization: Bearer <token>",
"Content-Type: application/json"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"strings"
"net/http"
"io"
)
func main() {
url := "https://api.develophealth.ai/prior-authorization"
payload := strings.NewReader("{\n \"diagnoses\": [\n {\n \"code\": \"E66.9\"\n }\n ],\n \"evidence\": [\n {\n \"content\": {\n \"bmi_value\": 32,\n \"date_measured\": \"2023-11-10\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"BMI Chart\"\n },\n {\n \"content\": {\n \"medication_name\": \"Metformin\",\n \"response\": \"No significant weight loss\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"Previous Medication History\"\n }\n ],\n \"patient\": {\n \"address\": {\n \"street\": \"123 Health St.\",\n \"city\": \"Wellness\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n },\n \"date_of_birth\": \"1980-01-01\",\n \"email\": \"[email protected]\",\n \"first_name\": \"John\",\n \"last_name\": \"Doe\",\n \"gender\": \"male\",\n \"internal_id\": \"123456\",\n \"phone\": \"123-456-7890\"\n },\n \"insurance\": [\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n },\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n }\n ],\n \"prescription\": {\n \"days_supply\": 30,\n \"quantity\": 2,\n \"directions\": \"Inject subcutaneously once a week\",\n \"drug_name\": \"Wegovy\",\n \"strength\": \"0.25 mg/0.5 mL (0.25 mg dose)\",\n \"dose_form\": \"injectable\",\n \"route_of_administration\": \"subcutaneous\",\n \"extra\": {\n \"prescribing_information\": \"Prescribed for weight management in patients with obesity\"\n },\n \"prescription_date\": \"2024-02-14T05:46:07.764000\"\n },\n \"provider\": {\n \"address\": {\n \"street\": \"456 Care Blvd.\",\n \"city\": \"Healtown\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"67890\",\n \"country\": \"USA\"\n },\n \"fax\": \"987-654-3211\",\n \"first_name\": \"Alice\",\n \"internal_id\": \"provider_12345\",\n \"last_name\": \"Smith\",\n \"npi\": \"1234567890\",\n \"phone\": \"987-654-3210\"\n },\n \"pharmacy\": {\n \"name\": \"Walgreens\",\n \"address\": {\n \"street\": \"789 Pharmacy Ave.\",\n \"city\": \"Medtown\",\n \"state_province\": \"MD\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n }\n },\n \"questionnaires\": [\n {\n \"questions\": [\n {\n \"answer\": \"I usually eat a balanced diet and exercise 3 times a week.\",\n \"question\": \"Please describe your current diet and exercise routine.\"\n },\n {\n \"answer\": \"Yes, I have tried metformin without significant results.\",\n \"question\": \"Have you previously tried other weight loss medications?\"\n }\n ],\n \"date_created\": \"2023-11-01T08:00:00\"\n }\n ],\n \"visit_notes\": [\n {\n \"content\": \"Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.\",\n \"date_created\": \"2023-11-10T10:00:00\"\n }\n ],\n \"priority\": 2\n}")
req, _ := http.NewRequest("POST", url, payload)
req.Header.Add("Authorization", "Bearer <token>")
req.Header.Add("Content-Type", "application/json")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.post("https://api.develophealth.ai/prior-authorization")
.header("Authorization", "Bearer <token>")
.header("Content-Type", "application/json")
.body("{\n \"diagnoses\": [\n {\n \"code\": \"E66.9\"\n }\n ],\n \"evidence\": [\n {\n \"content\": {\n \"bmi_value\": 32,\n \"date_measured\": \"2023-11-10\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"BMI Chart\"\n },\n {\n \"content\": {\n \"medication_name\": \"Metformin\",\n \"response\": \"No significant weight loss\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"Previous Medication History\"\n }\n ],\n \"patient\": {\n \"address\": {\n \"street\": \"123 Health St.\",\n \"city\": \"Wellness\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n },\n \"date_of_birth\": \"1980-01-01\",\n \"email\": \"[email protected]\",\n \"first_name\": \"John\",\n \"last_name\": \"Doe\",\n \"gender\": \"male\",\n \"internal_id\": \"123456\",\n \"phone\": \"123-456-7890\"\n },\n \"insurance\": [\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n },\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n }\n ],\n \"prescription\": {\n \"days_supply\": 30,\n \"quantity\": 2,\n \"directions\": \"Inject subcutaneously once a week\",\n \"drug_name\": \"Wegovy\",\n \"strength\": \"0.25 mg/0.5 mL (0.25 mg dose)\",\n \"dose_form\": \"injectable\",\n \"route_of_administration\": \"subcutaneous\",\n \"extra\": {\n \"prescribing_information\": \"Prescribed for weight management in patients with obesity\"\n },\n \"prescription_date\": \"2024-02-14T05:46:07.764000\"\n },\n \"provider\": {\n \"address\": {\n \"street\": \"456 Care Blvd.\",\n \"city\": \"Healtown\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"67890\",\n \"country\": \"USA\"\n },\n \"fax\": \"987-654-3211\",\n \"first_name\": \"Alice\",\n \"internal_id\": \"provider_12345\",\n \"last_name\": \"Smith\",\n \"npi\": \"1234567890\",\n \"phone\": \"987-654-3210\"\n },\n \"pharmacy\": {\n \"name\": \"Walgreens\",\n \"address\": {\n \"street\": \"789 Pharmacy Ave.\",\n \"city\": \"Medtown\",\n \"state_province\": \"MD\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n }\n },\n \"questionnaires\": [\n {\n \"questions\": [\n {\n \"answer\": \"I usually eat a balanced diet and exercise 3 times a week.\",\n \"question\": \"Please describe your current diet and exercise routine.\"\n },\n {\n \"answer\": \"Yes, I have tried metformin without significant results.\",\n \"question\": \"Have you previously tried other weight loss medications?\"\n }\n ],\n \"date_created\": \"2023-11-01T08:00:00\"\n }\n ],\n \"visit_notes\": [\n {\n \"content\": \"Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.\",\n \"date_created\": \"2023-11-10T10:00:00\"\n }\n ],\n \"priority\": 2\n}")
.asString();require 'uri'
require 'net/http'
url = URI("https://api.develophealth.ai/prior-authorization")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Post.new(url)
request["Authorization"] = 'Bearer <token>'
request["Content-Type"] = 'application/json'
request.body = "{\n \"diagnoses\": [\n {\n \"code\": \"E66.9\"\n }\n ],\n \"evidence\": [\n {\n \"content\": {\n \"bmi_value\": 32,\n \"date_measured\": \"2023-11-10\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"BMI Chart\"\n },\n {\n \"content\": {\n \"medication_name\": \"Metformin\",\n \"response\": \"No significant weight loss\"\n },\n \"date_created\": \"2023-11-10T10:15:00\",\n \"title\": \"Previous Medication History\"\n }\n ],\n \"patient\": {\n \"address\": {\n \"street\": \"123 Health St.\",\n \"city\": \"Wellness\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n },\n \"date_of_birth\": \"1980-01-01\",\n \"email\": \"[email protected]\",\n \"first_name\": \"John\",\n \"last_name\": \"Doe\",\n \"gender\": \"male\",\n \"internal_id\": \"123456\",\n \"phone\": \"123-456-7890\"\n },\n \"insurance\": [\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n },\n {\n \"file_content\": \"iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mP8z8BQDwAFgwJ/lzvN2QAAAABJRU5ErkJggg==\"\n }\n ],\n \"prescription\": {\n \"days_supply\": 30,\n \"quantity\": 2,\n \"directions\": \"Inject subcutaneously once a week\",\n \"drug_name\": \"Wegovy\",\n \"strength\": \"0.25 mg/0.5 mL (0.25 mg dose)\",\n \"dose_form\": \"injectable\",\n \"route_of_administration\": \"subcutaneous\",\n \"extra\": {\n \"prescribing_information\": \"Prescribed for weight management in patients with obesity\"\n },\n \"prescription_date\": \"2024-02-14T05:46:07.764000\"\n },\n \"provider\": {\n \"address\": {\n \"street\": \"456 Care Blvd.\",\n \"city\": \"Healtown\",\n \"state_province\": \"CA\",\n \"zip_postal_code\": \"67890\",\n \"country\": \"USA\"\n },\n \"fax\": \"987-654-3211\",\n \"first_name\": \"Alice\",\n \"internal_id\": \"provider_12345\",\n \"last_name\": \"Smith\",\n \"npi\": \"1234567890\",\n \"phone\": \"987-654-3210\"\n },\n \"pharmacy\": {\n \"name\": \"Walgreens\",\n \"address\": {\n \"street\": \"789 Pharmacy Ave.\",\n \"city\": \"Medtown\",\n \"state_province\": \"MD\",\n \"zip_postal_code\": \"12345\",\n \"country\": \"USA\"\n }\n },\n \"questionnaires\": [\n {\n \"questions\": [\n {\n \"answer\": \"I usually eat a balanced diet and exercise 3 times a week.\",\n \"question\": \"Please describe your current diet and exercise routine.\"\n },\n {\n \"answer\": \"Yes, I have tried metformin without significant results.\",\n \"question\": \"Have you previously tried other weight loss medications?\"\n }\n ],\n \"date_created\": \"2023-11-01T08:00:00\"\n }\n ],\n \"visit_notes\": [\n {\n \"content\": \"Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.\",\n \"date_created\": \"2023-11-10T10:00:00\"\n }\n ],\n \"priority\": 2\n}"
response = http.request(request)
puts response.read_body{
"status": "success",
"data": {
"id": "pa_sdkfj3f"
}
}{
"status": "error",
"error": {
"title": "Unsupported Drug",
"description": "The drug you submitted is not yet supported for prior authorization.",
"code": "unsupported_drug"
}
}{
"status": "error",
"error": {
"title": "API Access Not Enabled",
"description": "Programmatic API access is not enabled for this organization.",
"code": "api_access_not_enabled"
}
}{
"status": "error",
"error": {
"title": "Prescription Already Linked",
"description": "The prescription_message_id provided is already linked to a prior authorization request that is in progress or has already been completed as approved. The existing PA request must be cancelled before submitting a new request for the same prescription.",
"code": "prescription_message_already_linked",
"existing_prior_auth_request_id": "par_example123"
}
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>"
}
]
}{
"status": "error",
"error": {
"title": "Rate Limit Exceeded",
"description": "The request exceeds the organization's configured API rate limit. Retry after the duration specified by Retry-After.",
"code": "rate_limit_exceeded"
}
}{
"status": "error",
"error": {
"title": "Service Unavailable",
"description": "The service is temporarily unavailable. Retry the request shortly.",
"code": "service_unavailable"
}
}Create a prior authorization from patient, provider, insurance, prescription,
and clinical information. Follow Create a prior authorization
for a complete example and the workflow guide
for delegated and non-delegated submission models.
Response handling
Store the returneddata.id. A successful response means the PA was accepted,
not that it was submitted to a payer or PBM. Track the same ID through
GET /prior-authorization/{id}
or PA webhook events.
See statuses, outcomes, and errors
for exact lifecycle states, request errors, and terminal exceptions. In a
non-delegated workflow, awaiting_review requires your authorized reviewer to
complete PA review.Authorizations
Bearer authentication header of the form Bearer <token>, where <token> is your auth token.
Body
application/json
Represents a request for creating a prior authorization for a medication. This includes detailed information about the patient, their diagnosis, prescribed medication, evidence supporting the need for treatment, insurance details, and responses to relevant questionnaires.
Demographic information for the patient
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Details of the healthcare provider who created the prescription.
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Clinical diagnoses for the patient in ICD-10 format. i.e. 'E66.9'
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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.
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Insurance information for the patient. We will extract the required information from the insurance card images you provide. Please provide both the front and the back of the card. This is optional if you provide insurance_content, but highly recommended to ensure best results.
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Insurance information for the patient. Values provided here will be used in combination with those extracted from any insurance cards provided. We recommend providing this information when available to ensure best results. If you provide both insurance and insurance_content, the values provided here will be used and the values extracted from insurance will be used as a fallback.
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Represents a prescription issued by a healthcare provider. This is an alternative to the Prescription model that is more closely aligned with NCPDP standards and helps reduce any confusion on the payer-side. Prefer this model over Prescription when NDCs are available.
- CodedPrescription
- Prescription
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Information about the pharmacy where the prescription will be filled.
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List of questionnaires. This is the best place to send structured Q&A format data, such as intake forms, etc.
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List of visit notes.
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Configuration for processing the prescription associated with this PA request.
This field should only be provided when a prescription has been sent to Develop
Health's non-dispensing pharmacy. If both preferred pharmacy fields are omitted,
no final prescription transfer is attempted. The response returns
prescription_transfer.status as "error" and
prescription_transfer.error_code as "pharmacy_does_not_exist".
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Information provided when resubmitting a prior authorization request.
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Details for submitting an appeal of a previously denied prior authorization. When provided, the request will be processed as an appeal.
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Represents a mock result for a prior authorization request.
- PriorAuthMockResultApproved
- PriorAuthMockResultDenied
- PriorAuthMockResultOther
- PriorAuthMockResultNotSubmitted
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Specifies the priority of the prior authorization request. This is used to determine the order in which requests are processed. Lower values indicate higher priority.
Available options:
0, 1, 2, 3 If provided and enabled, triggers a benefit verification to check drug coverage before the PA proceeds.
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Configuration for requesting clinical documents from the provider before answering begins.
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Response
Successful creation of a prior authorization
Models the response received upon creating a prior authorization request.
Available options:
success Error payload of the response, containing details of the error that occurred during the creation of the prior authorization request.
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Data payload of the response, containing details of the created prior authorization request, or None if the request was unsuccessful.
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