Capital Rx Adjudication API (1.0.0)

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API Usage Guide

API Keys

A CapitalRx API key consists of 2 parts, a public and a private access key. The public access key is used as part of your request to identify who is making the request, and is not necessarily secret. The private access key is secret and is used to generate the HMAC signature to authenticate requests.

API Keys expire 365 days from the date of creation, and any one identity can only have two (2) active API key pairs at any given moment, to allow for seamless key rotation.

Public Access Keys start with CRX and are always all caps.

Private Access Keys are random strings 58 characters long.

Example Public Access Key:

  • CRXEXAMPLEAWJOBLF0WB

Example Private Access Key:

  • d53mcLIawexample7nPv4example2nqP1c9SexampleRXLvexample35Ng

Required Headers

The following headers are required or your request will be rejected, even if it contains a valid signature.

  • Content-Type (application/json)
  • User-Agent
  • Host
  • X-CRX-ACCESS-KEY
  • X-CRX-SIGNATURE
  • X-CRX-TIMESTAMP

All requests should have a Content-Type of application/json and contain a request body with valid json. Even a request that supplies no information should send an empty object {}

Signatures

Requests are signed with an HMAC-SHA256 signature using the private access key. The canonical request needs to be hashed using this algorithm, and the resulting HMAC placed into the X-CRX-SIGNATURE header of the request.

The canonical request is defined as these 4 elements concatenated together:

  • The UNIX timestamp of the request (the same value as the X-CRX-TIMESTAMP header)
  • The request method (all uppercase, i.e. "POST")
  • The path of the request (without the base URL, i.e. "/claim/list")
  • The content of the request body

An example of a canonical request would be:

POST https://adjudication-sts.staging-cap-rx.com/claim/list

1709242510POST/claim/list{}

Examples

Below is a Python3 example of an authenticated API call to list claims visible to the user calling the endpoint. Your user must have the appropriate permissions granted to call the endpoint, and if allowed to make the call, must have access to some data in order to not get an empty response.

Authenticated API Call

List Claims:

import hmac
import requests
import time
from requests.auth import AuthBase

class CapitalRxApiAuth(AuthBase):

   def __init__(self, access_key, secret_key):
       self.access_key = access_key
       self.secret_key = secret_key

   def __call__(self, request):
       timestamp = str(int(time.time()))
       canonical_request = timestamp + request.method + request.path_url + (request.body.decode("UTF-8") or '')
       signature = hmac.new(self.secret_key.encode("UTF-8"), canonical_request.encode("UTF-8"), 'sha256').hexdigest()

       request.headers.update({
           'X-CRX-TIMESTAMP': timestamp,
           'X-CRX-ACCESS-KEY': self.access_key,
           'X-CRX-SIGNATURE': signature,
       })

       return request

ACCESS_KEY = ""
SECRET_KEY = ""
auth = CapitalRxApiAuth(ACCESS_KEY, SECRET_KEY)

api_url = "https://adjudication-sts.staging-cap-rx.com/claim/list" # or any other endpoint you want to hit.
payload = {}

r = requests.post(
    url=api_url,
    auth=auth,
    json=payload,
    headers={
        "Content-Type": "application/json",
        "User-Agent": "apiexample/1.0",
    },
)

print(r.content)

Unauthenticated API Call (Advantage)

List Drug (search):

import requests
import json

r = requests.post(
    url="https://advantage-api.cap-rx.com/drug/list",
    json={
        "search": "ibuprofen",
        "page_number": 2,
    },
    headers={
        "Content-Type": "application/json",
        "User-Agent": "apiexample/1.0",
    },
)

print(json.dumps(r.json(), indent=2))

Common Issues

Timestamp has Expired

Requests are only valid within 5 minutes of the timestamp in the X-CRX-TIMESTAMP header. If more than 5 minutes has elapsed since the request was signed, it will be rejected as expired.

User-Agent header is missing

The User-Agent header is required. If not present in the request, it can appear as a failure to authenticate, despite a valid signature being included.

Accumulation Configuration

/accumulation_configuration/create

Create an Accumulation Configuration.

Request Body schema: application/json
rn
string or null
parser_name
required
string
description
string or null
config
any or null
bucket_pattern
required
string

Regex pattern for matching on the bucket. Example: '^example-bucket$

key_pattern
required
string

Regex pattern for matching on the key. Example: '^/uploads/[0-9]{8}_[0-9]{6}$'

plan_ids
required
Array of integers or null <int32>
status_report_output_dir
string or null

Directory to upload output status report of load. Example: 'vendor/output/'

client_ids
Array of strings or null
status
string
Enum: "active" "inactive"
event_handler_type
required
string
Enum: "lambda" "batch"
event_handler_is_enabled
required
boolean
event_handler_effective_date
required
string or null <ArrowDateTime>
event_handler_termination_date
required
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "status_report_output_dir": "string",
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "lambda",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

Response samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "status_report_output_dir": "string",
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "lambda",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

/accumulation_configuration/get

Get an Accumulation Configuration.

Request Body schema: application/json
parser_mapping_id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "parser_mapping_id": 0
}

Response samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "status_report_output_dir": "string",
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "lambda",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

/accumulation_configuration/list

List Accumulation Configurations.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

parser_mapping_id
integer or null <int32>
parser_name
string or null
bucket_pattern
string or null
key_pattern
string or null
plan_ids
Array of integers or null <int32>
client_ids
Array of strings or null
status
string
Enum: "active" "inactive"
description
string or null
event_handler_type
string or null
event_handler_is_enabled
boolean or null
event_handler_effective_date
string or null <ArrowDateTime>
event_handler_termination_date
string or null <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676532.8612218)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "description": "string",
  • "event_handler_type": "string",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/accumulation_configuration/run

Manually initiates the load of an accumulations file.

Request Body schema: application/json
parser_mapping_id
integer or null <int32>

The id of the accumulation configuration used as a base for the load, which may be overridden by other fields

inbound_bucket
required
string

S3 bucket of the accumulations file to be loaded

inbound_key
required
string

S3 key of the accumulations file to be loaded

commit_data
required
boolean

Whether the results of the file load will be committed to the database. When false, reports are generated without commiting changes.

override_report_status_folder
string

When present, overrides the status_report_output_dir of the base accumulation configuration for this load.

override_parser_mapping
string

When present, overrides the parser of the base accumulation configuration for this load.

override_parser_config
any or null

When present, overrides the config object passed to the parser when processing this load.

override_plans_mapping
Array of integers <int32> [ items <int32 > ]

When present, overrides the file_plan_mapping_id of the base accumulation configuration for this load.

override_event_handler_type
string
Enum: "batch" "lambda"

When present, overrides the event_handler_type of the base accumulation configuration for this load.

manual_note
string or null

A user-provided note describing details of the load.

Responses

Request samples

Content type
application/json
{
  • "parser_mapping_id": 0,
  • "inbound_bucket": "string",
  • "inbound_key": "string",
  • "commit_data": true,
  • "override_report_status_folder": "string",
  • "override_parser_mapping": "string",
  • "override_parser_config": null,
  • "override_plans_mapping": [
    ],
  • "override_event_handler_type": "batch",
  • "manual_note": "string"
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/accumulation_configuration/update

Update an Accumulation Configuration.

Request Body schema: application/json
rn
string or null
parser_mapping_id
integer <int32>
parser_name
string
description
string or null
config
any or null
bucket_pattern
string

Regex pattern for matching on the bucket. Example: '^example-bucket$

key_pattern
string

Regex pattern for matching on the key. Example: '^/uploads/[0-9]{8}_[0-9]{6}$'

plan_ids
Array of integers or null <int32>
status_report_output_dir
string or null

Directory to upload output status report of load. Example: 'vendor/output/'

client_ids
Array of strings or null
status
string
Enum: "active" "inactive"
event_handler_type
string
Enum: "lambda" "batch"
event_handler_is_enabled
boolean
event_handler_effective_date
string or null <ArrowDateTime>
event_handler_termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "status_report_output_dir": "string",
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "lambda",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

Response samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "status_report_output_dir": "string",
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "lambda",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

/accumulation_configuration/url_for_upload

Request Body schema: application/json
filename
required
string

Responses

Request samples

Content type
application/json
{
  • "filename": "string"
}

Response samples

Content type
application/json
{
  • "bucket": "string",
  • "key": "string",
  • "post": {
    }
}

Accumulation Transaction Data

/accumulation_transaction_data/get

Get an Accumulation Transaction Datum.

Request Body schema: application/json
id
required
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

/accumulation_transaction_data/list

List Accumulation Transaction Data.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
created_at
string <ArrowDateTime>
status
string
status_detail
string
transaction_id
string
data
string
source_bucket
string
source_key
string
processor
string
processed_at
string <ArrowDateTime>
override_client_id
string
override_external_member_id
string
override_person_code
string
override_external_account_id
string
override_external_group_id
string
edited_by
string
edited_at
string <ArrowDateTime>
accumulation_transaction_record_id
integer <int32>
accumulation_transaction_created_at
string <ArrowDateTime>
client_id
string
external_member_id
string
person_code
string
accumulation_type
string
accumulation_amount
string
date_of_service
string <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676532.8717809)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "created_at": "string",
  • "status": "string",
  • "status_detail": "string",
  • "transaction_id": "string",
  • "data": "string",
  • "source_bucket": "string",
  • "source_key": "string",
  • "processor": "string",
  • "processed_at": "string",
  • "override_client_id": "string",
  • "override_external_member_id": "string",
  • "override_person_code": "string",
  • "override_external_account_id": "string",
  • "override_external_group_id": "string",
  • "edited_by": "string",
  • "edited_at": "string",
  • "accumulation_transaction_record_id": 0,
  • "accumulation_transaction_created_at": "string",
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "accumulation_type": "string",
  • "accumulation_amount": "string",
  • "date_of_service": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

/accumulation_transaction_data/recycle

Request Body schema: application/json
required
Array of objects or null (ProcessorSchema_1744676532.875044)

Responses

Request samples

Content type
application/json
{
  • "processors": [
    ]
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/accumulation_transaction_data/update

Update an Accumulation Transaction Datum.

Request Body schema: application/json
id
required
integer or null <int32>
created_at
string or null <ArrowDateTime>
status
string or null
status_detail
string or null
transaction_id
string or null
data
string or null
source_bucket
string or null
source_key
string or null
processor
string or null
processed_at
Array of strings or null
processed_at_count
integer or null <int32>
processed_at_max
string or null
override_client_id
string or null
override_external_member_id
string or null
override_person_code
string or null
override_external_account_id
string or null
override_external_group_id
string or null
edited_by
string or null
edited_at
string or null <ArrowDateTime>
rn
string or null
accumulation_transaction_record_id
integer or null <int32>
accumulation_transaction_created_at
string or null <ArrowDateTime>
client_id
string or null
external_member_id
string or null
person_code
string or null
date_of_service
string or null <ArrowDateTime>
accumulation_type
string or null
last_processed_at
string or null <ArrowDateTime>
accumulated_amount
number or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "created_at": "string",
  • "status": "string",
  • "status_detail": "string",
  • "transaction_id": "string",
  • "data": "string",
  • "source_bucket": "string",
  • "source_key": "string",
  • "processor": "string",
  • "processed_at": [
    ],
  • "processed_at_count": 0,
  • "processed_at_max": "string",
  • "override_client_id": "string",
  • "override_external_member_id": "string",
  • "override_person_code": "string",
  • "override_external_account_id": "string",
  • "override_external_group_id": "string",
  • "edited_by": "string",
  • "edited_at": "string",
  • "rn": "string",
  • "accumulation_transaction_record_id": 0,
  • "accumulation_transaction_created_at": "string",
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "date_of_service": "string",
  • "accumulation_type": "string",
  • "last_processed_at": "string",
  • "accumulated_amount": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "created_at": "string",
  • "status": "string",
  • "status_detail": "string",
  • "transaction_id": "string",
  • "data": "string",
  • "source_bucket": "string",
  • "source_key": "string",
  • "processor": "string",
  • "processed_at": [
    ],
  • "processed_at_count": 0,
  • "processed_at_max": "string",
  • "override_client_id": "string",
  • "override_external_member_id": "string",
  • "override_person_code": "string",
  • "override_external_account_id": "string",
  • "override_external_group_id": "string",
  • "edited_by": "string",
  • "edited_at": "string",
  • "rn": "string",
  • "accumulation_transaction_record_id": 0,
  • "accumulation_transaction_created_at": "string",
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "date_of_service": "string",
  • "accumulation_type": "string",
  • "last_processed_at": "string",
  • "accumulated_amount": 0
}

Accumulation Transaction Record

/accumulation_transaction_record/create

Create an Accumulation Transaction Record.

Request Body schema: application/json
transmission_id
integer or null <int32>
client_id
string or null
external_member_id
required
string
person_code
required
string
date_of_service
string <ArrowDateTime>
accumulation_types
required
Array of strings
accumulated_amount
required
number or null

Responses

Request samples

Content type
application/json
{
  • "transmission_id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "date_of_service": "string",
  • "accumulation_types": [
    ],
  • "accumulated_amount": 0
}

Response samples

Content type
application/json
{
  • "inserted_ids": [
    ]
}

/accumulation_transaction_record/v2/create

Request Body schema: application/json
transmission_id
integer or null <int32>
client_id
string or null
external_member_id
required
string
person_code
required
string
date_of_service
string <ArrowDateTime>
accumulation_types
required
Array of strings
accumulated_amount
required
number or null
external_account_id
required
string or null
external_group_id
required
string or null

Responses

Request samples

Content type
application/json
{
  • "transmission_id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "date_of_service": "string",
  • "accumulation_types": [
    ],
  • "accumulated_amount": 0,
  • "external_account_id": "string",
  • "external_group_id": "string"
}

Response samples

Content type
application/json
{
  • "inserted_ids": [
    ]
}

/accumulation_transaction_record/list

List Accumulation Transaction Records.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
client_id
required
string
external_member_id
required
string
person_code
string
accumulation_transaction_data_id
integer or null <int32>
external_group_id
string or null
external_account_id
string or null
accumulation_type
string or null
created_at
string <ArrowDateTime>
maximum_created_at
string <ArrowDateTime>
minimum_created_at
string <ArrowDateTime>
date_of_service
string <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676532.8819535)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "accumulation_transaction_data_id": 0,
  • "external_group_id": "string",
  • "external_account_id": "string",
  • "accumulation_type": "string",
  • "created_at": "string",
  • "maximum_created_at": "string",
  • "minimum_created_at": "string",
  • "date_of_service": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

/accumulation_transaction_record/v2/list

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
client_id
required
string
external_member_id
required
string
person_code
string
accumulation_transaction_data_id
integer or null <int32>
external_group_id
required
string or null
external_account_id
required
string or null
accumulation_type
string or null
created_at
string <ArrowDateTime>
maximum_created_at
string <ArrowDateTime>
minimum_created_at
string <ArrowDateTime>
date_of_service
string <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676532.8819535)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "accumulation_transaction_data_id": 0,
  • "external_group_id": "string",
  • "external_account_id": "string",
  • "accumulation_type": "string",
  • "created_at": "string",
  • "maximum_created_at": "string",
  • "minimum_created_at": "string",
  • "date_of_service": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

Accumulation Parser Module

/accumulation_parser_module/get

Get an Accumulation Parser Module.

Request Body schema: application/json
id
integer or null <int32>
name
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "name": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "name": "string",
  • "description": "string",
  • "created_at": "string",
  • "rn": "string",
  • "supported_fields": null,
  • "supported_attributes": null,
  • "supported_functions": null,
  • "supported_operators": null,
  • "config_template": null
}

/accumulation_parser_module/list

List Accumulation Parser Modules.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
name
string or null
description
string or null
Array of objects or null (OrderBySchema_1744676532.8889425)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "name": "string",
  • "description": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

Accumulation Reconciliation Execution

/accumulation_reconciliation_execution/get

Get an Accumulation Reconciliation Execution.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "client_ids": [
    ],
  • "status": "string",
  • "created_at": "string",
  • "start_time": "string",
  • "end_time": "string",
  • "run_time": "string",
  • "balance_files": null,
  • "oob_report_files": null,
  • "status_files": null,
  • "status_data": null,
  • "error_message": "string"
}

/accumulation_reconciliation_execution/list

List Accumulation Reconciliation Executions.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

status
string or null
client_ids
Array of strings or null

The client IDs used for the accumulations reconciliation

Array of objects or null (OrderBySchema_1744676532.8930342)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "status": "string",
  • "client_ids": [
    ],
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

Adherence Reporting

/adherence_reporting/url_for_upload

Request Body schema: application/json
file_name
required
string

Responses

Request samples

Content type
application/json
{
  • "file_name": "string"
}

Response samples

Content type
application/json
{
  • "file_name": "string",
  • "bucket": "string",
  • "key": "string",
  • "post": {
    }
}

/adherence_reporting/process

Request Body schema: application/json
bucket
required
string
key
required
string
file_name
required
string

Responses

Request samples

Content type
application/json
{
  • "bucket": "string",
  • "key": "string",
  • "file_name": "string"
}

Response samples

Content type
application/json
{
  • "message": "string"
}

Ai

/ai/list_endpoints

List all AI endpoints for this service.

:return: List of AI endpoints, their descriptions and schemas.

Request Body schema: application/json
object (EmptySchema_1744676532.8977697)

Responses

Request samples

Content type
application/json
{ }

Response samples

Content type
application/json
{
  • "endpoints": [
    ]
}

/ai/database/get_sqlalchemy_model_codes

Get the SQLAlchemy code for the given model names in the given database.

:return: The SQLAlchemy code for the given models

Request Body schema: application/json
model_names
required
Array of strings

List of SQLAlchemy models.

Responses

Request samples

Content type
application/json
{
  • "model_names": [
    ]
}

Response samples

Content type
application/json
{
  • "model_codes": [
    ]
}

/ai/database/list_sqlalchemy_models

List the SQLAlchemy models for the given database.

:return: List of model names

Request Body schema: application/json
object (EmptySchema_1744676532.8977697)

Responses

Request samples

Content type
application/json
{ }

Response samples

Content type
application/json
{
  • "model_names": [
    ]
}

/ai/database/query

Query the database with the given SQLAlchemy 2.0 query.

:return: The query results

Request Body schema: application/json
query
required
string

SQLAlchemy 2.0 query in select(...).. form.

Responses

Request samples

Content type
application/json
{
  • "query": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ]
}

Claim Adjustments

/claim_adjustments/create

Create a Claim Adjustment.

Request Body schema: application/json
type
required
string
Enum: "encounter" "pde"
claim_id
required
integer <int32>
adjustments
required
any

Responses

Request samples

Content type
application/json
{
  • "type": "encounter",
  • "claim_id": 0,
  • "adjustments": null
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "type": "encounter",
  • "claim_id": 0,
  • "adjustments": null
}

/claim_adjustments/delete

Request Body schema: application/json
type
required
string
Enum: "encounter" "pde"
ids
required
Array of numbers

Claim adjustmet IDs

Responses

Request samples

Content type
application/json
{
  • "type": "encounter",
  • "ids": [
    ]
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/claim_adjustments/get

Get a Claim Adjustment.

Request Body schema: application/json
id
required
integer <int32>
type
required
string
Enum: "encounter" "pde"

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "type": "encounter"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "type": "encounter",
  • "claim_id": 0,
  • "adjustments": null
}

/claim_adjustments/list

List Claim Adjustments.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
type
string
Enum: "encounter" "pde"
claim_id
integer <int32>
adjustments
string
Array of objects or null (ClaimAdjustmentsOrderBySchema_1744676532.9065568)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "type": "encounter",
  • "claim_id": 0,
  • "adjustments": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/claim_adjustments/update

Update a Claim Adjustment.

Request Body schema: application/json
id
required
integer <int32>
type
required
string
Enum: "encounter" "pde"
claim_id
integer <int32>
adjustments
required
any

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "type": "encounter",
  • "claim_id": 0,
  • "adjustments": null
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "type": "encounter",
  • "claim_id": 0,
  • "adjustments": null
}

/claim_adjustments/url_for_upload

Request Body schema: application/json
original_name
required
string

Responses

Request samples

Content type
application/json
{
  • "original_name": "string"
}

Response samples

Content type
application/json
{
  • "bucket": "string",
  • "key": "string",
  • "post": {
    }
}

Claim

/claim/get

Get a Claim.

Request Body schema: application/json
id
required
integer <int32>
client_id
string or null
external_account_id
string or null
external_group_id
string or null
external_member_id
string or null
person_code
string or null
include_raw_request_parsed
boolean or null
include_raw_response_parsed
boolean or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "include_raw_request_parsed": true,
  • "include_raw_response_parsed": true
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "reversal_id": 0,
  • "reverses_id": 0,
  • "original_claim_id": 0,
  • "client_id": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "provider_agreement_id": 0,
  • "coverage_strategy_id": "string",
  • "date_of_service": "string",
  • "claim_submission_date": "string",
  • "claim_payment_cycle_end_date": "string",
  • "claim_reimbursement_cycle_end_date": "string",
  • "claim_status": "string",
  • "claim_count": 0,
  • "received_at": "string",
  • "source": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "first_name": "string",
  • "last_name": "string",
  • "coverage_strategy_type": "string",
  • "plan_benefit_id": 0,
  • "formulary_id": 0,
  • "network_id": 0,
  • "benefit_network": "string",
  • "gpi": "string",
  • "pharmacy_nabp": "string",
  • "pharmacy_name": "string",
  • "pharmacy_channel": "string",
  • "version_release_number": "string",
  • "request_transaction_code": "string",
  • "bin_number": "string",
  • "processor_control_number": "string",
  • "transaction_count": "string",
  • "service_provider_id_qualifier": "string",
  • "service_provider_id": "string",
  • "software_vendor_certification_id": "string",
  • "submitted_cardholder_id": "string",
  • "cardholder_first_name": "string",
  • "cardholder_last_name": "string",
  • "plan_id": "string",
  • "eligibility_clarification_code": "string",
  • "group_id": "string",
  • "submitted_person_code": "string",
  • "patient_relationship_code": "string",
  • "medigap_id": "string",
  • "medicaid_indicator": "string",
  • "provider_accept_assignment_indicator": "string",
  • "cms_part_d_defined_qualified_facility": "string",
  • "medicaid_id_number": "string",
  • "patient_id_qualifier": "string",
  • "patient_id": "string",
  • "date_of_birth": "string",
  • "patient_gender_code": "string",
  • "patient_first_name": "string",
  • "patient_last_name": "string",
  • "patient_street_address": "string",
  • "patient_street_address_line_1": "string",
  • "patient_street_address_line_2": "string",
  • "patient_city_address": "string",
  • "patient_state_province_address": "string",
  • "patient_zip_postal_code": "string",
  • "patient_country_code": "string",
  • "patient_telephone_number": "string",
  • "place_of_service": "string",
  • "employer_id": "string",
  • "pregnancy_indicator": "string",
  • "patient_email_address": "user@example.com",
  • "patient_residence": "string",
  • "prescription_service_reference_number_qualifier": "string",
  • "prescription_service_reference_number": "string",
  • "product_service_id_qualifier": "string",
  • "ndc": "string",
  • "associated_prescription_service_reference_number": "string",
  • "associated_prescription_service_date": "string",
  • "procedure_modifier_code_1": "string",
  • "procedure_modifier_code_2": "string",
  • "procedure_modifier_code_3": "string",
  • "procedure_modifier_code_4": "string",
  • "procedure_modifier_code_5": "string",
  • "procedure_modifier_code_6": "string",
  • "procedure_modifier_code_7": "string",
  • "procedure_modifier_code_8": "string",
  • "procedure_modifier_code_9": "string",
  • "procedure_modifier_code_10": "string",
  • "quantity_dispensed": "string",
  • "fill_number": 0,
  • "days_supply": 0,
  • "compound_code": "string",
  • "daw": "string",
  • "date_prescription_written": "string",
  • "number_of_refills_authorized": 0,
  • "prescription_origin_code": "string",
  • "submission_clarification_code_1": "string",
  • "submission_clarification_code_2": "string",
  • "submission_clarification_code_3": "string",
  • "submission_clarification_code_4": "string",
  • "submission_clarification_code_5": "string",
  • "submission_clarification_code_pde": "string",
  • "submission_type_code_1": "string",
  • "submission_type_code_2": "string",
  • "submission_type_code_3": "string",
  • "submission_type_code_4": "string",
  • "submission_type_code_5": "string",
  • "quantity_prescribed": "string",
  • "multiple_prescription_service_order_group_id": "string",
  • "multiple_prescription_service_order_group_reason_code": "string",
  • "total_prescribed_quantity_remaining": "string",
  • "other_coverage_code": "string",
  • "special_packaging_indicator": "string",
  • "originally_prescribed_product_service_id_qualifier": "string",
  • "originally_prescribed_product_service_code": "string",
  • "originally_prescribed_quantity": "string",
  • "scheduled_prescription_id_number": "string",
  • "unit_of_measure": "string",
  • "level_of_service": "string",
  • "prior_authorization_type_code": "string",
  • "prior_authorization_id_submitted": "string",
  • "dispensing_status": "string",
  • "quantity_intended_to_be_dispensed": "string",
  • "days_supply_intended_to_be_dispensed": 0,
  • "delay_reason_code": "string",
  • "patient_assignment_indicator": "string",
  • "route_of_administration": "string",
  • "compound_type": "string",
  • "preparation_environment_type": "string",
  • "preparation_environment_event_code": "string",
  • "pharmacy_service_type": "string",
  • "associated_prescription_service_reference_number_qualifier": "string",
  • "associated_prescription_service_fill_number": 0,
  • "original_manufacturer_product_id_qualifier": "string",
  • "original_manufacturer_product_id": "string",
  • "ltpac_dispense_frequency": "string",
  • "ltpac_billing_methodology": "string",
  • "number_of_ltpac_dispensing_events": 0,
  • "do_not_dispense_before_date": "string",
  • "ingredient_cost_submitted": "string",
  • "dispensing_fee_submitted": "string",
  • "patient_pay_amount_reported": "string",
  • "incentive_amount_submitted": "string",
  • "other_amount_claimed_submitted_qualifier_1": "string",
  • "other_amount_claimed_submitted_1": "string",
  • "other_amount_claimed_submitted_qualifier_2": "string",
  • "other_amount_claimed_submitted_2": "string",
  • "other_amount_claimed_submitted_qualifier_3": "string",
  • "other_amount_claimed_submitted_3": "string",
  • "regulatory_fee_type_code_submitted_1": "string",
  • "regulatory_fee_amount_submitted_1": "string",
  • "regulatory_fee_type_code_submitted_2": "string",
  • "regulatory_fee_amount_submitted_2": "string",
  • "regulatory_fee_type_code_submitted_3": "string",
  • "regulatory_fee_amount_submitted_3": "string",
  • "percentage_tax_amount_submitted": "string",
  • "percentage_tax_rate_submitted": "string",
  • "percentage_tax_basis_submitted": "string",
  • "usual_and_customary_charge": "string",
  • "gross_amount_due": "string",
  • "basis_of_cost_determination": "string",
  • "provider_id_qualifier": "string",
  • "provider_id": "string",
  • "provider_first_name": "string",
  • "provider_last_name": "string",
  • "prescriber_id_qualifier": "string",
  • "prescriber_id": "string",
  • "prescriber_last_name": "string",
  • "prescriber_telephone_number": "string",
  • "prescriber_telephone_number_extension": "string",
  • "primary_care_provider_id_qualifier": "string",
  • "primary_care_provider_id": "string",
  • "primary_care_provider_last_name": "string",
  • "prescriber_first_name": "string",
  • "prescriber_street_address": "string",
  • "prescriber_street_address_line_1": "string",
  • "prescriber_street_address_line_2": "string",
  • "prescriber_city_address": "string",
  • "prescriber_state_province_address": "string",
  • "prescriber_zip_postal_code": "string",
  • "prescriber_country_code": "string",
  • "prescriber_dea_number": "string",
  • "prescriber_place_of_service": "string",
  • "compound_prices": null,
  • "compound_dosage_form_description_code": "string",
  • "compound_dispensing_unit_form_indicator": "string",
  • "compound_ingredient_component_count": 0,
  • "compound_product_id_qualifier_1": "string",
  • "compound_product_id_1": "string",
  • "compound_ingredient_quantity_1": "string",
  • "compound_product_id_qualifier_2": "string",
  • "compound_product_id_2": "string",
  • "compound_ingredient_quantity_2": "string",
  • "compound_product_id_qualifier_3": "string",
  • "compound_product_id_3": "string",
  • "compound_ingredient_quantity_3": "string",
  • "compound_product_id_qualifier_4": "string",
  • "compound_product_id_4": "string",
  • "compound_ingredient_quantity_4": "string",
  • "compound_product_id_qualifier_5": "string",
  • "compound_product_id_5": "string",
  • "compound_ingredient_quantity_5": "string",
  • "compound_product_id_qualifier_6": "string",
  • "compound_product_id_6": "string",
  • "compound_ingredient_quantity_6": "string",
  • "compound_product_id_qualifier_7": "string",
  • "compound_product_id_7": "string",
  • "compound_ingredient_quantity_7": "string",
  • "compound_product_id_qualifier_8": "string",
  • "compound_product_id_8": "string",
  • "compound_ingredient_quantity_8": "string",
  • "compound_product_id_qualifier_9": "string",
  • "compound_product_id_9": "string",
  • "compound_ingredient_quantity_9": "string",
  • "compound_product_id_qualifier_10": "string",
  • "compound_product_id_10": "string",
  • "compound_ingredient_quantity_10": "string",
  • "compound_product_id_qualifier_11": "string",
  • "compound_product_id_11": "string",
  • "compound_ingredient_quantity_11": "string",
  • "compound_product_id_qualifier_12": "string",
  • "compound_product_id_12": "string",
  • "compound_ingredient_quantity_12": "string",
  • "compound_product_id_qualifier_13": "string",
  • "compound_product_id_13": "string",
  • "compound_ingredient_quantity_13": "string",
  • "compound_product_id_qualifier_14": "string",
  • "compound_product_id_14": "string",
  • "compound_ingredient_quantity_14": "string",
  • "compound_product_id_qualifier_15": "string",
  • "compound_product_id_15": "string",
  • "compound_ingredient_quantity_15": "string",
  • "compound_product_id_qualifier_16": "string",
  • "compound_product_id_16": "string",
  • "compound_ingredient_quantity_16": "string",
  • "compound_product_id_qualifier_17": "string",
  • "compound_product_id_17": "string",
  • "compound_ingredient_quantity_17": "string",
  • "compound_product_id_qualifier_18": "string",
  • "compound_product_id_18": "string",
  • "compound_ingredient_quantity_18": "string",
  • "compound_product_id_qualifier_19": "string",
  • "compound_product_id_19": "string",
  • "compound_ingredient_quantity_19": "string",
  • "compound_product_id_qualifier_20": "string",
  • "compound_product_id_20": "string",
  • "compound_ingredient_quantity_20": "string",
  • "compound_product_id_qualifier_21": "string",
  • "compound_product_id_21": "string",
  • "compound_ingredient_quantity_21": "string",
  • "compound_product_id_qualifier_22": "string",
  • "compound_product_id_22": "string",
  • "compound_ingredient_quantity_22": "string",
  • "compound_product_id_qualifier_23": "string",
  • "compound_product_id_23": "string",
  • "compound_ingredient_quantity_23": "string",
  • "compound_product_id_qualifier_24": "string",
  • "compound_product_id_24": "string",
  • "compound_ingredient_quantity_24": "string",
  • "compound_product_id_qualifier_25": "string",
  • "compound_product_id_25": "string",
  • "compound_ingredient_quantity_25": "string",
  • "diagnosis_code_qualifier_1": "string",
  • "diagnosis_code_1": "string",
  • "diagnosis_code_qualifier_2": "string",
  • "diagnosis_code_2": "string",
  • "diagnosis_code_qualifier_3": "string",
  • "diagnosis_code_3": "string",
  • "diagnosis_code_qualifier_4": "string",
  • "diagnosis_code_4": "string",
  • "diagnosis_code_qualifier_5": "string",
  • "diagnosis_code_5": "string",
  • "header_response_status": "string",
  • "response_transaction_code": "string",
  • "response_message": "string",
  • "response_group_id": "string",
  • "response_plan_id": "string",
  • "response_cob": null,
  • "network_reimbursement_id": "string",
  • "external_provider_agreement_id": "string",
  • "payer_health_plan_id_qualifier": "string",
  • "payer_health_plan_id": "string",
  • "payer_health_plan_id_qualifier_1": "string",
  • "payer_health_plan_id_1": "string",
  • "payer_health_plan_id_qualifier_2": "string",
  • "payer_health_plan_id_2": "string",
  • "payer_health_plan_id_qualifier_3": "string",
  • "payer_health_plan_id_3": "string",
  • "transaction_response_status": "string",
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  • "other_payer_patient_responsibility_amount_4": "string",
  • "other_payer_patient_responsibility_amount_5": "string",
  • "other_payer_patient_responsibility_amount_6": "string",
  • "other_payer_patient_responsibility_amount_7": "string",
  • "other_payer_patient_responsibility_amount_8": "string",
  • "other_payer_patient_responsibility_amount_9": "string",
  • "other_payer_patient_responsibility_amount_count": 0,
  • "other_payer_patient_responsibility_amount_qualifier_1": "string",
  • "other_payer_patient_responsibility_amount_qualifier_2": "string",
  • "other_payer_patient_responsibility_amount_qualifier_3": "string",
  • "other_payer_patient_responsibility_amount_qualifier_4": "string",
  • "other_payer_patient_responsibility_amount_qualifier_5": "string",
  • "other_payer_patient_responsibility_amount_qualifier_6": "string",
  • "other_payer_patient_responsibility_amount_qualifier_7": "string",
  • "other_payer_patient_responsibility_amount_qualifier_8": "string",
  • "other_payer_patient_responsibility_amount_qualifier_9": "string",
  • "other_payer_reject_code_1": "string",
  • "other_payer_reject_code_2": "string",
  • "other_payer_reject_code_3": "string",
  • "other_payer_reject_code_4": "string",
  • "other_payer_reject_code_5": "string",
  • "other_payer_reject_count": 0,
  • "pay_amount_level_1": "string",
  • "pay_amount_level_2": "string",
  • "pay_amount_level_3": "string",
  • "prescriber_npi": "string",
  • "professional_service_code_1": "string",
  • "professional_service_code_2": "string",
  • "professional_service_code_3": "string",
  • "professional_service_code_4": "string",
  • "professional_service_code_5": "string",
  • "professional_service_code_6": "string",
  • "professional_service_code_7": "string",
  • "professional_service_code_8": "string",
  • "professional_service_code_9": "string",
  • "remaining_category_deductible_1_amount": "string",
  • "remaining_overall_deductible_amount": "string",
  • "request_reason_for_service_code_1": "string",
  • "request_reason_for_service_code_2": "string",
  • "request_reason_for_service_code_3": "string",
  • "request_reason_for_service_code_4": "string",
  • "request_reason_for_service_code_5": "string",
  • "request_reason_for_service_code_6": "string",
  • "request_reason_for_service_code_7": "string",
  • "request_reason_for_service_code_8": "string",
  • "request_reason_for_service_code_9": "string",
  • "result_of_service_code_1": "string",
  • "result_of_service_code_2": "string",
  • "result_of_service_code_3": "string",
  • "result_of_service_code_4": "string",
  • "result_of_service_code_5": "string",
  • "result_of_service_code_6": "string",
  • "result_of_service_code_7": "string",
  • "result_of_service_code_8": "string",
  • "result_of_service_code_9": "string",
  • "specialty_list_dispensing_fee": "string",
  • "specialty_list_id": 0,
  • "specialty_list_name": "string",
  • "dmr_pay_to_city_address": "string",
  • "dmr_pay_to_country_code": "string",
  • "dmr_pay_to_name": "string",
  • "dmr_pay_to_state_province_address": "string",
  • "dmr_pay_to_street_address_line_1": "string",
  • "dmr_pay_to_street_address_line_2": "string",
  • "dmr_pay_to_tax_id": "string",
  • "dmr_pay_to_vendor_id": "string",
  • "dmr_pay_to_zip_postal_code": "string",
  • "tax_id_number": "string",
  • "reasons_for_rejection": [
    ],
  • "reasons_for_adjudication": [
    ],
  • "patient_pay_reduction_due_to_point_of_service_rebate": 0,
  • "plan_pay_reduction_due_to_point_of_service_rebate": 0,
  • "point_of_service_rebate_amount": 0,
  • "low_income_subsidy_level": "string",
  • "senior_savings_model_cost_share_reduction_gap": 0,
  • "senior_savings_model_cost_share_reduction_non_gap": 0,
  • "senior_savings_model_indicator": "string",
  • "inflation_reduction_act_subsidy_amount": 0,
  • "inflation_reduction_act_covered_vaccine": "string",
  • "inflation_reduction_act_covered_insulin": "string",
  • "other_true_out_of_pocket_amount_indicator": "string",
  • "medicare_amounts_id": 0,
  • "low_income_subsidy_amounts_id": 0,
  • "medicare_medicaid_dsnp_co_administered_plan": "string",
  • "dsnp_fee_for_service_or_capitation": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_d": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_b": 0,
  • "dsnp_medicaid_cost_share_covered_excluded_reduction_amount": 0,
  • "is_340b": true,
  • "medicare_administrative_claim": "string",
  • "controlled_substance_code": "string",
  • "desi_code": "string",
  • "reprocessing_id": 0,
  • "reprocessing_type": "string",
  • "reprocessing_patient_pay_difference": "string",
  • "reprocessing_pharmacy_pay_amount": "string",
  • "reprocessing_plan_pay_amount": "string",
  • "reprocessing_goes_to_835": true,
  • "reprocessing_goes_to_invoice": true,
  • "reprocessing_is_member_recoupment": true,
  • "nx_other_payers_total_amount": "string",
  • "reprocessing_nx_amount_applied_to_patient_pay": "string",
  • "reprocessing_excess_nx_amount_total": "string",
  • "reprocessing_patient_pay_net_nx": "string",
  • "reprocessing_member_refund_amount": "string",
  • "reprocessing_member_recoupment_amount": "string",
  • "reprocessing_is_recoup_ltc_pharmacy": true,
  • "notes": "string",
  • "first_claim_id": 0,
  • "next_claim_id": 0,
  • "include_raw_request_parsed": true,
  • "include_raw_response_parsed": true,
  • "manufacturer_discount_amount": 0,
  • "is_manufacturer_discount_drug": true,
  • "claim_number": "string",
  • "claim_sequence_number": "string",
  • "medicare_prescription_payment_plan_indicator": "string",
  • "medicare_prescription_payment_plan_original_claim_id": 0,
  • "pharmacy_transaction_fee": 0,
  • "vbid_cost_share_reduction_amount_part_d": 0,
  • "vbid_model_indicator": "string",
  • "pricing_level_ids": [
    ],
  • "brand_name_code": "string",
  • "drug_descriptor_id": "string",
  • "dosage": "string",
  • "dosage_form": "string",
  • "dosage_form_packaging": "string",
  • "drug_name": "string",
  • "drug_type": "string",
  • "group_name": "string",
  • "provider_phone": "string",
  • "most_expensive_compound_ingredient_ndc": "string",
  • "multi_source": "string",
  • "name_type_code": "string",
  • "rx_otc_indicator_code": "string",
  • "strength": "string",
  • "strength_unit_of_measure": "string",
  • "pde_record_id": "string",
  • "pde_claim_control_number": "string",
  • "pde_plan_benefit_package_id": "string",
  • "medicare_prescription_payment_plan_claim_id": 0,
  • "medicare_prescription_payment_plan_claim_amount": 0,
  • "claim_gpi": "string",
  • "drug_lists": null,
  • "identity": "string"
}

/claim/get_logs

Request Body schema: application/json
id
required
integer <int32>
log_key
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "log_key": "string"
}

Response samples

Content type
application/json
{
  • "url": "string"
}

/claim/get/claim_number

Request Body schema: application/json
claim_number
required
string or null

Unique number generated when claim is submitted for given clientid, external_member_id , person_code, date_of_service, service_provider_id, prescription_service_reference_number and fill_number

claim_sequence_number
required
string or null

Sequence number assigned for a given claim_number and the operation resulting in claim with paid or rejected status

Responses

Request samples

Content type
application/json
{
  • "claim_number": "string",
  • "claim_sequence_number": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "reversal_id": 0,
  • "reverses_id": 0,
  • "original_claim_id": 0,
  • "client_id": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "provider_agreement_id": 0,
  • "coverage_strategy_id": "string",
  • "date_of_service": "string",
  • "claim_submission_date": "string",
  • "claim_payment_cycle_end_date": "string",
  • "claim_reimbursement_cycle_end_date": "string",
  • "claim_status": "string",
  • "claim_count": 0,
  • "received_at": "string",
  • "source": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "first_name": "string",
  • "last_name": "string",
  • "coverage_strategy_type": "string",
  • "plan_benefit_id": 0,
  • "formulary_id": 0,
  • "network_id": 0,
  • "benefit_network": "string",
  • "gpi": "string",
  • "pharmacy_nabp": "string",
  • "pharmacy_name": "string",
  • "pharmacy_channel": "string",
  • "version_release_number": "string",
  • "request_transaction_code": "string",
  • "bin_number": "string",
  • "processor_control_number": "string",
  • "transaction_count": "string",
  • "service_provider_id_qualifier": "string",
  • "service_provider_id": "string",
  • "software_vendor_certification_id": "string",
  • "submitted_cardholder_id": "string",
  • "cardholder_first_name": "string",
  • "cardholder_last_name": "string",
  • "plan_id": "string",
  • "eligibility_clarification_code": "string",
  • "group_id": "string",
  • "submitted_person_code": "string",
  • "patient_relationship_code": "string",
  • "medigap_id": "string",
  • "medicaid_indicator": "string",
  • "provider_accept_assignment_indicator": "string",
  • "cms_part_d_defined_qualified_facility": "string",
  • "medicaid_id_number": "string",
  • "patient_id_qualifier": "string",
  • "patient_id": "string",
  • "date_of_birth": "string",
  • "patient_gender_code": "string",
  • "patient_first_name": "string",
  • "patient_last_name": "string",
  • "patient_street_address": "string",
  • "patient_street_address_line_1": "string",
  • "patient_street_address_line_2": "string",
  • "patient_city_address": "string",
  • "patient_state_province_address": "string",
  • "patient_zip_postal_code": "string",
  • "patient_country_code": "string",
  • "patient_telephone_number": "string",
  • "place_of_service": "string",
  • "employer_id": "string",
  • "pregnancy_indicator": "string",
  • "patient_email_address": "user@example.com",
  • "patient_residence": "string",
  • "prescription_service_reference_number_qualifier": "string",
  • "prescription_service_reference_number": "string",
  • "product_service_id_qualifier": "string",
  • "ndc": "string",
  • "associated_prescription_service_reference_number": "string",
  • "associated_prescription_service_date": "string",
  • "procedure_modifier_code_1": "string",
  • "procedure_modifier_code_2": "string",
  • "procedure_modifier_code_3": "string",
  • "procedure_modifier_code_4": "string",
  • "procedure_modifier_code_5": "string",
  • "procedure_modifier_code_6": "string",
  • "procedure_modifier_code_7": "string",
  • "procedure_modifier_code_8": "string",
  • "procedure_modifier_code_9": "string",
  • "procedure_modifier_code_10": "string",
  • "quantity_dispensed": "string",
  • "fill_number": 0,
  • "days_supply": 0,
  • "compound_code": "string",
  • "daw": "string",
  • "date_prescription_written": "string",
  • "number_of_refills_authorized": 0,
  • "prescription_origin_code": "string",
  • "submission_clarification_code_1": "string",
  • "submission_clarification_code_2": "string",
  • "submission_clarification_code_3": "string",
  • "submission_clarification_code_4": "string",
  • "submission_clarification_code_5": "string",
  • "submission_clarification_code_pde": "string",
  • "submission_type_code_1": "string",
  • "submission_type_code_2": "string",
  • "submission_type_code_3": "string",
  • "submission_type_code_4": "string",
  • "submission_type_code_5": "string",
  • "quantity_prescribed": "string",
  • "multiple_prescription_service_order_group_id": "string",
  • "multiple_prescription_service_order_group_reason_code": "string",
  • "total_prescribed_quantity_remaining": "string",
  • "other_coverage_code": "string",
  • "special_packaging_indicator": "string",
  • "originally_prescribed_product_service_id_qualifier": "string",
  • "originally_prescribed_product_service_code": "string",
  • "originally_prescribed_quantity": "string",
  • "scheduled_prescription_id_number": "string",
  • "unit_of_measure": "string",
  • "level_of_service": "string",
  • "prior_authorization_type_code": "string",
  • "prior_authorization_id_submitted": "string",
  • "dispensing_status": "string",
  • "quantity_intended_to_be_dispensed": "string",
  • "days_supply_intended_to_be_dispensed": 0,
  • "delay_reason_code": "string",
  • "patient_assignment_indicator": "string",
  • "route_of_administration": "string",
  • "compound_type": "string",
  • "preparation_environment_type": "string",
  • "preparation_environment_event_code": "string",
  • "pharmacy_service_type": "string",
  • "associated_prescription_service_reference_number_qualifier": "string",
  • "associated_prescription_service_fill_number": 0,
  • "original_manufacturer_product_id_qualifier": "string",
  • "original_manufacturer_product_id": "string",
  • "ltpac_dispense_frequency": "string",
  • "ltpac_billing_methodology": "string",
  • "number_of_ltpac_dispensing_events": 0,
  • "do_not_dispense_before_date": "string",
  • "ingredient_cost_submitted": "string",
  • "dispensing_fee_submitted": "string",
  • "patient_pay_amount_reported": "string",
  • "incentive_amount_submitted": "string",
  • "other_amount_claimed_submitted_qualifier_1": "string",
  • "other_amount_claimed_submitted_1": "string",
  • "other_amount_claimed_submitted_qualifier_2": "string",
  • "other_amount_claimed_submitted_2": "string",
  • "other_amount_claimed_submitted_qualifier_3": "string",
  • "other_amount_claimed_submitted_3": "string",
  • "regulatory_fee_type_code_submitted_1": "string",
  • "regulatory_fee_amount_submitted_1": "string",
  • "regulatory_fee_type_code_submitted_2": "string",
  • "regulatory_fee_amount_submitted_2": "string",
  • "regulatory_fee_type_code_submitted_3": "string",
  • "regulatory_fee_amount_submitted_3": "string",
  • "percentage_tax_amount_submitted": "string",
  • "percentage_tax_rate_submitted": "string",
  • "percentage_tax_basis_submitted": "string",
  • "usual_and_customary_charge": "string",
  • "gross_amount_due": "string",
  • "basis_of_cost_determination": "string",
  • "provider_id_qualifier": "string",
  • "provider_id": "string",
  • "provider_first_name": "string",
  • "provider_last_name": "string",
  • "prescriber_id_qualifier": "string",
  • "prescriber_id": "string",
  • "prescriber_last_name": "string",
  • "prescriber_telephone_number": "string",
  • "prescriber_telephone_number_extension": "string",
  • "primary_care_provider_id_qualifier": "string",
  • "primary_care_provider_id": "string",
  • "primary_care_provider_last_name": "string",
  • "prescriber_first_name": "string",
  • "prescriber_street_address": "string",
  • "prescriber_street_address_line_1": "string",
  • "prescriber_street_address_line_2": "string",
  • "prescriber_city_address": "string",
  • "prescriber_state_province_address": "string",
  • "prescriber_zip_postal_code": "string",
  • "prescriber_country_code": "string",
  • "prescriber_dea_number": "string",
  • "prescriber_place_of_service": "string",
  • "compound_prices": null,
  • "compound_dosage_form_description_code": "string",
  • "compound_dispensing_unit_form_indicator": "string",
  • "compound_ingredient_component_count": 0,
  • "compound_product_id_qualifier_1": "string",
  • "compound_product_id_1": "string",
  • "compound_ingredient_quantity_1": "string",
  • "compound_product_id_qualifier_2": "string",
  • "compound_product_id_2": "string",
  • "compound_ingredient_quantity_2": "string",
  • "compound_product_id_qualifier_3": "string",
  • "compound_product_id_3": "string",
  • "compound_ingredient_quantity_3": "string",
  • "compound_product_id_qualifier_4": "string",
  • "compound_product_id_4": "string",
  • "compound_ingredient_quantity_4": "string",
  • "compound_product_id_qualifier_5": "string",
  • "compound_product_id_5": "string",
  • "compound_ingredient_quantity_5": "string",
  • "compound_product_id_qualifier_6": "string",
  • "compound_product_id_6": "string",
  • "compound_ingredient_quantity_6": "string",
  • "compound_product_id_qualifier_7": "string",
  • "compound_product_id_7": "string",
  • "compound_ingredient_quantity_7": "string",
  • "compound_product_id_qualifier_8": "string",
  • "compound_product_id_8": "string",
  • "compound_ingredient_quantity_8": "string",
  • "compound_product_id_qualifier_9": "string",
  • "compound_product_id_9": "string",
  • "compound_ingredient_quantity_9": "string",
  • "compound_product_id_qualifier_10": "string",
  • "compound_product_id_10": "string",
  • "compound_ingredient_quantity_10": "string",
  • "compound_product_id_qualifier_11": "string",
  • "compound_product_id_11": "string",
  • "compound_ingredient_quantity_11": "string",
  • "compound_product_id_qualifier_12": "string",
  • "compound_product_id_12": "string",
  • "compound_ingredient_quantity_12": "string",
  • "compound_product_id_qualifier_13": "string",
  • "compound_product_id_13": "string",
  • "compound_ingredient_quantity_13": "string",
  • "compound_product_id_qualifier_14": "string",
  • "compound_product_id_14": "string",
  • "compound_ingredient_quantity_14": "string",
  • "compound_product_id_qualifier_15": "string",
  • "compound_product_id_15": "string",
  • "compound_ingredient_quantity_15": "string",
  • "compound_product_id_qualifier_16": "string",
  • "compound_product_id_16": "string",
  • "compound_ingredient_quantity_16": "string",
  • "compound_product_id_qualifier_17": "string",
  • "compound_product_id_17": "string",
  • "compound_ingredient_quantity_17": "string",
  • "compound_product_id_qualifier_18": "string",
  • "compound_product_id_18": "string",
  • "compound_ingredient_quantity_18": "string",
  • "compound_product_id_qualifier_19": "string",
  • "compound_product_id_19": "string",
  • "compound_ingredient_quantity_19": "string",
  • "compound_product_id_qualifier_20": "string",
  • "compound_product_id_20": "string",
  • "compound_ingredient_quantity_20": "string",
  • "compound_product_id_qualifier_21": "string",
  • "compound_product_id_21": "string",
  • "compound_ingredient_quantity_21": "string",
  • "compound_product_id_qualifier_22": "string",
  • "compound_product_id_22": "string",
  • "compound_ingredient_quantity_22": "string",
  • "compound_product_id_qualifier_23": "string",
  • "compound_product_id_23": "string",
  • "compound_ingredient_quantity_23": "string",
  • "compound_product_id_qualifier_24": "string",
  • "compound_product_id_24": "string",
  • "compound_ingredient_quantity_24": "string",
  • "compound_product_id_qualifier_25": "string",
  • "compound_product_id_25": "string",
  • "compound_ingredient_quantity_25": "string",
  • "diagnosis_code_qualifier_1": "string",
  • "diagnosis_code_1": "string",
  • "diagnosis_code_qualifier_2": "string",
  • "diagnosis_code_2": "string",
  • "diagnosis_code_qualifier_3": "string",
  • "diagnosis_code_3": "string",
  • "diagnosis_code_qualifier_4": "string",
  • "diagnosis_code_4": "string",
  • "diagnosis_code_qualifier_5": "string",
  • "diagnosis_code_5": "string",
  • "header_response_status": "string",
  • "response_transaction_code": "string",
  • "response_message": "string",
  • "response_group_id": "string",
  • "response_plan_id": "string",
  • "response_cob": null,
  • "network_reimbursement_id": "string",
  • "external_provider_agreement_id": "string",
  • "payer_health_plan_id_qualifier": "string",
  • "payer_health_plan_id": "string",
  • "payer_health_plan_id_qualifier_1": "string",
  • "payer_health_plan_id_1": "string",
  • "payer_health_plan_id_qualifier_2": "string",
  • "payer_health_plan_id_2": "string",
  • "payer_health_plan_id_qualifier_3": "string",
  • "payer_health_plan_id_3": "string",
  • "transaction_response_status": "string",
  • "authorization_number": "string",
  • "reconciliation_id": "string",
  • "reject_code_1": "string",
  • "reject_code_2": "string",
  • "reject_code_3": "string",
  • "reject_code_4": "string",
  • "reject_code_5": "string",
  • "approved_message_code_1": "string",
  • "approved_message_code_2": "string",
  • "approved_message_code_3": "string",
  • "approved_message_code_4": "string",
  • "approved_message_code_5": "string",
  • "additional_message_count": 0,
  • "additional_message_information_qualifier_1": "string",
  • "additional_message_information_1": "string",
  • "additional_message_information_continuity_1": "string",
  • "additional_message_information_qualifier_2": "string",
  • "additional_message_information_2": "string",
  • "additional_message_information_continuity_2": "string",
  • "additional_message_information_qualifier_3": "string",
  • "additional_message_information_3": "string",
  • "additional_message_information_continuity_3": "string",
  • "additional_message_information_qualifier_4": "string",
  • "additional_message_information_4": "string",
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  • "other_payer_reject_code_2": "string",
  • "other_payer_reject_code_3": "string",
  • "other_payer_reject_code_4": "string",
  • "other_payer_reject_code_5": "string",
  • "other_payer_reject_count": 0,
  • "pay_amount_level_1": "string",
  • "pay_amount_level_2": "string",
  • "pay_amount_level_3": "string",
  • "prescriber_npi": "string",
  • "professional_service_code_1": "string",
  • "professional_service_code_2": "string",
  • "professional_service_code_3": "string",
  • "professional_service_code_4": "string",
  • "professional_service_code_5": "string",
  • "professional_service_code_6": "string",
  • "professional_service_code_7": "string",
  • "professional_service_code_8": "string",
  • "professional_service_code_9": "string",
  • "remaining_category_deductible_1_amount": "string",
  • "remaining_overall_deductible_amount": "string",
  • "request_reason_for_service_code_1": "string",
  • "request_reason_for_service_code_2": "string",
  • "request_reason_for_service_code_3": "string",
  • "request_reason_for_service_code_4": "string",
  • "request_reason_for_service_code_5": "string",
  • "request_reason_for_service_code_6": "string",
  • "request_reason_for_service_code_7": "string",
  • "request_reason_for_service_code_8": "string",
  • "request_reason_for_service_code_9": "string",
  • "result_of_service_code_1": "string",
  • "result_of_service_code_2": "string",
  • "result_of_service_code_3": "string",
  • "result_of_service_code_4": "string",
  • "result_of_service_code_5": "string",
  • "result_of_service_code_6": "string",
  • "result_of_service_code_7": "string",
  • "result_of_service_code_8": "string",
  • "result_of_service_code_9": "string",
  • "specialty_list_dispensing_fee": "string",
  • "specialty_list_id": 0,
  • "specialty_list_name": "string",
  • "dmr_pay_to_city_address": "string",
  • "dmr_pay_to_country_code": "string",
  • "dmr_pay_to_name": "string",
  • "dmr_pay_to_state_province_address": "string",
  • "dmr_pay_to_street_address_line_1": "string",
  • "dmr_pay_to_street_address_line_2": "string",
  • "dmr_pay_to_tax_id": "string",
  • "dmr_pay_to_vendor_id": "string",
  • "dmr_pay_to_zip_postal_code": "string",
  • "tax_id_number": "string",
  • "reasons_for_rejection": [
    ],
  • "reasons_for_adjudication": [
    ],
  • "patient_pay_reduction_due_to_point_of_service_rebate": 0,
  • "plan_pay_reduction_due_to_point_of_service_rebate": 0,
  • "point_of_service_rebate_amount": 0,
  • "low_income_subsidy_level": "string",
  • "senior_savings_model_cost_share_reduction_gap": 0,
  • "senior_savings_model_cost_share_reduction_non_gap": 0,
  • "senior_savings_model_indicator": "string",
  • "inflation_reduction_act_subsidy_amount": 0,
  • "inflation_reduction_act_covered_vaccine": "string",
  • "inflation_reduction_act_covered_insulin": "string",
  • "other_true_out_of_pocket_amount_indicator": "string",
  • "medicare_amounts_id": 0,
  • "low_income_subsidy_amounts_id": 0,
  • "medicare_medicaid_dsnp_co_administered_plan": "string",
  • "dsnp_fee_for_service_or_capitation": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_d": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_b": 0,
  • "dsnp_medicaid_cost_share_covered_excluded_reduction_amount": 0,
  • "is_340b": true,
  • "medicare_administrative_claim": "string",
  • "controlled_substance_code": "string",
  • "desi_code": "string",
  • "reprocessing_id": 0,
  • "reprocessing_type": "string",
  • "reprocessing_patient_pay_difference": "string",
  • "reprocessing_pharmacy_pay_amount": "string",
  • "reprocessing_plan_pay_amount": "string",
  • "reprocessing_goes_to_835": true,
  • "reprocessing_goes_to_invoice": true,
  • "reprocessing_is_member_recoupment": true,
  • "nx_other_payers_total_amount": "string",
  • "reprocessing_nx_amount_applied_to_patient_pay": "string",
  • "reprocessing_excess_nx_amount_total": "string",
  • "reprocessing_patient_pay_net_nx": "string",
  • "reprocessing_member_refund_amount": "string",
  • "reprocessing_member_recoupment_amount": "string",
  • "reprocessing_is_recoup_ltc_pharmacy": true,
  • "notes": "string",
  • "first_claim_id": 0,
  • "next_claim_id": 0,
  • "include_raw_request_parsed": true,
  • "include_raw_response_parsed": true,
  • "manufacturer_discount_amount": 0,
  • "is_manufacturer_discount_drug": true,
  • "claim_number": "string",
  • "claim_sequence_number": "string",
  • "medicare_prescription_payment_plan_indicator": "string",
  • "medicare_prescription_payment_plan_original_claim_id": 0,
  • "pharmacy_transaction_fee": 0,
  • "vbid_cost_share_reduction_amount_part_d": 0,
  • "vbid_model_indicator": "string",
  • "pricing_level_ids": [
    ],
  • "brand_name_code": "string",
  • "drug_descriptor_id": "string",
  • "dosage": "string",
  • "dosage_form": "string",
  • "dosage_form_packaging": "string",
  • "drug_name": "string",
  • "drug_type": "string",
  • "group_name": "string",
  • "provider_phone": "string",
  • "most_expensive_compound_ingredient_ndc": "string",
  • "multi_source": "string",
  • "name_type_code": "string",
  • "rx_otc_indicator_code": "string",
  • "strength": "string",
  • "strength_unit_of_measure": "string",
  • "pde_record_id": "string",
  • "pde_claim_control_number": "string",
  • "pde_plan_benefit_package_id": "string",
  • "medicare_prescription_payment_plan_claim_id": 0,
  • "medicare_prescription_payment_plan_claim_amount": 0,
  • "claim_gpi": "string",
  • "drug_lists": null,
  • "identity": "string"
}

/claim/list

List Claims.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

Array of objects or null (OrderBySchema_1744676532.942683)
id
integer or null <int32>

The internal ID of a claim. Cannot be set during create nor subsequently changed.

client_id
string or null
external_member_id
string or null
person_code
string or null
external_account_id
string or null
external_group_id
string or null
submitted_carholder_id
string or null
first_name
string or null
last_name
string or null
full_text_search
string or null

The full text search for claims by product_service_description, date of service, and pharmacy name

claim_status
string or null
date_type
string or null
prescription_service_reference_number
string or null

A field on NCPDP D.0 that is also referred to as the 'prescription number' or 'Rx number'. This number is assigned by the pharmacy to represent a specific prescription, inclusive of all refills for that prescription (via fill number). Rx numbers are ONLY unique to pharmacies, and are NOT globally unique.

pharmacy_nabp
string or null
prescriber_id
string or null
ndc
string or null
service_provider_id
string or null

A field in NCPDP D.0 which in our system is ALWAYS the NPI of the pharmacy for paid or accepted claims (rejected claims may submit other values, causing us to reject the claim). NPI is the national provider identifier, essentially every entity in healthcare has an NPI, which includes pharmacies, doctors, hospitals, and pharmacists themselves.

start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
minimum_claim_submission_date
string or null <ArrowDateTime>
maximum_claim_submission_date
string or null <ArrowDateTime>
is_340b
boolean or null

Return claims matching the given is_340b value.

reject_codes
string or null

A string of reject codes, with multiple reject codes separated by commas.

paid_claims_only
boolean or null

Boolean to show paid claims only, ignoring reversed and rejected. Defaults to false.

claim_sources
Array of strings or null or null
Enum: "admin" "app" "batch-test" "historical" "migrated" "pharmacy" "switch" "test" "vendor" "web"
get_dependent_claims
boolean or null

Boolean to return dependent claims.

month
integer or null <int32>

Month to filter by as integer

year
integer or null <int32>

Year to filter by as integer

year_to_date
boolean or null

Should filter by year to date.

gpi
string or null

Drug gpi to search.

gpi_operator
string or null

Search field using =, STARTSWITH, CONTAINS

drug_name
string or null
excluded_gpi_list
Array of strings or null or null
client_ids
Array of strings or null or null
add_pharmacy_data
boolean or null

Boolean to return pharmacy details from ncpdp_providers

only_fields
Array of strings or null or null
formulary_tier
string or null

A string of formulary tiers, with multiple tiers separated by commas.

first_claim_id
integer or null <int32>
basis_of_cost_determination
string or null
custom_filters
Array of strings or null or null
medicare_prescription_payment_plan_indicator
string or null
coverage_strategy_type
string or null
claim_number
string or null
claim_sequence_number
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "order_by": [
    ],
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "submitted_carholder_id": "string",
  • "first_name": "string",
  • "last_name": "string",
  • "full_text_search": "string",
  • "claim_status": "string",
  • "date_type": "string",
  • "prescription_service_reference_number": "string",
  • "pharmacy_nabp": "string",
  • "prescriber_id": "string",
  • "ndc": "string",
  • "service_provider_id": "string",
  • "start_date": "string",
  • "end_date": "string",
  • "minimum_claim_submission_date": "string",
  • "maximum_claim_submission_date": "string",
  • "is_340b": true,
  • "reject_codes": "string",
  • "paid_claims_only": true,
  • "claim_sources": [
    ],
  • "get_dependent_claims": true,
  • "month": 0,
  • "year": 0,
  • "year_to_date": true,
  • "gpi": "string",
  • "gpi_operator": "string",
  • "drug_name": "string",
  • "excluded_gpi_list": [
    ],
  • "client_ids": [
    ],
  • "add_pharmacy_data": true,
  • "only_fields": [
    ],
  • "formulary_tier": "string",
  • "first_claim_id": 0,
  • "basis_of_cost_determination": "string",
  • "custom_filters": [
    ],
  • "medicare_prescription_payment_plan_indicator": "string",
  • "coverage_strategy_type": "string",
  • "claim_number": "string",
  • "claim_sequence_number": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/claim/history/final_state

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

required
Array of objects (MemberIdentifierSchema_1744676532.9537404)
claim_statuses
required
Array of strings or null or null
Enum: "P" "R"
claim_sources
Array of strings or null or null
start_date_of_service
string or null <ArrowDateTime>

Date of service to filter (inclusive >=)

end_date_of_service
string or null <ArrowDateTime>

Date of service to filter (inclusive <=)

month
integer or null <int32>

Month to filter by as integer

year
integer or null <int32>

Year to filter by as integer

year_to_date
boolean or null

Should filter by year to date.

add_pharmacy_data
boolean or null

Boolean to return pharmacy details from ncpdp_providers

only_fields
Array of strings or null or null
custom_filters
Array of strings or null or null
full_text_search
string or null

The full text search for claims by product_service_description, date of service, and pharmacy name

reject_codes
Array of strings or null or null
Array of objects or null (OrderBySchema_1744676532.942683)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "member_list": [
    ],
  • "claim_statuses": [
    ],
  • "claim_sources": [
    ],
  • "start_date_of_service": "string",
  • "end_date_of_service": "string",
  • "month": 0,
  • "year": 0,
  • "year_to_date": true,
  • "add_pharmacy_data": true,
  • "only_fields": [
    ],
  • "custom_filters": [
    ],
  • "full_text_search": "string",
  • "reject_codes": [
    ],
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/claim/v2/list

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

Array of objects or null (OrderBySchema_1744676532.942683)
id
integer or null <int32>

The internal ID of a claim. Cannot be set during create nor subsequently changed.

client_id
string or null
external_member_id
string or null
person_code
string or null
external_account_id
required
string or null
external_group_id
required
string or null
submitted_carholder_id
string or null
first_name
string or null
last_name
string or null
full_text_search
string or null

The full text search for claims by product_service_description, date of service, and pharmacy name

claim_status
string or null
date_type
string or null
prescription_service_reference_number
string or null

A field on NCPDP D.0 that is also referred to as the 'prescription number' or 'Rx number'. This number is assigned by the pharmacy to represent a specific prescription, inclusive of all refills for that prescription (via fill number). Rx numbers are ONLY unique to pharmacies, and are NOT globally unique.

pharmacy_nabp
string or null
prescriber_id
string or null
ndc
string or null
service_provider_id
string or null

A field in NCPDP D.0 which in our system is ALWAYS the NPI of the pharmacy for paid or accepted claims (rejected claims may submit other values, causing us to reject the claim). NPI is the national provider identifier, essentially every entity in healthcare has an NPI, which includes pharmacies, doctors, hospitals, and pharmacists themselves.

start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
minimum_claim_submission_date
string or null <ArrowDateTime>
maximum_claim_submission_date
string or null <ArrowDateTime>
is_340b
boolean or null

Return claims matching the given is_340b value.

reject_codes
string or null

A string of reject codes, with multiple reject codes separated by commas.

paid_claims_only
boolean or null

Boolean to show paid claims only, ignoring reversed and rejected. Defaults to false.

claim_sources
Array of strings or null or null
Enum: "admin" "app" "batch-test" "historical" "migrated" "pharmacy" "switch" "test" "vendor" "web"
get_dependent_claims
boolean or null

Boolean to return dependent claims.

month
integer or null <int32>

Month to filter by as integer

year
integer or null <int32>

Year to filter by as integer

year_to_date
boolean or null

Should filter by year to date.

gpi
string or null

Drug gpi to search.

gpi_operator
string or null

Search field using =, STARTSWITH, CONTAINS

drug_name
string or null
excluded_gpi_list
Array of strings or null or null
client_ids
Array of strings or null or null
add_pharmacy_data
boolean or null

Boolean to return pharmacy details from ncpdp_providers

only_fields
Array of strings or null or null
formulary_tier
string or null

A string of formulary tiers, with multiple tiers separated by commas.

first_claim_id
integer or null <int32>
basis_of_cost_determination
string or null
custom_filters
Array of strings or null or null
medicare_prescription_payment_plan_indicator
string or null
coverage_strategy_type
string or null
claim_number
string or null
claim_sequence_number
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "order_by": [
    ],
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "submitted_carholder_id": "string",
  • "first_name": "string",
  • "last_name": "string",
  • "full_text_search": "string",
  • "claim_status": "string",
  • "date_type": "string",
  • "prescription_service_reference_number": "string",
  • "pharmacy_nabp": "string",
  • "prescriber_id": "string",
  • "ndc": "string",
  • "service_provider_id": "string",
  • "start_date": "string",
  • "end_date": "string",
  • "minimum_claim_submission_date": "string",
  • "maximum_claim_submission_date": "string",
  • "is_340b": true,
  • "reject_codes": "string",
  • "paid_claims_only": true,
  • "claim_sources": [
    ],
  • "get_dependent_claims": true,
  • "month": 0,
  • "year": 0,
  • "year_to_date": true,
  • "gpi": "string",
  • "gpi_operator": "string",
  • "drug_name": "string",
  • "excluded_gpi_list": [
    ],
  • "client_ids": [
    ],
  • "add_pharmacy_data": true,
  • "only_fields": [
    ],
  • "formulary_tier": "string",
  • "first_claim_id": 0,
  • "basis_of_cost_determination": "string",
  • "custom_filters": [
    ],
  • "medicare_prescription_payment_plan_indicator": "string",
  • "coverage_strategy_type": "string",
  • "claim_number": "string",
  • "claim_sequence_number": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/claim/update

Update a Claim.

Request Body schema: application/json
id
required
integer <int32>
is_340b
boolean or null
external_account_id
string or null
external_group_id
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "is_340b": true,
  • "external_account_id": "string",
  • "external_group_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "reversal_id": 0,
  • "reverses_id": 0,
  • "original_claim_id": 0,
  • "client_id": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "provider_agreement_id": 0,
  • "coverage_strategy_id": "string",
  • "date_of_service": "string",
  • "claim_submission_date": "string",
  • "claim_payment_cycle_end_date": "string",
  • "claim_reimbursement_cycle_end_date": "string",
  • "claim_status": "string",
  • "claim_count": 0,
  • "received_at": "string",
  • "source": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "first_name": "string",
  • "last_name": "string",
  • "coverage_strategy_type": "string",
  • "plan_benefit_id": 0,
  • "formulary_id": 0,
  • "network_id": 0,
  • "benefit_network": "string",
  • "gpi": "string",
  • "pharmacy_nabp": "string",
  • "pharmacy_name": "string",
  • "pharmacy_channel": "string",
  • "version_release_number": "string",
  • "request_transaction_code": "string",
  • "bin_number": "string",
  • "processor_control_number": "string",
  • "transaction_count": "string",
  • "service_provider_id_qualifier": "string",
  • "service_provider_id": "string",
  • "software_vendor_certification_id": "string",
  • "submitted_cardholder_id": "string",
  • "cardholder_first_name": "string",
  • "cardholder_last_name": "string",
  • "plan_id": "string",
  • "eligibility_clarification_code": "string",
  • "group_id": "string",
  • "submitted_person_code": "string",
  • "patient_relationship_code": "string",
  • "medigap_id": "string",
  • "medicaid_indicator": "string",
  • "provider_accept_assignment_indicator": "string",
  • "cms_part_d_defined_qualified_facility": "string",
  • "medicaid_id_number": "string",
  • "patient_id_qualifier": "string",
  • "patient_id": "string",
  • "date_of_birth": "string",
  • "patient_gender_code": "string",
  • "patient_first_name": "string",
  • "patient_last_name": "string",
  • "patient_street_address": "string",
  • "patient_street_address_line_1": "string",
  • "patient_street_address_line_2": "string",
  • "patient_city_address": "string",
  • "patient_state_province_address": "string",
  • "patient_zip_postal_code": "string",
  • "patient_country_code": "string",
  • "patient_telephone_number": "string",
  • "place_of_service": "string",
  • "employer_id": "string",
  • "pregnancy_indicator": "string",
  • "patient_email_address": "user@example.com",
  • "patient_residence": "string",
  • "prescription_service_reference_number_qualifier": "string",
  • "prescription_service_reference_number": "string",
  • "product_service_id_qualifier": "string",
  • "ndc": "string",
  • "associated_prescription_service_reference_number": "string",
  • "associated_prescription_service_date": "string",
  • "procedure_modifier_code_1": "string",
  • "procedure_modifier_code_2": "string",
  • "procedure_modifier_code_3": "string",
  • "procedure_modifier_code_4": "string",
  • "procedure_modifier_code_5": "string",
  • "procedure_modifier_code_6": "string",
  • "procedure_modifier_code_7": "string",
  • "procedure_modifier_code_8": "string",
  • "procedure_modifier_code_9": "string",
  • "procedure_modifier_code_10": "string",
  • "quantity_dispensed": "string",
  • "fill_number": 0,
  • "days_supply": 0,
  • "compound_code": "string",
  • "daw": "string",
  • "date_prescription_written": "string",
  • "number_of_refills_authorized": 0,
  • "prescription_origin_code": "string",
  • "submission_clarification_code_1": "string",
  • "submission_clarification_code_2": "string",
  • "submission_clarification_code_3": "string",
  • "submission_clarification_code_4": "string",
  • "submission_clarification_code_5": "string",
  • "submission_clarification_code_pde": "string",
  • "submission_type_code_1": "string",
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  • "dur_pps_level_of_effort_1": "string",
  • "dur_pps_level_of_effort_2": "string",
  • "dur_pps_level_of_effort_3": "string",
  • "dur_pps_level_of_effort_4": "string",
  • "dur_pps_level_of_effort_5": "string",
  • "dur_pps_level_of_effort_6": "string",
  • "dur_pps_level_of_effort_7": "string",
  • "dur_pps_level_of_effort_8": "string",
  • "dur_pps_level_of_effort_9": "string",
  • "aws_region": "string",
  • "log_group_name": "string",
  • "log_stream_name": "string",
  • "aws_request_id": "string",
  • "log_key": "string",
  • "raw_request": "string",
  • "raw_response": "string",
  • "raw_request_parsed": null,
  • "raw_response_parsed": null,
  • "relationship_code": "string",
  • "overrides": [
    ],
  • "prior_authorizations": [
    ],
  • "tags": [
    ],
  • "finance_835_record_id": 0,
  • "finished_at": "string",
  • "formulary_name": "string",
  • "formulary_tier": "string",
  • "nadac_per_unit": 0,
  • "nadac_plus_ndc": "string",
  • "nadac_plus_per_unit": 0,
  • "relationship_id": "string",
  • "ncpdp_relationship_id": "string",
  • "affiliation_relationship_id": "string",
  • "parent_organization_id": "string",
  • "remit_and_reconciliation_id": "string",
  • "payment_center_id": "string",
  • "rx_cap_flag": "string",
  • "rx_cap_plus_flag": "string",
  • "total_mac_list": 0,
  • "total_nadac": 0,
  • "total_nadac_plus": 0,
  • "total_specialty_list": 0,
  • "external_invoice_id": 0,
  • "pde_id": 0,
  • "pde_status": "string",
  • "pde_cms_calculated_gap_discount": 0,
  • "pde_plan_benefit_package_id_of_record": "string",
  • "pde_alternate_service_provider_id_qualifier": "string",
  • "pde_alternate_service_provider_id": "string",
  • "pde_original_submitting_contract": "string",
  • "pde_plan_to_plan_contract_of_record": "string",
  • "pde_corrected_medicare_beneficiary_identifier": "string",
  • "pde_error_count": 0,
  • "pde_error_1": "string",
  • "pde_error_2": "string",
  • "pde_error_3": "string",
  • "pde_error_4": "string",
  • "pde_error_5": "string",
  • "pde_error_6": "string",
  • "pde_error_7": "string",
  • "pde_error_8": "string",
  • "pde_error_9": "string",
  • "pde_error_10": "string",
  • "pde_exclusion_reason_code": "string",
  • "pde_adjustment_deletion_code": "string",
  • "programs": [
    ],
  • "plan_additional_covered_amount": 0,
  • "nsde_drug_application_type": "string",
  • "drug_application_type": "string",
  • "non_standard_format_code": "string",
  • "drug_status_code": "string",
  • "part_b": "string",
  • "part_d": "string",
  • "contract_number": "string",
  • "plan_benefit_package_id": "string",
  • "clinical_rules": [
    ],
  • "pharmacy_quality_alliance": [
    ],
  • "formulary_attributes": { },
  • "callback_overrides": [
    ],
  • "performance": { },
  • "adjustments": [
    ],
  • "plan_type": "string",
  • "medicare_beneficiary_identifier": "string",
  • "gross_covered_drug_cost_before_adjudication": "string",
  • "reported_gap_discount": "string",
  • "beginning_benefit_phase": "string",
  • "ending_benefit_phase": "string",
  • "formulary_code": "string",
  • "true_out_of_pocket_before_adjudication": "string",
  • "gross_drug_cost_above": "string",
  • "gross_drug_cost_below": "string",
  • "total_claim_covered_plan_pay": "string",
  • "total_claim_non_covered_plan_pay": "string",
  • "amount_applied_to_low_income_subsidy": "string",
  • "amount_applied_to_low_income_subsidy_deductible": "string",
  • "amount_applied_to_part_b_deductible": "string",
  • "amount_applied_to_part_b_maximum_out_of_pocket": "string",
  • "adjustment_reason_code": "string",
  • "adjustment_reason_code_qualifier": "string",
  • "estimated_rebate_at_point_of_service": "string",
  • "other_true_out_of_pocket_amount": "string",
  • "part_d_model_indicator": "string",
  • "pricing_exception_code": "string",
  • "pricing_custom_id": 0,
  • "patient_liability_reduction_due_to_other_payer_amount": "string",
  • "patient_liability_reduction_due_to_the_employer_amount": "string",
  • "accumulated_category_deductible_1_amount": "string",
  • "accumulations_applied": null,
  • "alternate_benefit_cost_share": null,
  • "amount_applied_to_deductible_phase": "string",
  • "amount_applied_to_gross_covered_drug_cost": "string",
  • "amount_applied_to_initial_coverage_phase": "string",
  • "amount_applied_to_true_out_of_pocket": "string",
  • "accumulated_deductible_phase_amount": "string",
  • "accumulated_gross_covered_drug_cost_amount": "string",
  • "accumulated_true_out_of_pocket_amount": "string",
  • "accumulated_part_b_deductible_amount": "string",
  • "accumulated_part_b_maximum_out_of_pocket_amount": "string",
  • "accumulated_part_b_deductible_out_of_network_amount": "string",
  • "accumulated_part_b_out_of_pocket_out_of_network": "string",
  • "amount_applied_to_part_b_deductible_out_of_network": "string",
  • "amount_applied_to_part_b_out_of_pocket_out_of_network": "string",
  • "amount_exceeding_periodic_category_deductible_1": 0,
  • "amount_exceeding_periodic_overall_deductible": "string",
  • "birth_date": "string",
  • "coordination_of_benefits_other_payments_count": 0,
  • "dispensing_fee_charged_level_1": "string",
  • "dispensing_fee_charged_level_2": "string",
  • "dispensing_fee_charged_level_3": "string",
  • "ingredient_cost_charged_level_1": "string",
  • "ingredient_cost_charged_level_2": "string",
  • "ingredient_cost_charged_level_3": "string",
  • "mac_list_dispensing_fee": "string",
  • "pricing_category_mac_list_unit_price_adjustment_percentage": 0,
  • "mac_list_id": 0,
  • "mac_list_name": "string",
  • "other_payer_amount_paid_1": "string",
  • "other_payer_amount_paid_2": "string",
  • "other_payer_amount_paid_3": "string",
  • "other_payer_amount_paid_4": "string",
  • "other_payer_amount_paid_5": "string",
  • "other_payer_amount_paid_6": "string",
  • "other_payer_amount_paid_7": "string",
  • "other_payer_amount_paid_8": "string",
  • "other_payer_amount_paid_9": "string",
  • "other_payer_amount_paid_count": 0,
  • "other_payer_amount_paid_qualifier_1": "string",
  • "other_payer_amount_paid_qualifier_2": "string",
  • "other_payer_amount_paid_qualifier_3": "string",
  • "other_payer_amount_paid_qualifier_4": "string",
  • "other_payer_amount_paid_qualifier_5": "string",
  • "other_payer_amount_paid_qualifier_6": "string",
  • "other_payer_amount_paid_qualifier_7": "string",
  • "other_payer_amount_paid_qualifier_8": "string",
  • "other_payer_amount_paid_qualifier_9": "string",
  • "other_payer_coverage_type_1": "string",
  • "other_payer_coverage_type_2": "string",
  • "other_payer_coverage_type_3": "string",
  • "other_payer_coverage_type_4": "string",
  • "other_payer_coverage_type_5": "string",
  • "other_payer_coverage_type_6": "string",
  • "other_payer_coverage_type_7": "string",
  • "other_payer_coverage_type_8": "string",
  • "other_payer_coverage_type_9": "string",
  • "other_payer_id_1": "string",
  • "other_payer_id_2": "string",
  • "other_payer_id_3": "string",
  • "other_payer_id_4": "string",
  • "other_payer_id_5": "string",
  • "other_payer_id_6": "string",
  • "other_payer_id_7": "string",
  • "other_payer_id_8": "string",
  • "other_payer_id_9": "string",
  • "other_payer_id_qualifier_1": "string",
  • "other_payer_id_qualifier_2": "string",
  • "other_payer_id_qualifier_3": "string",
  • "other_payer_id_qualifier_4": "string",
  • "other_payer_id_qualifier_5": "string",
  • "other_payer_id_qualifier_6": "string",
  • "other_payer_id_qualifier_7": "string",
  • "other_payer_id_qualifier_8": "string",
  • "other_payer_id_qualifier_9": "string",
  • "other_payer_patient_responsibility_amount_1": "string",
  • "other_payer_patient_responsibility_amount_2": "string",
  • "other_payer_patient_responsibility_amount_3": "string",
  • "other_payer_patient_responsibility_amount_4": "string",
  • "other_payer_patient_responsibility_amount_5": "string",
  • "other_payer_patient_responsibility_amount_6": "string",
  • "other_payer_patient_responsibility_amount_7": "string",
  • "other_payer_patient_responsibility_amount_8": "string",
  • "other_payer_patient_responsibility_amount_9": "string",
  • "other_payer_patient_responsibility_amount_count": 0,
  • "other_payer_patient_responsibility_amount_qualifier_1": "string",
  • "other_payer_patient_responsibility_amount_qualifier_2": "string",
  • "other_payer_patient_responsibility_amount_qualifier_3": "string",
  • "other_payer_patient_responsibility_amount_qualifier_4": "string",
  • "other_payer_patient_responsibility_amount_qualifier_5": "string",
  • "other_payer_patient_responsibility_amount_qualifier_6": "string",
  • "other_payer_patient_responsibility_amount_qualifier_7": "string",
  • "other_payer_patient_responsibility_amount_qualifier_8": "string",
  • "other_payer_patient_responsibility_amount_qualifier_9": "string",
  • "other_payer_reject_code_1": "string",
  • "other_payer_reject_code_2": "string",
  • "other_payer_reject_code_3": "string",
  • "other_payer_reject_code_4": "string",
  • "other_payer_reject_code_5": "string",
  • "other_payer_reject_count": 0,
  • "pay_amount_level_1": "string",
  • "pay_amount_level_2": "string",
  • "pay_amount_level_3": "string",
  • "prescriber_npi": "string",
  • "professional_service_code_1": "string",
  • "professional_service_code_2": "string",
  • "professional_service_code_3": "string",
  • "professional_service_code_4": "string",
  • "professional_service_code_5": "string",
  • "professional_service_code_6": "string",
  • "professional_service_code_7": "string",
  • "professional_service_code_8": "string",
  • "professional_service_code_9": "string",
  • "remaining_category_deductible_1_amount": "string",
  • "remaining_overall_deductible_amount": "string",
  • "request_reason_for_service_code_1": "string",
  • "request_reason_for_service_code_2": "string",
  • "request_reason_for_service_code_3": "string",
  • "request_reason_for_service_code_4": "string",
  • "request_reason_for_service_code_5": "string",
  • "request_reason_for_service_code_6": "string",
  • "request_reason_for_service_code_7": "string",
  • "request_reason_for_service_code_8": "string",
  • "request_reason_for_service_code_9": "string",
  • "result_of_service_code_1": "string",
  • "result_of_service_code_2": "string",
  • "result_of_service_code_3": "string",
  • "result_of_service_code_4": "string",
  • "result_of_service_code_5": "string",
  • "result_of_service_code_6": "string",
  • "result_of_service_code_7": "string",
  • "result_of_service_code_8": "string",
  • "result_of_service_code_9": "string",
  • "specialty_list_dispensing_fee": "string",
  • "specialty_list_id": 0,
  • "specialty_list_name": "string",
  • "dmr_pay_to_city_address": "string",
  • "dmr_pay_to_country_code": "string",
  • "dmr_pay_to_name": "string",
  • "dmr_pay_to_state_province_address": "string",
  • "dmr_pay_to_street_address_line_1": "string",
  • "dmr_pay_to_street_address_line_2": "string",
  • "dmr_pay_to_tax_id": "string",
  • "dmr_pay_to_vendor_id": "string",
  • "dmr_pay_to_zip_postal_code": "string",
  • "tax_id_number": "string",
  • "reasons_for_rejection": [
    ],
  • "reasons_for_adjudication": [
    ],
  • "patient_pay_reduction_due_to_point_of_service_rebate": 0,
  • "plan_pay_reduction_due_to_point_of_service_rebate": 0,
  • "point_of_service_rebate_amount": 0,
  • "low_income_subsidy_level": "string",
  • "senior_savings_model_cost_share_reduction_gap": 0,
  • "senior_savings_model_cost_share_reduction_non_gap": 0,
  • "senior_savings_model_indicator": "string",
  • "inflation_reduction_act_subsidy_amount": 0,
  • "inflation_reduction_act_covered_vaccine": "string",
  • "inflation_reduction_act_covered_insulin": "string",
  • "other_true_out_of_pocket_amount_indicator": "string",
  • "medicare_amounts_id": 0,
  • "low_income_subsidy_amounts_id": 0,
  • "medicare_medicaid_dsnp_co_administered_plan": "string",
  • "dsnp_fee_for_service_or_capitation": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_d": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_b": 0,
  • "dsnp_medicaid_cost_share_covered_excluded_reduction_amount": 0,
  • "is_340b": true,
  • "medicare_administrative_claim": "string",
  • "controlled_substance_code": "string",
  • "desi_code": "string",
  • "reprocessing_id": 0,
  • "reprocessing_type": "string",
  • "reprocessing_patient_pay_difference": "string",
  • "reprocessing_pharmacy_pay_amount": "string",
  • "reprocessing_plan_pay_amount": "string",
  • "reprocessing_goes_to_835": true,
  • "reprocessing_goes_to_invoice": true,
  • "reprocessing_is_member_recoupment": true,
  • "nx_other_payers_total_amount": "string",
  • "reprocessing_nx_amount_applied_to_patient_pay": "string",
  • "reprocessing_excess_nx_amount_total": "string",
  • "reprocessing_patient_pay_net_nx": "string",
  • "reprocessing_member_refund_amount": "string",
  • "reprocessing_member_recoupment_amount": "string",
  • "reprocessing_is_recoup_ltc_pharmacy": true,
  • "notes": "string",
  • "first_claim_id": 0,
  • "next_claim_id": 0,
  • "include_raw_request_parsed": true,
  • "include_raw_response_parsed": true,
  • "manufacturer_discount_amount": 0,
  • "is_manufacturer_discount_drug": true,
  • "claim_number": "string",
  • "claim_sequence_number": "string",
  • "medicare_prescription_payment_plan_indicator": "string",
  • "medicare_prescription_payment_plan_original_claim_id": 0,
  • "pharmacy_transaction_fee": 0,
  • "vbid_cost_share_reduction_amount_part_d": 0,
  • "vbid_model_indicator": "string",
  • "pricing_level_ids": [
    ],
  • "brand_name_code": "string",
  • "drug_descriptor_id": "string",
  • "dosage": "string",
  • "dosage_form": "string",
  • "dosage_form_packaging": "string",
  • "drug_name": "string",
  • "drug_type": "string",
  • "group_name": "string",
  • "provider_phone": "string",
  • "most_expensive_compound_ingredient_ndc": "string",
  • "multi_source": "string",
  • "name_type_code": "string",
  • "rx_otc_indicator_code": "string",
  • "strength": "string",
  • "strength_unit_of_measure": "string",
  • "pde_record_id": "string",
  • "pde_claim_control_number": "string",
  • "pde_plan_benefit_package_id": "string",
  • "medicare_prescription_payment_plan_claim_id": 0,
  • "medicare_prescription_payment_plan_claim_amount": 0,
  • "claim_gpi": "string",
  • "drug_lists": null,
  • "identity": "string"
}

/claim/v2/update

Request Body schema: application/json
id
required
integer <int32>
is_340b
boolean or null
external_account_id
required
string or null
external_group_id
required
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "is_340b": true,
  • "external_account_id": "string",
  • "external_group_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "reversal_id": 0,
  • "reverses_id": 0,
  • "original_claim_id": 0,
  • "client_id": "string",
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "provider_agreement_id": 0,
  • "coverage_strategy_id": "string",
  • "date_of_service": "string",
  • "claim_submission_date": "string",
  • "claim_payment_cycle_end_date": "string",
  • "claim_reimbursement_cycle_end_date": "string",
  • "claim_status": "string",
  • "claim_count": 0,
  • "received_at": "string",
  • "source": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "first_name": "string",
  • "last_name": "string",
  • "coverage_strategy_type": "string",
  • "plan_benefit_id": 0,
  • "formulary_id": 0,
  • "network_id": 0,
  • "benefit_network": "string",
  • "gpi": "string",
  • "pharmacy_nabp": "string",
  • "pharmacy_name": "string",
  • "pharmacy_channel": "string",
  • "version_release_number": "string",
  • "request_transaction_code": "string",
  • "bin_number": "string",
  • "processor_control_number": "string",
  • "transaction_count": "string",
  • "service_provider_id_qualifier": "string",
  • "service_provider_id": "string",
  • "software_vendor_certification_id": "string",
  • "submitted_cardholder_id": "string",
  • "cardholder_first_name": "string",
  • "cardholder_last_name": "string",
  • "plan_id": "string",
  • "eligibility_clarification_code": "string",
  • "group_id": "string",
  • "submitted_person_code": "string",
  • "patient_relationship_code": "string",
  • "medigap_id": "string",
  • "medicaid_indicator": "string",
  • "provider_accept_assignment_indicator": "string",
  • "cms_part_d_defined_qualified_facility": "string",
  • "medicaid_id_number": "string",
  • "patient_id_qualifier": "string",
  • "patient_id": "string",
  • "date_of_birth": "string",
  • "patient_gender_code": "string",
  • "patient_first_name": "string",
  • "patient_last_name": "string",
  • "patient_street_address": "string",
  • "patient_street_address_line_1": "string",
  • "patient_street_address_line_2": "string",
  • "patient_city_address": "string",
  • "patient_state_province_address": "string",
  • "patient_zip_postal_code": "string",
  • "patient_country_code": "string",
  • "patient_telephone_number": "string",
  • "place_of_service": "string",
  • "employer_id": "string",
  • "pregnancy_indicator": "string",
  • "patient_email_address": "user@example.com",
  • "patient_residence": "string",
  • "prescription_service_reference_number_qualifier": "string",
  • "prescription_service_reference_number": "string",
  • "product_service_id_qualifier": "string",
  • "ndc": "string",
  • "associated_prescription_service_reference_number": "string",
  • "associated_prescription_service_date": "string",
  • "procedure_modifier_code_1": "string",
  • "procedure_modifier_code_2": "string",
  • "procedure_modifier_code_3": "string",
  • "procedure_modifier_code_4": "string",
  • "procedure_modifier_code_5": "string",
  • "procedure_modifier_code_6": "string",
  • "procedure_modifier_code_7": "string",
  • "procedure_modifier_code_8": "string",
  • "procedure_modifier_code_9": "string",
  • "procedure_modifier_code_10": "string",
  • "quantity_dispensed": "string",
  • "fill_number": 0,
  • "days_supply": 0,
  • "compound_code": "string",
  • "daw": "string",
  • "date_prescription_written": "string",
  • "number_of_refills_authorized": 0,
  • "prescription_origin_code": "string",
  • "submission_clarification_code_1": "string",
  • "submission_clarification_code_2": "string",
  • "submission_clarification_code_3": "string",
  • "submission_clarification_code_4": "string",
  • "submission_clarification_code_5": "string",
  • "submission_clarification_code_pde": "string",
  • "submission_type_code_1": "string",
  • "submission_type_code_2": "string",
  • "submission_type_code_3": "string",
  • "submission_type_code_4": "string",
  • "submission_type_code_5": "string",
  • "quantity_prescribed": "string",
  • "multiple_prescription_service_order_group_id": "string",
  • "multiple_prescription_service_order_group_reason_code": "string",
  • "total_prescribed_quantity_remaining": "string",
  • "other_coverage_code": "string",
  • "special_packaging_indicator": "string",
  • "originally_prescribed_product_service_id_qualifier": "string",
  • "originally_prescribed_product_service_code": "string",
  • "originally_prescribed_quantity": "string",
  • "scheduled_prescription_id_number": "string",
  • "unit_of_measure": "string",
  • "level_of_service": "string",
  • "prior_authorization_type_code": "string",
  • "prior_authorization_id_submitted": "string",
  • "dispensing_status": "string",
  • "quantity_intended_to_be_dispensed": "string",
  • "days_supply_intended_to_be_dispensed": 0,
  • "delay_reason_code": "string",
  • "patient_assignment_indicator": "string",
  • "route_of_administration": "string",
  • "compound_type": "string",
  • "preparation_environment_type": "string",
  • "preparation_environment_event_code": "string",
  • "pharmacy_service_type": "string",
  • "associated_prescription_service_reference_number_qualifier": "string",
  • "associated_prescription_service_fill_number": 0,
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  • "parent_organization_id": "string",
  • "remit_and_reconciliation_id": "string",
  • "payment_center_id": "string",
  • "rx_cap_flag": "string",
  • "rx_cap_plus_flag": "string",
  • "total_mac_list": 0,
  • "total_nadac": 0,
  • "total_nadac_plus": 0,
  • "total_specialty_list": 0,
  • "external_invoice_id": 0,
  • "pde_id": 0,
  • "pde_status": "string",
  • "pde_cms_calculated_gap_discount": 0,
  • "pde_plan_benefit_package_id_of_record": "string",
  • "pde_alternate_service_provider_id_qualifier": "string",
  • "pde_alternate_service_provider_id": "string",
  • "pde_original_submitting_contract": "string",
  • "pde_plan_to_plan_contract_of_record": "string",
  • "pde_corrected_medicare_beneficiary_identifier": "string",
  • "pde_error_count": 0,
  • "pde_error_1": "string",
  • "pde_error_2": "string",
  • "pde_error_3": "string",
  • "pde_error_4": "string",
  • "pde_error_5": "string",
  • "pde_error_6": "string",
  • "pde_error_7": "string",
  • "pde_error_8": "string",
  • "pde_error_9": "string",
  • "pde_error_10": "string",
  • "pde_exclusion_reason_code": "string",
  • "pde_adjustment_deletion_code": "string",
  • "programs": [
    ],
  • "plan_additional_covered_amount": 0,
  • "nsde_drug_application_type": "string",
  • "drug_application_type": "string",
  • "non_standard_format_code": "string",
  • "drug_status_code": "string",
  • "part_b": "string",
  • "part_d": "string",
  • "contract_number": "string",
  • "plan_benefit_package_id": "string",
  • "clinical_rules": [
    ],
  • "pharmacy_quality_alliance": [
    ],
  • "formulary_attributes": { },
  • "callback_overrides": [
    ],
  • "performance": { },
  • "adjustments": [
    ],
  • "plan_type": "string",
  • "medicare_beneficiary_identifier": "string",
  • "gross_covered_drug_cost_before_adjudication": "string",
  • "reported_gap_discount": "string",
  • "beginning_benefit_phase": "string",
  • "ending_benefit_phase": "string",
  • "formulary_code": "string",
  • "true_out_of_pocket_before_adjudication": "string",
  • "gross_drug_cost_above": "string",
  • "gross_drug_cost_below": "string",
  • "total_claim_covered_plan_pay": "string",
  • "total_claim_non_covered_plan_pay": "string",
  • "amount_applied_to_low_income_subsidy": "string",
  • "amount_applied_to_low_income_subsidy_deductible": "string",
  • "amount_applied_to_part_b_deductible": "string",
  • "amount_applied_to_part_b_maximum_out_of_pocket": "string",
  • "adjustment_reason_code": "string",
  • "adjustment_reason_code_qualifier": "string",
  • "estimated_rebate_at_point_of_service": "string",
  • "other_true_out_of_pocket_amount": "string",
  • "part_d_model_indicator": "string",
  • "pricing_exception_code": "string",
  • "pricing_custom_id": 0,
  • "patient_liability_reduction_due_to_other_payer_amount": "string",
  • "patient_liability_reduction_due_to_the_employer_amount": "string",
  • "accumulated_category_deductible_1_amount": "string",
  • "accumulations_applied": null,
  • "alternate_benefit_cost_share": null,
  • "amount_applied_to_deductible_phase": "string",
  • "amount_applied_to_gross_covered_drug_cost": "string",
  • "amount_applied_to_initial_coverage_phase": "string",
  • "amount_applied_to_true_out_of_pocket": "string",
  • "accumulated_deductible_phase_amount": "string",
  • "accumulated_gross_covered_drug_cost_amount": "string",
  • "accumulated_true_out_of_pocket_amount": "string",
  • "accumulated_part_b_deductible_amount": "string",
  • "accumulated_part_b_maximum_out_of_pocket_amount": "string",
  • "accumulated_part_b_deductible_out_of_network_amount": "string",
  • "accumulated_part_b_out_of_pocket_out_of_network": "string",
  • "amount_applied_to_part_b_deductible_out_of_network": "string",
  • "amount_applied_to_part_b_out_of_pocket_out_of_network": "string",
  • "amount_exceeding_periodic_category_deductible_1": 0,
  • "amount_exceeding_periodic_overall_deductible": "string",
  • "birth_date": "string",
  • "coordination_of_benefits_other_payments_count": 0,
  • "dispensing_fee_charged_level_1": "string",
  • "dispensing_fee_charged_level_2": "string",
  • "dispensing_fee_charged_level_3": "string",
  • "ingredient_cost_charged_level_1": "string",
  • "ingredient_cost_charged_level_2": "string",
  • "ingredient_cost_charged_level_3": "string",
  • "mac_list_dispensing_fee": "string",
  • "pricing_category_mac_list_unit_price_adjustment_percentage": 0,
  • "mac_list_id": 0,
  • "mac_list_name": "string",
  • "other_payer_amount_paid_1": "string",
  • "other_payer_amount_paid_2": "string",
  • "other_payer_amount_paid_3": "string",
  • "other_payer_amount_paid_4": "string",
  • "other_payer_amount_paid_5": "string",
  • "other_payer_amount_paid_6": "string",
  • "other_payer_amount_paid_7": "string",
  • "other_payer_amount_paid_8": "string",
  • "other_payer_amount_paid_9": "string",
  • "other_payer_amount_paid_count": 0,
  • "other_payer_amount_paid_qualifier_1": "string",
  • "other_payer_amount_paid_qualifier_2": "string",
  • "other_payer_amount_paid_qualifier_3": "string",
  • "other_payer_amount_paid_qualifier_4": "string",
  • "other_payer_amount_paid_qualifier_5": "string",
  • "other_payer_amount_paid_qualifier_6": "string",
  • "other_payer_amount_paid_qualifier_7": "string",
  • "other_payer_amount_paid_qualifier_8": "string",
  • "other_payer_amount_paid_qualifier_9": "string",
  • "other_payer_coverage_type_1": "string",
  • "other_payer_coverage_type_2": "string",
  • "other_payer_coverage_type_3": "string",
  • "other_payer_coverage_type_4": "string",
  • "other_payer_coverage_type_5": "string",
  • "other_payer_coverage_type_6": "string",
  • "other_payer_coverage_type_7": "string",
  • "other_payer_coverage_type_8": "string",
  • "other_payer_coverage_type_9": "string",
  • "other_payer_id_1": "string",
  • "other_payer_id_2": "string",
  • "other_payer_id_3": "string",
  • "other_payer_id_4": "string",
  • "other_payer_id_5": "string",
  • "other_payer_id_6": "string",
  • "other_payer_id_7": "string",
  • "other_payer_id_8": "string",
  • "other_payer_id_9": "string",
  • "other_payer_id_qualifier_1": "string",
  • "other_payer_id_qualifier_2": "string",
  • "other_payer_id_qualifier_3": "string",
  • "other_payer_id_qualifier_4": "string",
  • "other_payer_id_qualifier_5": "string",
  • "other_payer_id_qualifier_6": "string",
  • "other_payer_id_qualifier_7": "string",
  • "other_payer_id_qualifier_8": "string",
  • "other_payer_id_qualifier_9": "string",
  • "other_payer_patient_responsibility_amount_1": "string",
  • "other_payer_patient_responsibility_amount_2": "string",
  • "other_payer_patient_responsibility_amount_3": "string",
  • "other_payer_patient_responsibility_amount_4": "string",
  • "other_payer_patient_responsibility_amount_5": "string",
  • "other_payer_patient_responsibility_amount_6": "string",
  • "other_payer_patient_responsibility_amount_7": "string",
  • "other_payer_patient_responsibility_amount_8": "string",
  • "other_payer_patient_responsibility_amount_9": "string",
  • "other_payer_patient_responsibility_amount_count": 0,
  • "other_payer_patient_responsibility_amount_qualifier_1": "string",
  • "other_payer_patient_responsibility_amount_qualifier_2": "string",
  • "other_payer_patient_responsibility_amount_qualifier_3": "string",
  • "other_payer_patient_responsibility_amount_qualifier_4": "string",
  • "other_payer_patient_responsibility_amount_qualifier_5": "string",
  • "other_payer_patient_responsibility_amount_qualifier_6": "string",
  • "other_payer_patient_responsibility_amount_qualifier_7": "string",
  • "other_payer_patient_responsibility_amount_qualifier_8": "string",
  • "other_payer_patient_responsibility_amount_qualifier_9": "string",
  • "other_payer_reject_code_1": "string",
  • "other_payer_reject_code_2": "string",
  • "other_payer_reject_code_3": "string",
  • "other_payer_reject_code_4": "string",
  • "other_payer_reject_code_5": "string",
  • "other_payer_reject_count": 0,
  • "pay_amount_level_1": "string",
  • "pay_amount_level_2": "string",
  • "pay_amount_level_3": "string",
  • "prescriber_npi": "string",
  • "professional_service_code_1": "string",
  • "professional_service_code_2": "string",
  • "professional_service_code_3": "string",
  • "professional_service_code_4": "string",
  • "professional_service_code_5": "string",
  • "professional_service_code_6": "string",
  • "professional_service_code_7": "string",
  • "professional_service_code_8": "string",
  • "professional_service_code_9": "string",
  • "remaining_category_deductible_1_amount": "string",
  • "remaining_overall_deductible_amount": "string",
  • "request_reason_for_service_code_1": "string",
  • "request_reason_for_service_code_2": "string",
  • "request_reason_for_service_code_3": "string",
  • "request_reason_for_service_code_4": "string",
  • "request_reason_for_service_code_5": "string",
  • "request_reason_for_service_code_6": "string",
  • "request_reason_for_service_code_7": "string",
  • "request_reason_for_service_code_8": "string",
  • "request_reason_for_service_code_9": "string",
  • "result_of_service_code_1": "string",
  • "result_of_service_code_2": "string",
  • "result_of_service_code_3": "string",
  • "result_of_service_code_4": "string",
  • "result_of_service_code_5": "string",
  • "result_of_service_code_6": "string",
  • "result_of_service_code_7": "string",
  • "result_of_service_code_8": "string",
  • "result_of_service_code_9": "string",
  • "specialty_list_dispensing_fee": "string",
  • "specialty_list_id": 0,
  • "specialty_list_name": "string",
  • "dmr_pay_to_city_address": "string",
  • "dmr_pay_to_country_code": "string",
  • "dmr_pay_to_name": "string",
  • "dmr_pay_to_state_province_address": "string",
  • "dmr_pay_to_street_address_line_1": "string",
  • "dmr_pay_to_street_address_line_2": "string",
  • "dmr_pay_to_tax_id": "string",
  • "dmr_pay_to_vendor_id": "string",
  • "dmr_pay_to_zip_postal_code": "string",
  • "tax_id_number": "string",
  • "reasons_for_rejection": [
    ],
  • "reasons_for_adjudication": [
    ],
  • "patient_pay_reduction_due_to_point_of_service_rebate": 0,
  • "plan_pay_reduction_due_to_point_of_service_rebate": 0,
  • "point_of_service_rebate_amount": 0,
  • "low_income_subsidy_level": "string",
  • "senior_savings_model_cost_share_reduction_gap": 0,
  • "senior_savings_model_cost_share_reduction_non_gap": 0,
  • "senior_savings_model_indicator": "string",
  • "inflation_reduction_act_subsidy_amount": 0,
  • "inflation_reduction_act_covered_vaccine": "string",
  • "inflation_reduction_act_covered_insulin": "string",
  • "other_true_out_of_pocket_amount_indicator": "string",
  • "medicare_amounts_id": 0,
  • "low_income_subsidy_amounts_id": 0,
  • "medicare_medicaid_dsnp_co_administered_plan": "string",
  • "dsnp_fee_for_service_or_capitation": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_d": 0,
  • "dsnp_medicaid_cost_share_reduction_amount_part_b": 0,
  • "dsnp_medicaid_cost_share_covered_excluded_reduction_amount": 0,
  • "is_340b": true,
  • "medicare_administrative_claim": "string",
  • "controlled_substance_code": "string",
  • "desi_code": "string",
  • "reprocessing_id": 0,
  • "reprocessing_type": "string",
  • "reprocessing_patient_pay_difference": "string",
  • "reprocessing_pharmacy_pay_amount": "string",
  • "reprocessing_plan_pay_amount": "string",
  • "reprocessing_goes_to_835": true,
  • "reprocessing_goes_to_invoice": true,
  • "reprocessing_is_member_recoupment": true,
  • "nx_other_payers_total_amount": "string",
  • "reprocessing_nx_amount_applied_to_patient_pay": "string",
  • "reprocessing_excess_nx_amount_total": "string",
  • "reprocessing_patient_pay_net_nx": "string",
  • "reprocessing_member_refund_amount": "string",
  • "reprocessing_member_recoupment_amount": "string",
  • "reprocessing_is_recoup_ltc_pharmacy": true,
  • "notes": "string",
  • "first_claim_id": 0,
  • "next_claim_id": 0,
  • "include_raw_request_parsed": true,
  • "include_raw_response_parsed": true,
  • "manufacturer_discount_amount": 0,
  • "is_manufacturer_discount_drug": true,
  • "claim_number": "string",
  • "claim_sequence_number": "string",
  • "medicare_prescription_payment_plan_indicator": "string",
  • "medicare_prescription_payment_plan_original_claim_id": 0,
  • "pharmacy_transaction_fee": 0,
  • "vbid_cost_share_reduction_amount_part_d": 0,
  • "vbid_model_indicator": "string",
  • "pricing_level_ids": [
    ],
  • "brand_name_code": "string",
  • "drug_descriptor_id": "string",
  • "dosage": "string",
  • "dosage_form": "string",
  • "dosage_form_packaging": "string",
  • "drug_name": "string",
  • "drug_type": "string",
  • "group_name": "string",
  • "provider_phone": "string",
  • "most_expensive_compound_ingredient_ndc": "string",
  • "multi_source": "string",
  • "name_type_code": "string",
  • "rx_otc_indicator_code": "string",
  • "strength": "string",
  • "strength_unit_of_measure": "string",
  • "pde_record_id": "string",
  • "pde_claim_control_number": "string",
  • "pde_plan_benefit_package_id": "string",
  • "medicare_prescription_payment_plan_claim_id": 0,
  • "medicare_prescription_payment_plan_claim_amount": 0,
  • "claim_gpi": "string",
  • "drug_lists": null,
  • "identity": "string"
}

Claim Reprocessing

/claim_reprocessing/get

Get a Claim Reprocessing.

Request Body schema: application/json
id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "created_at": "string",
  • "identity": "string",
  • "description": "string",
  • "data_source": "string",
  • "bucket": "string",
  • "key": "string",
  • "original_name": "string",
  • "data": "string",
  • "type": "string",
  • "kind": "string",
  • "status": "string",
  • "status_bucket": "string",
  • "status_key": "string",
  • "rn": "string",
  • "reprocessing_type": "string",
  • "reprocessing_kind": "string",
  • "total_rows": 0,
  • "rows_processed": 0,
  • "display_status": "string",
  • "updated_at": "string"
}

/claim_reprocessing/list

List Claim Reprocessings.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

Array of objects or null (OrderBySchema_1744676532.9998288)
created_at
string or null <ArrowDateTime>
original_name
string or null
type
string or null
status
string or null
id
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "order_by": [
    ],
  • "created_at": "string",
  • "original_name": "string",
  • "type": "string",
  • "status": "string",
  • "id": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/claim_reprocessing/process

Reprocesses claims as a test.

Request Body schema: application/json
id
required
integer <int32>
reprocessing_type
string

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "reprocessing_type": "string"
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/claim_reprocessing/process_admin

Reprocesses claims as an admin.

Request Body schema: application/json
id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/claim_reprocessing/url_for_download

Request Body schema: application/json
id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "url": "string"
}

/claim_reprocessing/url_for_upload

Request Body schema: application/json
original_name
string or null
reprocessing_type
string

Responses

Request samples

Content type
application/json
{
  • "original_name": "string",
  • "reprocessing_type": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "created_at": "string",
  • "identity": "string",
  • "description": "string",
  • "data_source": "string",
  • "bucket": "string",
  • "key": "string",
  • "original_name": "string",
  • "data": "string",
  • "type": "string",
  • "kind": "string",
  • "status": "string",
  • "status_bucket": "string",
  • "status_key": "string",
  • "rn": "string",
  • "reprocessing_type": "string",
  • "reprocessing_kind": "string",
  • "total_rows": 0,
  • "rows_processed": 0,
  • "display_status": "string",
  • "updated_at": "string",
  • "post": {
    }
}

Reporting

/reporting/get_sheet_json

For given client_id/report_type/report_period/report_year/sheet, return presigned URL for corresponding JSON.

By using "url" key of returned JSON, user get temporary access to JSON stored on S3.

Request Body schema: application/json
client_id
required
string
report_period
required
string
report_year
required
string
report_type
required
string
sheet
required
string

Responses

Request samples

Content type
application/json
{
  • "client_id": "string",
  • "report_period": "string",
  • "report_year": "string",
  • "report_type": "string",
  • "sheet": "string"
}

Response samples

Content type
application/json
{
  • "url": "string"
}

/reporting/process

Request Body schema: application/json
client_id
required
string
override
boolean or null
report_period
required
string
report_year
required
string
report_type
required
string

Responses

Request samples

Content type
application/json
{
  • "client_id": "string",
  • "override": true,
  • "report_period": "string",
  • "report_year": "string",
  • "report_type": "string"
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/reporting/url_for_download

Request Body schema: application/json
client_id
required
string
report_period
required
string
report_year
required
string
report_type
required
string

Responses

Request samples

Content type
application/json
{
  • "client_id": "string",
  • "report_period": "string",
  • "report_year": "string",
  • "report_type": "string"
}

Response samples

Content type
application/json
{
  • "url": "string"
}

/reporting/list

List Reportings.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

client_id
required
string

The client ID for desired reports

Array of objects or null (OrderBySchema_1744676533.009218)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "client_id": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

Continuation Of Therapy

/continuation_of_therapy/get

Get a Continuation Of Therapy.

Request Body schema: application/json
id
required
integer <int32>

The internal ID of the continuation of therapy. Cannot be set during create nor subsequently changed.

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "plan_benefit_id": 0,
  • "rn": "string",
  • "continuation_types": [
    ],
  • "intent": "string",
  • "drug_type": "string",
  • "drug_use": "string",
  • "only_applies_to_categories": [
    ],
  • "only_applies_to_tags": [
    ],
  • "does_not_apply_to_tags": [
    ],
  • "only_applies_to_carve_out": [
    ],
  • "does_not_apply_to_carve_out": [
    ],
  • "utilizer_type": [
    ],
  • "use_continuation_of_therapy_effective_date": true,
  • "use_new_enrollee_effective_date": true,
  • "lookback_days": 0,
  • "existing_utilizer_cutoff_date": "string",
  • "network_types": [
    ],
  • "duration": 0,
  • "number_of_fills": 0,
  • "cumulative_days_supply": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

/continuation_of_therapy/update

Update a Continuation Of Therapy.

Request Body schema: application/json
id
required
integer <int32>

The continuation of therapy ID to update

plan_benefit_id
integer or null <int32>

The internal ID of the associated plan benefit. Should not be changed.

rn
string or null
continuation_types
Array of strings or null
intent
string or null
drug_type
string or null
drug_use
string or null
only_applies_to_categories
Array of strings or null
only_applies_to_tags
Array of integers or null <int32>
does_not_apply_to_tags
Array of integers or null <int32>
only_applies_to_carve_out
Array of strings or null
does_not_apply_to_carve_out
Array of strings or null
utilizer_type
Array of strings or null
use_continuation_of_therapy_effective_date
boolean or null
use_new_enrollee_effective_date
boolean or null
lookback_days
integer or null <int32>
existing_utilizer_cutoff_date
string or null <ArrowDateTime>
network_types
Array of strings or null
duration
integer or null <int32>
number_of_fills
integer or null <int32>
cumulative_days_supply
integer or null <int32>
effective_date
string <ArrowDateTime>
termination_date
string <ArrowDateTime>
continuation_of_therapy_id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
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    ],
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    ],
  • "does_not_apply_to_tags": [
    ],
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    ],
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    ],
  • "utilizer_type": [
    ],
  • "use_continuation_of_therapy_effective_date": true,
  • "use_new_enrollee_effective_date": true,
  • "lookback_days": 0,
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    ],
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  • "effective_date": "string",
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}

Response samples

Content type
application/json
{
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

/continuation_of_therapy/create

Create a Continuation Of Therapy.

Request Body schema: application/json
plan_benefit_id
integer or null <int32>

The internal ID of the associated plan benefit. Should not be changed.

rn
string or null
continuation_types
Array of strings or null
intent
string or null
drug_type
string or null
drug_use
string or null
only_applies_to_categories
Array of strings or null
only_applies_to_tags
Array of integers or null <int32>
does_not_apply_to_tags
Array of integers or null <int32>
only_applies_to_carve_out
Array of strings or null
does_not_apply_to_carve_out
Array of strings or null
utilizer_type
Array of strings or null
use_continuation_of_therapy_effective_date
boolean or null
use_new_enrollee_effective_date
boolean or null
lookback_days
integer or null <int32>
existing_utilizer_cutoff_date
string or null <ArrowDateTime>
network_types
Array of strings or null
duration
integer or null <int32>
number_of_fills
integer or null <int32>
cumulative_days_supply
integer or null <int32>
effective_date
string <ArrowDateTime>
termination_date
string <ArrowDateTime>
continuation_of_therapy_id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
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  • "rn": "string",
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    ],
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    ],
  • "only_applies_to_tags": [
    ],
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    ],
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    ],
  • "does_not_apply_to_carve_out": [
    ],
  • "utilizer_type": [
    ],
  • "use_continuation_of_therapy_effective_date": true,
  • "use_new_enrollee_effective_date": true,
  • "lookback_days": 0,
  • "existing_utilizer_cutoff_date": "string",
  • "network_types": [
    ],
  • "duration": 0,
  • "number_of_fills": 0,
  • "cumulative_days_supply": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

Response samples

Content type
application/json
{
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  • "plan_benefit_id": 0,
  • "rn": "string",
  • "continuation_types": [
    ],
  • "intent": "string",
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

/continuation_of_therapy/list

List Continuation Of Therapies.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

plan_benefit_id
required
integer <int32>

The internal ID of the associated plan benefit. Should not be changed.

Array of objects or null (OrderBySchema_1744676533.0174143)

Responses

Request samples

Content type
application/json
{
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  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "plan_benefit_id": 0,
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

Continuation Of Therapy Draft

/continuation_of_therapy_draft/get

Get a Continuation Of Therapy Draft.

Request Body schema: application/json
id
required
integer <int32>

The ID of the group that was just updated.

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "plan_benefit_id": 0,
  • "rn": "string",
  • "continuation_types": [
    ],
  • "intent": "string",
  • "drug_type": "string",
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    ],
  • "only_applies_to_tags": [
    ],
  • "does_not_apply_to_tags": [
    ],
  • "only_applies_to_carve_out": [
    ],
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    ],
  • "utilizer_type": [
    ],
  • "use_continuation_of_therapy_effective_date": true,
  • "use_new_enrollee_effective_date": true,
  • "lookback_days": 0,
  • "existing_utilizer_cutoff_date": "string",
  • "network_types": [
    ],
  • "duration": 0,
  • "number_of_fills": 0,
  • "cumulative_days_supply": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

/continuation_of_therapy_draft/update

Update a Continuation Of Therapy Draft.

Request Body schema: application/json
id
required
integer <int32>

The ID of the group that was just updated.

plan_benefit_id
integer or null <int32>

The internal ID of the associated plan benefit. Should not be changed.

rn
string or null
continuation_types
Array of strings or null
intent
string or null
drug_type
string or null
drug_use
string or null
only_applies_to_categories
Array of strings or null
only_applies_to_tags
Array of integers or null <int32>
does_not_apply_to_tags
Array of integers or null <int32>
only_applies_to_carve_out
Array of strings or null
does_not_apply_to_carve_out
Array of strings or null
utilizer_type
Array of strings or null
use_continuation_of_therapy_effective_date
boolean or null
use_new_enrollee_effective_date
boolean or null
lookback_days
integer or null <int32>
existing_utilizer_cutoff_date
string or null <ArrowDateTime>
network_types
Array of strings or null
duration
integer or null <int32>
number_of_fills
integer or null <int32>
cumulative_days_supply
integer or null <int32>
effective_date
string <ArrowDateTime>
termination_date
string <ArrowDateTime>
continuation_of_therapy_id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
  • "use_continuation_of_therapy_effective_date": true,
  • "use_new_enrollee_effective_date": true,
  • "lookback_days": 0,
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  • "network_types": [
    ],
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  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

Response samples

Content type
application/json
{
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  • "rn": "string",
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    ],
  • "intent": "string",
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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  • "termination_date": "string",
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}

/continuation_of_therapy_draft/create

Create a Continuation Of Therapy Draft.

Request Body schema: application/json
plan_benefit_id
integer or null <int32>

The internal ID of the associated plan benefit. Should not be changed.

rn
string or null
continuation_types
Array of strings or null
intent
string or null
drug_type
string or null
drug_use
string or null
only_applies_to_categories
Array of strings or null
only_applies_to_tags
Array of integers or null <int32>
does_not_apply_to_tags
Array of integers or null <int32>
only_applies_to_carve_out
Array of strings or null
does_not_apply_to_carve_out
Array of strings or null
utilizer_type
Array of strings or null
use_continuation_of_therapy_effective_date
boolean or null
use_new_enrollee_effective_date
boolean or null
lookback_days
integer or null <int32>
existing_utilizer_cutoff_date
string or null <ArrowDateTime>
network_types
Array of strings or null
duration
integer or null <int32>
number_of_fills
integer or null <int32>
cumulative_days_supply
integer or null <int32>
effective_date
string <ArrowDateTime>
termination_date
string <ArrowDateTime>
continuation_of_therapy_id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
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    ],
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    ],
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    ],
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    ],
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    ],
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    ],
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  • "lookback_days": 0,
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  • "network_types": [
    ],
  • "duration": 0,
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  • "cumulative_days_supply": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

Response samples

Content type
application/json
{
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  • "plan_benefit_id": 0,
  • "rn": "string",
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    ],
  • "intent": "string",
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    ],
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    ],
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    ],
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    ],
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    ],
  • "utilizer_type": [
    ],
  • "use_continuation_of_therapy_effective_date": true,
  • "use_new_enrollee_effective_date": true,
  • "lookback_days": 0,
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    ],
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  • "effective_date": "string",
  • "termination_date": "string",
  • "continuation_of_therapy_id": 0
}

/continuation_of_therapy_draft/list

List Continuation Of Therapy Drafts.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

plan_benefit_id
required
integer <int32>

The internal ID of the associated plan benefit. Should not be changed.

Array of objects or null (OrderBySchema_1744676533.0174143)

Responses

Request samples

Content type
application/json
{
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  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "plan_benefit_id": 0,
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

Data Report

/data_report/create

Create a Data Report.

Request Body schema: application/json
rn
string or null
module_name
required
string
consumes
required
string
output_bucket
required
string
output_key
required
string
description
string or null
exchange_type
string or null
plan_ids
required
Array of numbers or null
plan_filters
any or null
cron_schedule
string or null
sftp_delivery_target_id
required
integer or null <int32>
ftps_delivery_target_id
required
integer or null <int32>
email_delivery_target_id
required
integer or null <int32>
s3_delivery_target_id
required
integer or null <int32>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
min_data_date
string or null <ArrowDateTime>
max_data_date
string or null <ArrowDateTime>
allow_consumption
boolean
allow_delivery
boolean
override_output_key
boolean
inclusive_start_date
string or null <ArrowDateTime>
exclusive_end_date
string or null <ArrowDateTime>
config
any or null
claims_file
file

xlsx file upload containing claim_id column.

status
string or null

Responses

Request samples

Content type
application/json
{
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  • "module_name": "string",
  • "consumes": "string",
  • "output_bucket": "string",
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  • "description": "string",
  • "exchange_type": "string",
  • "plan_ids": [
    ],
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  • "email_delivery_target_id": 0,
  • "s3_delivery_target_id": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "min_data_date": "string",
  • "max_data_date": "string",
  • "allow_consumption": true,
  • "allow_delivery": true,
  • "override_output_key": true,
  • "inclusive_start_date": "string",
  • "exclusive_end_date": "string",
  • "config": null,
  • "claims_file": null,
  • "status": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
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  • "consumes": "string",
  • "output_bucket": "string",
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    ],
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  • "inclusive_start_date": "string",
  • "exclusive_end_date": "string",
  • "config": null,
  • "claims_file": null,
  • "status": "string"
}

/data_report/get

Get a Data Report.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
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  • "consumes": "string",
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    ],
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  • "inclusive_start_date": "string",
  • "exclusive_end_date": "string",
  • "config": null,
  • "claims_file": null,
  • "status": "string"
}

/data_report/list

List Data Reports.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
client_ids
Array of strings or null or null
module_name
string or null
description
string or null
config
any
has_delivery_target
boolean
has_cron_schedule
boolean
output_key
string or null
exchange_type
string
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
status
string
Enum: "active" "inactive"
full_text_search
string or null
Array of objects or null (OrderBySchema_1744676533.0319076)

Responses

Request samples

Content type
application/json
{
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  • "expected_fields": [
    ],
  • "id": 0,
  • "client_ids": [
    ],
  • "module_name": "string",
  • "description": "string",
  • "config": null,
  • "has_delivery_target": true,
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  • "output_key": "string",
  • "exchange_type": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "status": "active",
  • "full_text_search": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/data_report/run

Request Body schema: application/json
id
required
integer <int32>
allow_consumption
required
boolean
allow_delivery
required
boolean
override_output_key
required
boolean
output_key
string
inclusive_start_date
string or null <ArrowDateTime>
exclusive_end_date
string or null <ArrowDateTime>
claims_file
file

xlsx file upload containing claim_id column.

Responses

Request samples

Content type
application/json
{
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  • "allow_consumption": true,
  • "allow_delivery": true,
  • "override_output_key": true,
  • "output_key": "string",
  • "inclusive_start_date": "string",
  • "exclusive_end_date": "string",
  • "claims_file": null
}

Response samples

Content type
application/json
{
  • "report_execution_id": 0,
  • "message": "string"
}

/data_report/update

Update a Data Report.

Request Body schema: application/json
id
integer <int32>
rn
string or null
module_name
string
consumes
string
output_bucket
string
output_key
string
description
string or null
exchange_type
string or null
plan_ids
Array of numbers or null
plan_filters
any or null
cron_schedule
string or null
sftp_delivery_target_id
integer or null <int32>
ftps_delivery_target_id
integer or null <int32>
email_delivery_target_id
integer or null <int32>
s3_delivery_target_id
integer or null <int32>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
min_data_date
string or null <ArrowDateTime>
max_data_date
string or null <ArrowDateTime>
allow_consumption
boolean
allow_delivery
boolean
override_output_key
boolean
inclusive_start_date
string or null <ArrowDateTime>
exclusive_end_date
string or null <ArrowDateTime>
config
any or null
claims_file
file

xlsx file upload containing claim_id column.

status
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "module_name": "string",
  • "consumes": "string",
  • "output_bucket": "string",
  • "output_key": "string",
  • "description": "string",
  • "exchange_type": "string",
  • "plan_ids": [
    ],
  • "plan_filters": null,
  • "cron_schedule": "string",
  • "sftp_delivery_target_id": 0,
  • "ftps_delivery_target_id": 0,
  • "email_delivery_target_id": 0,
  • "s3_delivery_target_id": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "min_data_date": "string",
  • "max_data_date": "string",
  • "allow_consumption": true,
  • "allow_delivery": true,
  • "override_output_key": true,
  • "inclusive_start_date": "string",
  • "exclusive_end_date": "string",
  • "config": null,
  • "claims_file": null,
  • "status": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "module_name": "string",
  • "consumes": "string",
  • "output_bucket": "string",
  • "output_key": "string",
  • "description": "string",
  • "exchange_type": "string",
  • "plan_ids": [
    ],
  • "plan_filters": null,
  • "cron_schedule": "string",
  • "sftp_delivery_target_id": 0,
  • "ftps_delivery_target_id": 0,
  • "email_delivery_target_id": 0,
  • "s3_delivery_target_id": 0,
  • "effective_date": "string",
  • "termination_date": "string",
  • "min_data_date": "string",
  • "max_data_date": "string",
  • "allow_consumption": true,
  • "allow_delivery": true,
  • "override_output_key": true,
  • "inclusive_start_date": "string",
  • "exclusive_end_date": "string",
  • "config": null,
  • "claims_file": null,
  • "status": "string"
}

Data Report Consumed Dates

/data_report_consumed_dates/list

List Data Report Consumed Dates.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

data_report_id
required
integer <int32>
Array of objects (OrderBySchema_1744676533.0383189)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "data_report_id": 0,
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/data_report_consumed_dates/delete

Request Body schema: application/json
data_report_id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "data_report_id": 0
}

Response samples

Content type
application/json
{
  • "message": "string"
}

Data Report Consumed Id Sequence

/data_report_consumed_id_sequence/list

List Data Report Consumed Id Sequences.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

data_report_id
required
integer <int32>
Array of objects (OrderBySchema_1744676533.041721)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "data_report_id": 0,
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/data_report_consumed_id_sequence/delete

Request Body schema: application/json
data_report_id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "data_report_id": 0
}

Response samples

Content type
application/json
{
  • "message": "string"
}

Data Report Execution

/data_report_execution/get

Get a Data Report Execution.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "data_report_id": 0,
  • "client_id": "string",
  • "output_key": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "report_started_at": "string",
  • "report_ended_at": "string",
  • "status": "string",
  • "message": "string",
  • "error_message": "string",
  • "event": null,
  • "config": null,
  • "report_consumes": "string",
  • "min_consumed_id": 0,
  • "max_consumed_id": 0,
  • "min_consumed_date": "string",
  • "max_consumed_date": "string",
  • "raw_sql": "string",
  • "total_seconds_runtime": 0,
  • "total_rows_count": 0,
  • "total_files_uploaded": 0,
  • "output_files": null,
  • "type": "manual",
  • "created_by": "string",
  • "review_status": "in_review",
  • "review_message": "string",
  • "reviewed_by": "string",
  • "reviewed_at": "string"
}

/data_report_execution/list

List Data Report Executions.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
data_report_id
integer <int32>
exchange_type
string
config
any
has_delivery_target
boolean
has_cron_schedule
boolean
created_at
string <ArrowDateTime>
updated_at
string <ArrowDateTime>
data_report_output_key
string
status
string
review_status
string
Enum: "in_review" "resolved" "open"
type
string
Enum: "manual" "scheduled"
plan_ids
Array of integers or null <int32>
Array of objects or null (DataReportExecutionOrderBySchema_1744676533.0471015)
created_by
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "data_report_id": 0,
  • "exchange_type": "string",
  • "config": null,
  • "has_delivery_target": true,
  • "has_cron_schedule": true,
  • "created_at": "string",
  • "updated_at": "string",
  • "data_report_output_key": "string",
  • "status": "string",
  • "review_status": "in_review",
  • "type": "manual",
  • "plan_ids": [
    ],
  • "order_by": [
    ],
  • "created_by": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/data_report_execution/update

Update a Data Report Execution.

Request Body schema: application/json
id
required
integer <int32>
review_status
string
Enum: "in_review" "resolved" "open"
review_message
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "review_status": "in_review",
  • "review_message": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "data_report_id": 0,
  • "client_id": "string",
  • "output_key": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "report_started_at": "string",
  • "report_ended_at": "string",
  • "status": "string",
  • "message": "string",
  • "error_message": "string",
  • "event": null,
  • "config": null,
  • "report_consumes": "string",
  • "min_consumed_id": 0,
  • "max_consumed_id": 0,
  • "min_consumed_date": "string",
  • "max_consumed_date": "string",
  • "raw_sql": "string",
  • "total_seconds_runtime": 0,
  • "total_rows_count": 0,
  • "total_files_uploaded": 0,
  • "output_files": null,
  • "type": "manual",
  • "created_by": "string",
  • "review_status": "in_review",
  • "review_message": "string",
  • "reviewed_by": "string",
  • "reviewed_at": "string"
}

/data_report_execution/url_for_download

Request Body schema: application/json
data_report_execution_id
required
integer <int32>
bucket
required
string
key
required
string

Responses

Request samples

Content type
application/json
{
  • "data_report_execution_id": 0,
  • "bucket": "string",
  • "key": "string"
}

Response samples

Content type
application/json
{
  • "url": "string"
}

Data Report Module

/data_report_module/get

Get a Data Report Module.

Request Body schema: application/json
id
integer or null <int32>
name
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "name": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "name": "string",
  • "description": "string",
  • "consumes": "dates",
  • "supported_options": [
    ],
  • "supported_attributes": null,
  • "supported_fields": null,
  • "supported_functions": null,
  • "supported_report_info": null,
  • "supported_operators": null
}

/data_report_module/list

List Data Report Modules.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
name
string or null
description
string or null
consumes
string or null
Enum: "dates" "ids"
supported_options
Array of strings or null
Array of objects or null (OrderBySchema_1744676533.0540586)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "name": "string",
  • "description": "string",
  • "consumes": "dates",
  • "supported_options": [
    ],
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": 0
}

Delivery File

/delivery_file/deliver

Request Body schema: application/json
rn
string or null
source_bucket
required
string

S3 bucket containing file to be delivered. Sample: sftp-cap-rx-com

source_key
required
string

S3 key for file to be delivered. Sample: vendor/outbound/some_file.txt

protocol
required
string
Enum: "email" "ftps" "sftp" "s3"
target_id
required
integer <int32>

ID of target to send file. This field is used together with protocol to find proper delivery target

encrypted
required
boolean

True if file already encrypted to ignore target settings. Otherwise False to encrypt or not based on target configuration

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "source_bucket": "string",
  • "source_key": "string",
  • "protocol": "email",
  • "target_id": 0,
  • "encrypted": true
}

Response samples

Content type
application/json
{
  • "message": "string"
}

Discount Card

/discount_card/get_pricing

Request Body schema: application/json
ndc
required
string
service_provider_id
required
string
days_supply
required
number
quantity_dispensed
required
number
group_number
string or null

Responses

Request samples

Content type
application/json
{
  • "ndc": "string",
  • "service_provider_id": "string",
  • "days_supply": 0,
  • "quantity_dispensed": 0,
  • "group_number": "string"
}

Response samples

Content type
application/json
{
  • "patient_pay_amount": 0
}

/discount_card/member_create

Request Body schema: application/json
gender
required
string
Enum: "M" "F"

Must be 'M' or 'F'

first_name
required
string
last_name
required
string
date_of_birth
required
string <ArrowDateTime>
external_member_id
string or null
group_number
string or null

Responses

Request samples

Content type
application/json
{
  • "gender": "M",
  • "first_name": "string",
  • "last_name": "string",
  • "date_of_birth": "string",
  • "external_member_id": "string",
  • "group_number": "string"
}

Response samples

Content type
application/json
{
  • "member": {
    },
  • "plan": {
    }
}

Document

/document/attach

Request Body schema: application/json
id
integer <int32>
rn
string or null <SanitizedString>
documents
required
Array of integers <int32> [ items <int32 > ]
coverage_strategy_id
string or null <SanitizedString>
plan_id
integer or null <int32>
destination
string
Enum: "member_portal" "enrollment"
order
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "documents": [
    ],
  • "coverage_strategy_id": "string",
  • "plan_id": 0,
  • "destination": "member_portal",
  • "order": 0
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/document/create

Create a Document.

Request Body schema: application/json
id
integer <int32>
rn
string or null <SanitizedString>
file_name
required
string <SanitizedString>
name
required
string <SanitizedString>
description
required
string <SanitizedString>
created_at
string or null <SanitizedString>
updated_at
string or null <SanitizedString>
bucket
string <SanitizedString>
prefix
string <SanitizedString>
key
string <SanitizedString>
object or null
destination
string or null
order
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "file_name": "string",
  • "name": "string",
  • "description": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "bucket": "string",
  • "prefix": "string",
  • "key": "string",
  • "post": {
    },
  • "destination": "string",
  • "order": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "file_name": "string",
  • "name": "string",
  • "description": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "bucket": "string",
  • "prefix": "string",
  • "key": "string",
  • "post": {
    },
  • "destination": "string",
  • "order": 0
}

/document/detach

Request Body schema: application/json
id
integer <int32>
rn
string or null <SanitizedString>
documents
required
Array of integers <int32> [ items <int32 > ]
coverage_strategy_id
string or null <SanitizedString>
plan_id
integer or null <int32>
destination
string
Enum: "member_portal" "enrollment"
order
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "documents": [
    ],
  • "coverage_strategy_id": "string",
  • "plan_id": 0,
  • "destination": "member_portal",
  • "order": 0
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/document/list

List Documents.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The number of results per page.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
plan_id
integer or null <int32>
coverage_strategy_id
string or null <SanitizedString>
client_id
string or null <SanitizedString>
destination
string or null
Enum: "member_portal" "enrollment"
Array of objects or null (OrderBySchema_1744676533.0705843)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "plan_id": 0,
  • "coverage_strategy_id": "string",
  • "client_id": "string",
  • "destination": "member_portal",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/document/update

Update a Document.

Request Body schema: application/json
id
required
integer <int32>
name
string <SanitizedString>
description
string <SanitizedString>
file_name
string <SanitizedString>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "name": "string",
  • "description": "string",
  • "file_name": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "file_name": "string",
  • "name": "string",
  • "description": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "bucket": "string",
  • "prefix": "string",
  • "key": "string",
  • "post": {
    },
  • "destination": "string",
  • "order": 0
}

/document/url_for_download

Request Body schema: application/json
id
required
integer <int32>
user_target
string or null
Enum: "download" "view"

The desired end user action

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "user_target": "download"
}

Response samples

Content type
application/json
{
  • "url": "string"
}

/document/url_for_upload

Request Body schema: application/json
id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "file_name": "string",
  • "name": "string",
  • "description": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "bucket": "string",
  • "prefix": "string",
  • "key": "string",
  • "post": {
    },
  • "destination": "string",
  • "order": 0
}

/document/set_order

Request Body schema: application/json
document_id
required
integer <int32>
plan_id
required
integer <int32>
destination
required
string
Enum: "enrollment" "member_portal"
new_order
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "document_id": 0,
  • "plan_id": 0,
  • "destination": "enrollment",
  • "new_order": 0
}

Response samples

Content type
application/json
{ }

Drug Coverage

/drug_coverage/eligibility_status

Request Body schema: application/json
coverage_strategy_id
required
string or null

Final plan benefit code

date_of_service
required
string or null <ArrowDateTime>

Date of service

client_id
string or null

The client ID is an external-facing identifier used on eligibility feeds and other information to tie the data to this specific plan.

drug_descriptor_id
string or null

The Drug Descriptor Identifier from Medi-Span

ndc
string or null

NDC of the product

benefit_reset_date
string or null <ArrowDateTime>

Group accumulations/benefit reset date

package_size
number

Size of mddb generic product pack

Responses

Request samples

Content type
application/json
{
  • "coverage_strategy_id": "string",
  • "date_of_service": "string",
  • "client_id": "string",
  • "drug_descriptor_id": "string",
  • "ndc": "string",
  • "benefit_reset_date": "string",
  • "package_size": 0
}

Response samples

Content type
application/json
{
  • "ndc": "string",
  • "coverage_status": "string",
  • "awp_price": 0,
  • "is_on_formulary": true,
  • "package_size": 0,
  • "tee_code": "string",
  • "formulary_attributes": { }
}

Drug Management Program Lockin

/drug_management_program_lockin/create

Create a Drug Management Program Lockin.

Request Body schema: application/json
client_id
required
string
external_member_id
required
string

The external member ID of the member.

external_lockin_id
integer or null <int32>
exempt_gpis
Array of strings or null
person_code
required
string

The person code of the member.

drug_management_program_lockin_id
integer or null <int32>
start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
pharmacy_lockin_level
string or null
prescriber_npi
string or null
prescriber_lockin_level
string or null
pharmacy_nabp
integer or null <int32>

NABP Pharmacy ID

allowed_gpis
Array of strings or null
disallowed_gpis
Array of strings or null
custom_drug_limits
Array of any or null
external_group_id
string or null
external_account_id
string or null

Responses

Request samples

Content type
application/json
{
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

/drug_management_program_lockin/v2/create

Request Body schema: application/json
client_id
required
string
external_member_id
required
string

The external member ID of the member.

external_lockin_id
integer or null <int32>
exempt_gpis
Array of strings or null
person_code
required
string

The person code of the member.

drug_management_program_lockin_id
integer or null <int32>
start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
pharmacy_lockin_level
string or null
prescriber_npi
string or null
prescriber_lockin_level
string or null
pharmacy_nabp
integer or null <int32>

NABP Pharmacy ID

allowed_gpis
Array of strings or null
disallowed_gpis
Array of strings or null
custom_drug_limits
Array of any or null
external_group_id
required
string or null
external_account_id
required
string or null

Responses

Request samples

Content type
application/json
{
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

/drug_management_program_lockin/get

Get a Drug Management Program Lockin.

Request Body schema: application/json
id
required
integer <int32>
client_id
string
external_member_id
string

The external member ID of the member.

external_lockin_id
integer or null <int32>
exempt_gpis
Array of strings or null
person_code
string

The person code of the member.

drug_management_program_lockin_id
integer or null <int32>
start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
pharmacy_lockin_level
string or null
prescriber_npi
string or null
prescriber_lockin_level
string or null
pharmacy_nabp
integer or null <int32>

NABP Pharmacy ID

allowed_gpis
Array of strings or null
disallowed_gpis
Array of strings or null
custom_drug_limits
Array of any or null
external_group_id
string or null
external_account_id
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

/drug_management_program_lockin/list

List Drug Management Program Lockins.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

client_id
required
string
external_member_id
required
string
person_code
required
string
only_current
boolean or null
Array of objects or null (OrderBySchema_1744676533.0870073)
external_group_id
string or null
external_account_id
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "only_current": true,
  • "order_by": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/drug_management_program_lockin/v2/list

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

client_id
required
string
external_member_id
required
string
person_code
required
string
only_current
boolean or null
Array of objects or null (OrderBySchema_1744676533.0870073)
external_group_id
required
string or null
external_account_id
required
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "client_id": "string",
  • "external_member_id": "string",
  • "person_code": "string",
  • "only_current": true,
  • "order_by": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/drug_management_program_lockin/update

Update a Drug Management Program Lockin.

Request Body schema: application/json
id
required
integer <int32>

The ID of the lockin to update.

client_id
string
external_member_id
string

The external member ID of the member.

external_lockin_id
integer or null <int32>
exempt_gpis
Array of strings or null
person_code
string

The person code of the member.

drug_management_program_lockin_id
integer or null <int32>
start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
pharmacy_lockin_level
string or null
prescriber_npi
string or null
prescriber_lockin_level
string or null
pharmacy_nabp
integer or null <int32>

NABP Pharmacy ID

allowed_gpis
Array of strings or null
disallowed_gpis
Array of strings or null
custom_drug_limits
Array of any or null
external_group_id
string or null
external_account_id
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

/drug_management_program_lockin/v2/update

Request Body schema: application/json
id
required
integer <int32>

The ID of the lockin to update.

client_id
string
external_member_id
string

The external member ID of the member.

external_lockin_id
integer or null <int32>
exempt_gpis
Array of strings or null
person_code
string

The person code of the member.

drug_management_program_lockin_id
integer or null <int32>
start_date
string or null <ArrowDateTime>
end_date
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
pharmacy_lockin_level
string or null
prescriber_npi
string or null
prescriber_lockin_level
string or null
pharmacy_nabp
integer or null <int32>

NABP Pharmacy ID

allowed_gpis
Array of strings or null
disallowed_gpis
Array of strings or null
custom_drug_limits
Array of any or null
external_group_id
required
string or null
external_account_id
required
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "client_id": "string",
  • "external_member_id": "string",
  • "external_lockin_id": 0,
  • "exempt_gpis": [
    ],
  • "person_code": "string",
  • "drug_management_program_lockin_id": 0,
  • "start_date": "string",
  • "end_date": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "pharmacy_lockin_level": "string",
  • "prescriber_npi": "string",
  • "prescriber_lockin_level": "string",
  • "pharmacy_nabp": 0,
  • "allowed_gpis": [
    ],
  • "disallowed_gpis": [
    ],
  • "custom_drug_limits": [
    ],
  • "external_group_id": "string",
  • "external_account_id": "string"
}

Drug List

/drug_list/list

List Drug Lists.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

external_drug_list_ids
Array of strings or null
id
integer <int32>
name
string or null

Name of the drug list

drug_identifier
string or null

Search the list that contains a drug_record with the provided identifier

ids
Array of integers or null <int32>
excluded_drug_list_ids
Array of integers or null <int32>
Array of objects or null (OrderBySchema_1744676533.0984926)
plan_benefit_id
integer <int32>
external_drug_list_id
string or null
plan_benefit_attachable_drug_lists_only
boolean or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "external_drug_list_ids": [
    ],
  • "id": 0,
  • "name": "string",
  • "drug_identifier": "string",
  • "ids": [
    ],
  • "excluded_drug_list_ids": [
    ],
  • "order_by": [
    ],
  • "plan_benefit_id": 0,
  • "external_drug_list_id": "string",
  • "plan_benefit_attachable_drug_lists_only": true
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/drug_list/attribute_list

Request Body schema: application/json
drug_list_id
integer <int32>
attributes
Array of strings
drug_list_record_id
integer or null <int32>
attribute_keys
Array of strings
attribute_values
Array of strings
Array of objects or null (OrderBySchema_1744676533.1011195)

Responses

Request samples

Content type
application/json
{
  • "drug_list_id": 0,
  • "attributes": [
    ],
  • "drug_list_record_id": 0,
  • "attribute_keys": [
    ],
  • "attribute_values": [
    ],
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "attributes": [
    ]
}

Drug List Record

/drug_list_record/list

List Drug List Records.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

drug_list_id
integer <int32>
attributes
Array of strings or null
show_latest_versions_only
boolean or null
Array of objects or null (OrderBySchema_1744676533.1011195)
identifier
string
identifier_type
string
minimum_effective_date
string or null <ArrowDateTime>
maximum_effective_date
string or null <ArrowDateTime>
minimum_termination_date
string or null <ArrowDateTime>
maximum_termination_date
string or null <ArrowDateTime>
minimum_start_date
string or null <ArrowDateTime>
maximum_start_date
string or null <ArrowDateTime>
minimum_end_date
string or null <ArrowDateTime>
maximum_end_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "drug_list_id": 0,
  • "attributes": [
    ],
  • "show_latest_versions_only": true,
  • "order_by": [
    ],
  • "identifier": "string",
  • "identifier_type": "string",
  • "minimum_effective_date": "string",
  • "maximum_effective_date": "string",
  • "minimum_termination_date": "string",
  • "maximum_termination_date": "string",
  • "minimum_start_date": "string",
  • "maximum_start_date": "string",
  • "minimum_end_date": "string",
  • "maximum_end_date": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/drug_list_record/attribute_list

Request Body schema: application/json
drug_list_id
integer <int32>
attributes
Array of strings
drug_list_record_id
required
integer or null <int32>
attribute_keys
Array of strings
attribute_values
Array of strings
Array of objects or null (OrderBySchema_1744676533.1011195)

Responses

Request samples

Content type
application/json
{
  • "drug_list_id": 0,
  • "attributes": [
    ],
  • "drug_list_record_id": 0,
  • "attribute_keys": [
    ],
  • "attribute_values": [
    ],
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

Email Delivery Target

/email_delivery_target/create

Create an Email Delivery Target.

Request Body schema: application/json
rn
string or null
action
string or null
description
string or null
from_address
required
string
to_addresses
required
Array of strings
reply_to
required
string or null
subject
required
string or null
body_plain
required
string or null
body_html
required
string or null
encryption_setting_id
integer or null <int32>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "action": "string",
  • "description": "string",
  • "from_address": "string",
  • "to_addresses": [
    ],
  • "reply_to": "string",
  • "subject": "string",
  • "body_plain": "string",
  • "body_html": "string",
  • "encryption_setting_id": 0,
  • "effective_date": "string",
  • "termination_date": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "action": "string",
  • "description": "string",
  • "from_address": "string",
  • "to_addresses": [
    ],
  • "reply_to": "string",
  • "subject": "string",
  • "body_plain": "string",
  • "body_html": "string",
  • "encryption_setting_id": 0,
  • "effective_date": "string",
  • "termination_date": "string"
}

/email_delivery_target/get

Get an Email Delivery Target.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "action": "string",
  • "description": "string",
  • "from_address": "string",
  • "to_addresses": [
    ],
  • "reply_to": "string",
  • "subject": "string",
  • "body_plain": "string",
  • "body_html": "string",
  • "encryption_setting_id": 0,
  • "effective_date": "string",
  • "termination_date": "string"
}

/email_delivery_target/list

List Email Delivery Targets.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
description
string or null
subject
string or null
from_address
string or null
to_addresses
string or null
reply_to
string or null
effective_date
string or null <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676533.10982)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "description": "string",
  • "subject": "string",
  • "from_address": "string",
  • "to_addresses": "string",
  • "reply_to": "string",
  • "effective_date": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/email_delivery_target/update

Update an Email Delivery Target.

Request Body schema: application/json
id
integer <int32>
rn
string or null
action
string or null
description
string or null
from_address
string
to_addresses
Array of strings
reply_to
string or null
subject
string or null
body_plain
string or null
body_html
string or null
encryption_setting_id
integer or null <int32>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "action": "string",
  • "description": "string",
  • "from_address": "string",
  • "to_addresses": [
    ],
  • "reply_to": "string",
  • "subject": "string",
  • "body_plain": "string",
  • "body_html": "string",
  • "encryption_setting_id": 0,
  • "effective_date": "string",
  • "termination_date": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "action": "string",
  • "description": "string",
  • "from_address": "string",
  • "to_addresses": [
    ],
  • "reply_to": "string",
  • "subject": "string",
  • "body_plain": "string",
  • "body_html": "string",
  • "encryption_setting_id": 0,
  • "effective_date": "string",
  • "termination_date": "string"
}

Eligibility Configuration

/eligibility_configuration/create

Create an Eligibility Configuration.

Request Body schema: application/json
rn
string or null
parser_name
required
string
description
string or null
config
any or null
client_thresholds
any or null
eligibility_created_failure_threshold
integer or null <int32>
eligibility_tba_failure_threshold
integer or null <int32>
eligibility_updated_failure_threshold
integer or null <int32>
bucket_pattern
required
string
key_pattern
required
string
plan_ids
required
Array of integers or null <int32>
client_ids
Array of strings or null
status
string
Enum: "active" "inactive"
event_handler_type
required
string
Enum: "batch" "lambda"
event_handler_is_enabled
required
boolean
event_handler_effective_date
required
string or null <ArrowDateTime>
event_handler_termination_date
required
string or null <ArrowDateTime>
event_handler_is_group_eligibility
boolean

In conjunction with event_handler_is_member_flags_eligibility, determines which eligibility handler is used. When true, the group handler is used (overriding the value in event_handler_is_member_flags_eligibility). When both this and event_handler_is_member_flags_eligibility are either false or absent, the member eligibility handler is used.

event_handler_is_member_flags_eligibility
boolean

In conjunction with event_handler_is_group_eligibility, determines which eligibility handler is used. When this is true, and event_handler_is_group_eligibility is false or absent, the member-flags handler is used. When both this and event_handler_is_group_eligibility are either false or absent, the member eligibility handler is used.

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "client_thresholds": null,
  • "eligibility_created_failure_threshold": 0,
  • "eligibility_tba_failure_threshold": 0,
  • "eligibility_updated_failure_threshold": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "batch",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "event_handler_is_group_eligibility": true,
  • "event_handler_is_member_flags_eligibility": true
}

Response samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "client_thresholds": null,
  • "eligibility_created_failure_threshold": 0,
  • "eligibility_tba_failure_threshold": 0,
  • "eligibility_updated_failure_threshold": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "batch",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "event_handler_is_group_eligibility": true,
  • "event_handler_is_member_flags_eligibility": true
}

/eligibility_configuration/get

Get an Eligibility Configuration.

Request Body schema: application/json
parser_mapping_id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "parser_mapping_id": 0
}

Response samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "client_thresholds": null,
  • "eligibility_created_failure_threshold": 0,
  • "eligibility_tba_failure_threshold": 0,
  • "eligibility_updated_failure_threshold": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "batch",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "event_handler_is_group_eligibility": true,
  • "event_handler_is_member_flags_eligibility": true
}

/eligibility_configuration/list

List Eligibility Configurations.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

parser_mapping_id
integer or null <int32>
parser_name
string or null
bucket_pattern
string or null
key_pattern
string or null
plan_ids
Array of integers or null <int32>
client_ids
Array of strings or null
status
string
Enum: "active" "inactive"
description
string or null
event_handler_type
string or null
event_handler_is_enabled
boolean or null
event_handler_effective_date
string or null <ArrowDateTime>
event_handler_termination_date
string or null <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676533.1169858)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "description": "string",
  • "event_handler_type": "string",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/eligibility_configuration/run

Request Body schema: application/json
parser_mapping_id
integer or null <int32>
rn
string or null
inbound_bucket
required
string
inbound_key
required
string
commit_data
required
boolean
is_group_eligibility
boolean

In conjunction with is_member_flags_eligibility, determines which eligibility handler is used. When true, the group handler is used (overriding the value in is_member_flags_eligibility). When both this and is_member_flags_eligibility are either false or absent, the member eligibility handler is used.

is_member_flags_eligibility
boolean

In conjunction with is_group_eligibility, determines which eligibility handler is used. When this is true, and is_group_eligibility is false or absent, the member-flags handler is used. When both this and is_group_eligibility are either false or absent, the member eligibility handler is used.

override_report_status_folder
string
override_parser_mapping
string
override_parser_config
any or null
override_plans_mapping
Array of integers <int32> [ items <int32 > ]
override_event_handler_type
string
Enum: "lambda" "batch"

Responses

Request samples

Content type
application/json
{
  • "parser_mapping_id": 0,
  • "rn": "string",
  • "inbound_bucket": "string",
  • "inbound_key": "string",
  • "commit_data": true,
  • "is_group_eligibility": true,
  • "is_member_flags_eligibility": true,
  • "override_report_status_folder": "string",
  • "override_parser_mapping": "string",
  • "override_parser_config": null,
  • "override_plans_mapping": [
    ],
  • "override_event_handler_type": "lambda"
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/eligibility_configuration/update

Update an Eligibility Configuration.

Request Body schema: application/json
rn
string or null
parser_mapping_id
integer <int32>
parser_name
string
description
string or null
config
any or null
client_thresholds
any or null
eligibility_created_failure_threshold
integer or null <int32>
eligibility_tba_failure_threshold
integer or null <int32>
eligibility_updated_failure_threshold
integer or null <int32>
bucket_pattern
string
key_pattern
string
plan_ids
Array of integers or null <int32>
client_ids
Array of strings or null
status
string
Enum: "active" "inactive"
event_handler_type
required
string
Enum: "batch" "lambda"
event_handler_is_enabled
boolean
event_handler_effective_date
string or null <ArrowDateTime>
event_handler_termination_date
string or null <ArrowDateTime>
event_handler_is_group_eligibility
boolean

In conjunction with event_handler_is_member_flags_eligibility, determines which eligibility handler is used. When true, the group handler is used (overriding the value in event_handler_is_member_flags_eligibility). When both this and event_handler_is_member_flags_eligibility are either false or absent, the member eligibility handler is used.

event_handler_is_member_flags_eligibility
boolean

In conjunction with event_handler_is_group_eligibility, determines which eligibility handler is used. When this is true, and event_handler_is_group_eligibility is false or absent, the member-flags handler is used. When both this and event_handler_is_group_eligibility are either false or absent, the member eligibility handler is used.

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "client_thresholds": null,
  • "eligibility_created_failure_threshold": 0,
  • "eligibility_tba_failure_threshold": 0,
  • "eligibility_updated_failure_threshold": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "batch",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "event_handler_is_group_eligibility": true,
  • "event_handler_is_member_flags_eligibility": true
}

Response samples

Content type
application/json
{
  • "rn": "string",
  • "parser_mapping_id": 0,
  • "parser_name": "string",
  • "description": "string",
  • "config": null,
  • "client_thresholds": null,
  • "eligibility_created_failure_threshold": 0,
  • "eligibility_tba_failure_threshold": 0,
  • "eligibility_updated_failure_threshold": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "plan_ids": [
    ],
  • "client_ids": [
    ],
  • "status": "active",
  • "event_handler_type": "batch",
  • "event_handler_is_enabled": true,
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string",
  • "event_handler_is_group_eligibility": true,
  • "event_handler_is_member_flags_eligibility": true
}

Eligibility Status

/eligibility_status/get

Get an Eligibility Status.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "updated_at": "string",
  • "bucket": "string",
  • "key": "string",
  • "status": "string",
  • "status_key_txt": "string",
  • "status_key_csv": "string",
  • "file_eligibility_parser_mapping_id": 0,
  • "file_plan_mapping_id": 0,
  • "parser": "string",
  • "client_ids": [
    ],
  • "data": null,
  • "config": "string",
  • "event": "string",
  • "error_message": "string",
  • "rn": "string",
  • "review_status": "in_review",
  • "review_message": "string",
  • "reviewed_by": "string",
  • "reviewed_at": "string"
}

/eligibility_status/list

List Eligibility Statuses.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

parser_mapping_id
integer or null <int32>
search
string or null
status
string or null
Array of objects or null (OrderBySchema_1744676533.1245234)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "parser_mapping_id": 0,
  • "search": "string",
  • "status": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/eligibility_status/update

Update an Eligibility Status.

Request Body schema: application/json
id
required
integer or null <int32>
review_status
string
Enum: "in_review" "resolved" "open"
review_message
string or null

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "review_status": "in_review",
  • "review_message": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "updated_at": "string",
  • "bucket": "string",
  • "key": "string",
  • "status": "string",
  • "status_key_txt": "string",
  • "status_key_csv": "string",
  • "file_eligibility_parser_mapping_id": 0,
  • "file_plan_mapping_id": 0,
  • "parser": "string",
  • "client_ids": [
    ],
  • "data": null,
  • "config": "string",
  • "event": "string",
  • "error_message": "string",
  • "rn": "string",
  • "review_status": "in_review",
  • "review_message": "string",
  • "reviewed_by": "string",
  • "reviewed_at": "string"
}

Accumulation Status

/accumulation_status/get

Get an Accumulation Status.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "updated_at": "string",
  • "bucket": "string",
  • "key": "string",
  • "status": "string",
  • "status_key_txt": "string",
  • "status_key_csv": "string",
  • "file_accumulation_parser_mapping_id": 0,
  • "file_plan_mapping_id": 0,
  • "parser": "string",
  • "client_ids": [
    ],
  • "data": null,
  • "config": "string",
  • "event": "string",
  • "error_message": "string",
  • "rn": "string",
  • "review_status": "in_review",
  • "review_message": "string",
  • "reviewed_by": "string",
  • "reviewed_at": "string",
  • "created_at": "string",
  • "created_by": "string",
  • "trigger_type": "string",
  • "manual_note": "string"
}

/accumulation_status/list

List Accumulation Statuses.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

parser_mapping_id
integer or null <int32>
search
string or null
status
string or null
Array of objects or null (OrderBySchema_1744676533.1300118)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "parser_mapping_id": 0,
  • "search": "string",
  • "status": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/accumulation_status/update

Updates the Accumulation Status to reflect manual reviews.

Request Body schema: application/json
id
required
integer or null <int32>
review_status
string
Enum: "in_review" "resolved" "open"

The condition of the status with regards to the review process

review_message
string or null

A message from the reviewer

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "review_status": "in_review",
  • "review_message": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "updated_at": "string",
  • "bucket": "string",
  • "key": "string",
  • "status": "string",
  • "status_key_txt": "string",
  • "status_key_csv": "string",
  • "file_accumulation_parser_mapping_id": 0,
  • "file_plan_mapping_id": 0,
  • "parser": "string",
  • "client_ids": [
    ],
  • "data": null,
  • "config": "string",
  • "event": "string",
  • "error_message": "string",
  • "rn": "string",
  • "review_status": "in_review",
  • "review_message": "string",
  • "reviewed_by": "string",
  • "reviewed_at": "string",
  • "created_at": "string",
  • "created_by": "string",
  • "trigger_type": "string",
  • "manual_note": "string"
}

Encounter File

/encounter_file/delete

Request Body schema: application/json
ids
required
Array of numbers

Encounter file IDs

Responses

Request samples

Content type
application/json
{
  • "ids": [
    ]
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/encounter_file/get

Get an Encounter File.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "batch_number": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "status": "string",
  • "output_bucket": "string",
  • "output_key": "string",
  • "rx_fa_response_bucket": "string",
  • "rx_fa_response_key": "string",
  • "rx_fa_status": null,
  • "rx_ta_response_bucket": "string",
  • "rx_ta_response_key": "string",
  • "rx_ca_response_bucket": "string",
  • "rx_ca_response_key": "string",
  • "deleted_by": "string",
  • "deleted_at": "string"
}

/encounter_file/list

List Encounter Files.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
batch_number
string or null
created_at
string or null <ArrowDateTime>
updated_at
string or null <ArrowDateTime>
status
string or null
output_bucket
string or null
output_key
string or null
rx_fa_response_bucket
string or null
rx_fa_response_key
string or null
rx_fa_status
any
rx_ta_response_bucket
string or null
rx_ta_response_key
string or null
rx_ca_response_bucket
string or null
rx_ca_response_key
string or null
deleted_by
string or null
deleted_at
string or null <ArrowDateTime>
hide_deleted_files
boolean or null
Array of objects or null (OrderBySchema_1744676533.1377997)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "batch_number": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "status": "string",
  • "output_bucket": "string",
  • "output_key": "string",
  • "rx_fa_response_bucket": "string",
  • "rx_fa_response_key": "string",
  • "rx_fa_status": null,
  • "rx_ta_response_bucket": "string",
  • "rx_ta_response_key": "string",
  • "rx_ca_response_bucket": "string",
  • "rx_ca_response_key": "string",
  • "deleted_by": "string",
  • "deleted_at": "string",
  • "hide_deleted_files": true,
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

Encounter File Record

/encounter_file_record/get

Get an Encounter File Record.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "encounter_file_id": 0,
  • "claim_id": 0,
  • "line_number": 0,
  • "created_at": "string",
  • "updated_at": "string",
  • "rx_ta_status": null,
  • "rx_ca_status": null,
  • "status": "string",
  • "batch_number": "string",
  • "output_bucket": "string",
  • "output_key": "string",
  • "rx_fa_response_bucket": "string",
  • "rx_fa_response_key": "string",
  • "rx_fa_status": null,
  • "rx_ta_response_bucket": "string",
  • "rx_ta_response_key": "string",
  • "rx_ca_response_bucket": "string",
  • "rx_ca_response_key": "string",
  • "deleted_by": "string",
  • "deleted_at": "string",
  • "encounter_file_created_at": "string",
  • "encounter_file_updated_at": "string",
  • "encounter_file_status": "string"
}

/encounter_file_record/list

List Encounter File Records.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
encounter_file_id
integer or null <int32>
claim_id
integer or null <int32>
line_number
integer or null <int32>
created_at
string or null <ArrowDateTime>
updated_at
string or null <ArrowDateTime>
rx_ta_status
any
rx_ca_status
any
status
string or null
Array of objects or null (OrderBySchema_1744676533.142759)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "encounter_file_id": 0,
  • "claim_id": 0,
  • "line_number": 0,
  • "created_at": "string",
  • "updated_at": "string",
  • "rx_ta_status": null,
  • "rx_ca_status": null,
  • "status": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

Encounter File Record Detail

/encounter_file_record_detail/get

Get an Encounter File Record Detail.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "encounter_file_record_id": 0,
  • "record_type": "string",
  • "submitter_id": "string",
  • "batch_number": "string",
  • "status": "string",
  • "field_number": "string",
  • "field_name": "string",
  • "value_submitted": "string",
  • "reject_number": "string",
  • "error_description": "string",
  • "error_type": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "encounter_file_id": 0,
  • "claim_id": 0,
  • "line_number": 0,
  • "rx_ta_status": null,
  • "rx_ca_status": null,
  • "output_bucket": "string",
  • "output_key": "string",
  • "rx_fa_response_bucket": "string",
  • "rx_fa_response_key": "string",
  • "rx_fa_status": null,
  • "rx_ta_response_bucket": "string",
  • "rx_ta_response_key": "string",
  • "rx_ca_response_bucket": "string",
  • "rx_ca_response_key": "string",
  • "deleted_by": "string",
  • "deleted_at": "string",
  • "encounter_file_record_created_at": "string",
  • "encounter_file_record_updated_at": "string",
  • "encounter_file_record_status": "string",
  • "encounter_file_created_at": "string",
  • "encounter_file_updated_at": "string",
  • "encounter_file_status": "string"
}

/encounter_file_record_detail/list

List Encounter File Record Details.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
encounter_file_id
integer or null <int32>
encounter_file_batch_number
string or null
encounter_file_record_id
integer or null <int32>
encounter_file_record_status
string or null
record_type
string or null
submitter_id
string or null
status
string or null
field_number
string or null
field_name
string or null
value_submitted
string or null
reject_number
string or null
error_description
string or null
error_type
string or null
created_at
string or null <ArrowDateTime>
updated_at
string or null <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676533.1473544)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "encounter_file_id": 0,
  • "encounter_file_batch_number": "string",
  • "encounter_file_record_id": 0,
  • "encounter_file_record_status": "string",
  • "record_type": "string",
  • "submitter_id": "string",
  • "status": "string",
  • "field_number": "string",
  • "field_name": "string",
  • "value_submitted": "string",
  • "reject_number": "string",
  • "error_description": "string",
  • "error_type": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "result_count": "string",
  • "results": [
    ]
}

Encryption Setting

/encryption_setting/create

Create an Encryption Setting.

Request Body schema: application/json
type
string or null
vendor_name
string or null
bucket_pattern
string or null
key_pattern
string or null
public_key
string or null
private_key
string or null
passphrase
string or null
signature_public_key
string or null
signature_private_key
string or null
signature_passphrase
string or null
description
string or null
rn
string or null
event_handler_effective_date
string or null <ArrowDateTime>
event_handler_termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "type": "string",
  • "vendor_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "public_key": "string",
  • "private_key": "string",
  • "passphrase": "string",
  • "signature_public_key": "string",
  • "signature_private_key": "string",
  • "signature_passphrase": "string",
  • "description": "string",
  • "rn": "string",
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "type": "string",
  • "vendor_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "public_key": "string",
  • "private_key": "string",
  • "passphrase": "string",
  • "signature_public_key": "string",
  • "signature_private_key": "string",
  • "signature_passphrase": "string",
  • "description": "string",
  • "rn": "string",
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

/encryption_setting/generate_keypairs

Request Body schema: application/json
encryption_setting_id
required
integer <int32>
actions
Array of strings or null or null

List of actions, currently keygen-generate and signature-keygen-generate

Responses

Request samples

Content type
application/json
{
  • "encryption_setting_id": 0,
  • "actions": [
    ]
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/encryption_setting/get

Get an Encryption Setting.

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "type": "string",
  • "vendor_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "public_key": "string",
  • "private_key": "string",
  • "passphrase": "string",
  • "signature_public_key": "string",
  • "signature_private_key": "string",
  • "signature_passphrase": "string",
  • "description": "string",
  • "rn": "string",
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

/encryption_setting/list

List Encryption Settings.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
type
string or null
vendor_name
string or null
description
string or null
rn
string or null
Array of objects or null (OrderBySchema_1744676533.1534333)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "type": "string",
  • "vendor_name": "string",
  • "description": "string",
  • "rn": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/encryption_setting/run

Request Body schema: application/json
encryption_setting_id
required
integer <int32>
bucket
string or null
key
string or null

Responses

Request samples

Content type
application/json
{
  • "encryption_setting_id": 0,
  • "bucket": "string",
  • "key": "string"
}

Response samples

Content type
application/json
{
  • "message": "string"
}

/encryption_setting/update

Update an Encryption Setting.

Request Body schema: application/json
id
required
integer or null <int32>
type
string or null
vendor_name
string or null
bucket_pattern
string or null
key_pattern
string or null
public_key
string or null
private_key
string or null
passphrase
string or null
signature_public_key
string or null
signature_private_key
string or null
signature_passphrase
string or null
description
string or null
rn
string or null
event_handler_effective_date
string or null <ArrowDateTime>
event_handler_termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "type": "string",
  • "vendor_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "public_key": "string",
  • "private_key": "string",
  • "passphrase": "string",
  • "signature_public_key": "string",
  • "signature_private_key": "string",
  • "signature_passphrase": "string",
  • "description": "string",
  • "rn": "string",
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "type": "string",
  • "vendor_name": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "public_key": "string",
  • "private_key": "string",
  • "passphrase": "string",
  • "signature_public_key": "string",
  • "signature_private_key": "string",
  • "signature_passphrase": "string",
  • "description": "string",
  • "rn": "string",
  • "event_handler_effective_date": "string",
  • "event_handler_termination_date": "string"
}

Exchange Health

/exchange_health/list

List Exchange Healths.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

time_frame
string
date_from
string or null <ArrowDateTime>
date_to
string or null <ArrowDateTime>
client_ids
Array of strings
eligibility_status
Array of strings
data_reports_status
Array of strings
accumulations_status
Array of strings
Array of objects or null (ExchangeHealthOrderBySchema_1744676533.1586616)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "time_frame": "string",
  • "date_from": "string",
  • "date_to": "string",
  • "client_ids": [
    ],
  • "eligibility_status": [
    ],
  • "data_reports_status": [
    ],
  • "accumulations_status": [
    ],
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string",
  • "metadata": null
}

Expected File Event

/expected_file_event/create

Create an Expected File Event.

Request Body schema: application/json
rn
string or null
description
required
string or null
bucket_pattern
required
string
key_pattern
required
string
status
string
cron_pattern
required
string or null
lookback_time
string or null
created_at
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
email_delivery_target_ids
Array of integers <int32> [ items <int32 > ]

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "description": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "status": "string",
  • "cron_pattern": "string",
  • "lookback_time": "string",
  • "created_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "email_delivery_target_ids": [
    ]
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "description": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "status": "string",
  • "cron_pattern": "string",
  • "lookback_time": "string",
  • "created_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "email_delivery_target_ids": [
    ]
}

/expected_file_event/get

Get an Expected File Event.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "description": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "cron_pattern": "string",
  • "lookback_time": "string",
  • "created_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "updated_at": "string",
  • "email_delivery_target_ids": [
    ],
  • "status": "string"
}

/expected_file_event/list

List Expected File Events.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
description
string
bucket_pattern
string
key_pattern
string
cron_pattern
string or null
created_at
string <ArrowDateTime>
effective_date
string <ArrowDateTime>
termination_date
string <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676533.165295)
status
string
Enum: "active" "inactive"

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "description": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "cron_pattern": "string",
  • "created_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "order_by": [
    ],
  • "status": "active"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/expected_file_event/update

Update an Expected File Event.

Request Body schema: application/json
id
integer <int32>
rn
string or null
description
string or null
bucket_pattern
string
key_pattern
string
status
string
cron_pattern
string or null
lookback_time
string or null
created_at
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
email_delivery_target_ids
Array of integers <int32> [ items <int32 > ]

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "description": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "status": "string",
  • "cron_pattern": "string",
  • "lookback_time": "string",
  • "created_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "email_delivery_target_ids": [
    ]
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "description": "string",
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "status": "string",
  • "cron_pattern": "string",
  • "lookback_time": "string",
  • "created_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "email_delivery_target_ids": [
    ]
}

Fdb

/fdb/list

List Fdbs.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

drug_name
string or null

Drug name or part thereof.

ndc
string or null

NDC. Partial allowed.

Array of objects or null (OrderBySchema_1744676533.1685915)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "drug_name": "string",
  • "ndc": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/fdb/get

Get an FDB.

Request Body schema: application/json
ndc
string or null
date
string or null
object or null
object or null

Responses

Request samples

Content type
application/json
{
  • "ndc": "string",
  • "date": "string",
  • "fdb_ndc": {
    },
  • "fdb_gcn_seqno_link": {
    }
}

Response samples

Content type
application/json
{
  • "ndc": "string",
  • "date": "string",
  • "fdb_ndc": {
    },
  • "fdb_gcn_seqno_link": {
    }
}

File Delivery Status

/file_delivery_status/get

Get a File Delivery Status.

Request Body schema: application/json
id
number or null

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "status": "string",
  • "bucket": "string",
  • "key": "string",
  • "protocol": "string",
  • "target_id": 0,
  • "encrypted": "string",
  • "destination": "string",
  • "output_path": "string",
  • "source_app": "string",
  • "source_record": { },
  • "log_message": "string",
  • "error_message": "string",
  • "created_at": "string"
}

/file_delivery_status/list

List File Delivery Statuses.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

search
string or null

Search.

status
string or null

Status.

Array of objects or null (OrderBySchema_1744676533.1750207)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "search": "string",
  • "status": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

File Forwarding Email Delivery Target

/file_forwarding_email_delivery_target/create

Create a File Forwarding Email Delivery Target.

Request Body schema: application/json
rn
string
email_delivery_target_id
required
integer <int32>
bucket_pattern
required
string
key_pattern
required
string

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "email_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "email_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

/file_forwarding_email_delivery_target/get

Get a File Forwarding Email Delivery Target.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "email_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

/file_forwarding_email_delivery_target/list

List File Forwarding Email Delivery Targets.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
email_delivery_target_id
integer <int32>
bucket_pattern
string
key_pattern
string
Array of objects or null (FileForwardingEmailDeliveryTargetOrderBySchema_1744676533.1800828)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "email_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/file_forwarding_email_delivery_target/update

Update a File Forwarding Email Delivery Target.

Request Body schema: application/json
id
integer <int32>
rn
string
email_delivery_target_id
integer <int32>
bucket_pattern
string
key_pattern
string

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "email_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "email_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

File Forwarding S3 Delivery Target

/file_forwarding_s3_delivery_target/create

Create a File Forwarding S3 Delivery Target.

Request Body schema: application/json
s3_delivery_target_id
required
integer <int32>
bucket_pattern
required
string
key_pattern
required
string

Responses

Request samples

Content type
application/json
{
  • "s3_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "s3_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

/file_forwarding_s3_delivery_target/get

Get a File Forwarding S3 Delivery Target.

Request Body schema: application/json
id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "s3_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

/file_forwarding_s3_delivery_target/list

List File Forwarding S3 Delivery Targets.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
s3_delivery_target_id
integer <int32>
bucket_pattern
string
key_pattern
string
Array of objects or null (FileForwardingS3DeliveryTargetOrderBySchema_1744676533.1861486)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "s3_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/file_forwarding_s3_delivery_target/update

Update a File Forwarding S3 Delivery Target.

Request Body schema: application/json
id
required
integer <int32>
s3_delivery_target_id
integer <int32>
bucket_pattern
required
string
key_pattern
required
string

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "s3_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "s3_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

File Forwarding Sftp Delivery Target

/file_forwarding_sftp_delivery_target/create

Create a File Forwarding Sftp Delivery Target.

Request Body schema: application/json
rn
string
sftp_delivery_target_id
required
integer <int32>
bucket_pattern
required
string
key_pattern
required
string

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "sftp_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "sftp_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

/file_forwarding_sftp_delivery_target/get

Get a File Forwarding Sftp Delivery Target.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "sftp_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

/file_forwarding_sftp_delivery_target/list

List File Forwarding Sftp Delivery Targets.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
sftp_delivery_target_id
integer <int32>
bucket_pattern
string
key_pattern
string
Array of objects or null (FileForwardingSFTPDeliveryTargetOrderBySchema_1744676533.1918452)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "sftp_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/file_forwarding_sftp_delivery_target/update

Update a File Forwarding Sftp Delivery Target.

Request Body schema: application/json
id
integer <int32>
rn
string
sftp_delivery_target_id
integer <int32>
bucket_pattern
string
key_pattern
string

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "sftp_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "sftp_delivery_target_id": 0,
  • "bucket_pattern": "string",
  • "key_pattern": "string"
}

Financial Informational Reporting Transaction

/financial_informational_reporting_transaction/get

Get a Financial Informational Reporting Transaction.

Request Body schema: application/json
id
required
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "received_at": "string",
  • "finished_at": "string",
  • "source": "string",
  • "raw_request": "string",
  • "raw_response": "string",
  • "status": "string",
  • "bin_number": "string",
  • "request_transaction_code": "string",
  • "response_transaction_code": "string",
  • "version_release_number": "string",
  • "processor_control_number": "string",
  • "transaction_count": "string",
  • "accumulator_year": 0,
  • "transaction_identifier": "string",
  • "software_vendor_certification_id": "string",
  • "cardholder_id": "string",
  • "cms_part_d_contract_id": "string",
  • "medicare_part_d_plan_benefit_package": 0,
  • "group_id": "string",
  • "medicare_beneficiary_identifier": "string",
  • "contract_number": "string",
  • "plan_benefit_package_id": "string",
  • "date_of_birth": "string",
  • "patient_gender_code": "string",
  • "person_code": "string",
  • "datetime": "string",
  • "header_response_status": "string",
  • "message": "string",
  • "transaction_response_status": "string",
  • "authorization_number": "string",
  • "reject_code_1": "string",
  • "reject_code_2": "string",
  • "reject_code_3": "string",
  • "reject_code_4": "string",
  • "reject_code_5": "string",
  • "reject_count": "string",
  • "additional_message_information": "string",
  • "additional_message_count": 0,
  • "request_accumulator_month_count": 0,
  • "request_accumulator_month_1": 0,
  • "request_accumulator_month_2": 0,
  • "request_accumulator_month_3": 0,
  • "request_accumulator_month_4": 0,
  • "request_accumulator_month_5": 0,
  • "request_accumulator_month_6": 0,
  • "request_accumulator_month_7": 0,
  • "request_accumulator_month_8": 0,
  • "request_accumulator_month_9": 0,
  • "request_accumulator_month_10": 0,
  • "request_accumulator_month_11": 0,
  • "request_accumulator_month_12": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_1": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_2": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_3": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_4": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_5": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_6": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_7": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_8": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_9": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_10": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_11": 0,
  • "request_accumulated_patient_true_out_of_pocket_amount_12": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_1": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_2": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_3": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_4": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_5": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_6": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_7": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_8": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_9": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_10": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_11": 0,
  • "request_accumulated_gross_covered_drug_cost_amount_12": 0,
  • "response_accumulator_month_count": 0,
  • "response_accumulator_month_1": 0,
  • "response_accumulator_month_2": 0,
  • "response_accumulator_month_3": 0,
  • "response_accumulator_month_4": 0,
  • "response_accumulator_month_5": 0,
  • "response_accumulator_month_6": 0,
  • "response_accumulator_month_7": 0,
  • "response_accumulator_month_8": 0,
  • "response_accumulator_month_9": 0,
  • "response_accumulator_month_10": 0,
  • "response_accumulator_month_11": 0,
  • "response_accumulator_month_12": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_1": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_2": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_3": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_4": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_5": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_6": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_7": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_8": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_9": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_10": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_11": 0,
  • "response_accumulated_patient_true_out_of_pocket_amount_12": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_1": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_2": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_3": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_4": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_5": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_6": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_7": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_8": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_9": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_10": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_11": 0,
  • "response_accumulated_gross_covered_drug_cost_amount_12": 0,
  • "external_account_id": "string",
  • "external_group_id": "string",
  • "external_member_id": "string",
  • "client_id": "string",
  • "coverage_strategy_id": "string",
  • "plan_benefit_id": 0,
  • "member_effective_date": "string",
  • "member_termination_date": "string",
  • "member_start_date": "string",
  • "member_end_date": "string",
  • "true_out_of_pocket_before_adjudication": 0,
  • "gross_covered_drug_cost_before_adjudication": 0,
  • "additional_message_information_qualifier_1": "string",
  • "additional_message_information_continuity_1": "string",
  • "additional_message_information_1": "string",
  • "additional_message_information_qualifier_2": "string",
  • "additional_message_information_continuity_2": "string",
  • "additional_message_information_2": "string",
  • "additional_message_information_qualifier_3": "string",
  • "additional_message_information_continuity_3": "string",
  • "additional_message_information_3": "string",
  • "additional_message_information_qualifier_4": "string",
  • "additional_message_information_continuity_4": "string",
  • "additional_message_information_4": "string",
  • "additional_message_information_qualifier_5": "string",
  • "additional_message_information_continuity_5": "string",
  • "additional_message_information_5": "string",
  • "aws_region": "string",
  • "log_group_name": "string",
  • "log_stream_name": "string",
  • "aws_request_id": "string",
  • "rn": "string"
}

/financial_informational_reporting_transaction/list

List Financial Informational Reporting Transactions.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

Array of objects or null (OrderBySchema_1744676533.2002726)
id
integer <int32>
transaction_identifier
string or null
accumulator_year
integer or null <int32>
medicare_beneficiary_identifier
string or null
client_id
string or null
cardholder_id
string or null
status
string or null
external_member_id
string or null
source
string
transaction_response_status
string or null
received_at
string or null <ArrowDateTime>
response_transaction_code
string or null
reject_code
string or null
received_start_date
string or null <ArrowDateTime>
received_end_date
string or null <ArrowDateTime>
processor_control_number
string or null
bin_number
string or null
external_account_id
string or null
external_group_id
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "order_by": [
    ],
  • "id": 0,
  • "transaction_identifier": "string",
  • "accumulator_year": 0,
  • "medicare_beneficiary_identifier": "string",
  • "client_id": "string",
  • "cardholder_id": "string",
  • "status": "string",
  • "external_member_id": "string",
  • "source": "string",
  • "transaction_response_status": "string",
  • "received_at": "string",
  • "response_transaction_code": "string",
  • "reject_code": "string",
  • "received_start_date": "string",
  • "received_end_date": "string",
  • "processor_control_number": "string",
  • "bin_number": "string",
  • "external_account_id": "string",
  • "external_group_id": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/financial_informational_reporting_transaction/v2/list

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

Array of objects or null (OrderBySchema_1744676533.2002726)
id
integer <int32>
transaction_identifier
string or null
accumulator_year
integer or null <int32>
medicare_beneficiary_identifier
string or null
client_id
string or null
cardholder_id
string or null
status
string or null
external_member_id
string or null
source
string
transaction_response_status
string or null
received_at
string or null <ArrowDateTime>
response_transaction_code
string or null
reject_code
string or null
received_start_date
string or null <ArrowDateTime>
received_end_date
string or null <ArrowDateTime>
processor_control_number
string or null
bin_number
string or null
external_account_id
required
string or null
external_group_id
required
string or null

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "order_by": [
    ],
  • "id": 0,
  • "transaction_identifier": "string",
  • "accumulator_year": 0,
  • "medicare_beneficiary_identifier": "string",
  • "client_id": "string",
  • "cardholder_id": "string",
  • "status": "string",
  • "external_member_id": "string",
  • "source": "string",
  • "transaction_response_status": "string",
  • "received_at": "string",
  • "response_transaction_code": "string",
  • "reject_code": "string",
  • "received_start_date": "string",
  • "received_end_date": "string",
  • "processor_control_number": "string",
  • "bin_number": "string",
  • "external_account_id": "string",
  • "external_group_id": "string"
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

Fixed Width Spec

/fixed_width_spec/create

Create a Fixed Width Spec.

Request Body schema: application/json
rn
string or null
name
required
string or null
description
string or null
definitions
any or null
created_at
string or null <ArrowDateTime>
updated_at
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

/fixed_width_spec/get

Get a Fixed Width Spec.

Request Body schema: application/json
id
integer <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

/fixed_width_spec/get_from_file

Request Body schema: application/json
fixed_width_file
required
file

fixed-width file

Responses

Request samples

Content type
application/json
{
  • "fixed_width_file": null
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

/fixed_width_spec/parse

Request Body schema: application/json
id
required
integer or null <int32>
rn
string or null
input_bucket
required
string
input_key
required
string
output_bucket
required
string
output_key
required
string
delimiter
string

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "input_bucket": "string",
  • "input_key": "string",
  • "output_bucket": "string",
  • "output_key": "string",
  • "delimiter": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

/fixed_width_spec/list

List Fixed Width Specs.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer <int32>
name
string or null
description
string or null
created_at
string or null <ArrowDateTime>
updated_at
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>
Array of objects or null (OrderBySchema_1744676533.2133024)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "name": "string",
  • "description": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/fixed_width_spec/update

Update a Fixed Width Spec.

Request Body schema: application/json
id
integer <int32>
rn
string or null
name
string or null
description
string or null
definitions
any or null
created_at
string or null <ArrowDateTime>
updated_at
string or null <ArrowDateTime>
effective_date
string or null <ArrowDateTime>
termination_date
string or null <ArrowDateTime>

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "description": "string",
  • "definitions": null,
  • "created_at": "string",
  • "updated_at": "string",
  • "effective_date": "string",
  • "termination_date": "string"
}

/fixed_width_spec/url_for_download

Request Body schema: application/json
id
integer or null <int32>

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "url": "string"
}

Formulary

/formulary/create

Create a Formulary.

Request Body schema: application/json
rn
string or null
name
required
string or null

Formulary name.

lookup_tool_url
string or null

Formulary Lookup Tool URL.

type
string or null

Formulary type.

created_at
string or null

When the formulary was created.

updated_at
string or null

When the formulary was updated.

formulary_file_id
integer or null <int32>

The internal ID of the latest Formulary File for this Formulary.

identifier
string or null

Unique identifier for the formulary, aka external_formulary_id.

internal_formulary
boolean or null

Internal formularies are designed to work with the internal formulary tool.

internal_lookup_url
string or null

Internal formulary lookup URL.

step_therapy_id
integer or null <int32>

Step Therapy ID.

external_id
string or null

External ID allows you to do such things like cross-walk a formulary to a different system.

Responses

Request samples

Content type
application/json
{
  • "rn": "string",
  • "name": "string",
  • "lookup_tool_url": "string",
  • "type": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "formulary_file_id": 0,
  • "identifier": "string",
  • "internal_formulary": true,
  • "internal_lookup_url": "string",
  • "step_therapy_id": 0,
  • "external_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "lookup_tool_url": "string",
  • "type": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "formulary_file_id": 0,
  • "identifier": "string",
  • "internal_formulary": true,
  • "internal_lookup_url": "string",
  • "step_therapy_id": 0,
  • "external_id": "string"
}

/formulary/get

Get a Formulary.

Request Body schema: application/json
id
integer or null <int32>

The internal ID of the formulary. Cannot be set during create nor subsequently changed.

Responses

Request samples

Content type
application/json
{
  • "id": 0
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "lookup_tool_url": "string",
  • "type": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "formulary_file_id": 0,
  • "identifier": "string",
  • "internal_formulary": true,
  • "internal_lookup_url": "string",
  • "step_therapy_id": 0,
  • "external_id": "string"
}

/formulary/list

List Formularies.

Request Body schema: application/json
page_number
integer or null <int32>

The page of results you would like to get. For the first page, pass 1.

results_per_page
integer or null <int32>

The maximum number of results per page. Cannot be set higher than 1000.

expected_fields
Array of strings or null or null

The desired list of fields to be returned.

id
integer or null <int32>
name
string or null
Array of objects or null (OrderBySchema_1744676533.2206879)

Responses

Request samples

Content type
application/json
{
  • "page_number": 0,
  • "results_per_page": 0,
  • "expected_fields": [
    ],
  • "id": 0,
  • "name": "string",
  • "order_by": [
    ]
}

Response samples

Content type
application/json
{
  • "results": [
    ],
  • "result_count": "string"
}

/formulary/update

Update a Formulary.

Request Body schema: application/json
id
required
integer or null <int32>

The internal ID of the formulary. Cannot be set during create nor subsequently changed.

name
string or null

Formulary name.

lookup_tool_url
string or null

Formulary Lookup Tool URL.

type
string or null

Formulary type.

updated_at
string or null

When the formulary was updated.

identifier
string or null

Unique identifier for the formulary, aka external_formulary_id.

internal_formulary
boolean or null

Internal formularies are designed to work with the internal formulary tool.

internal_lookup_url
string or null

Internal formulary lookup URL.

step_therapy_id
integer or null <int32>

Step Therapy ID.

external_id
string or null

External ID allows you to do such things like cross-walk a formulary to a different system.

Responses

Request samples

Content type
application/json
{
  • "id": 0,
  • "name": "string",
  • "lookup_tool_url": "string",
  • "type": "string",
  • "updated_at": "string",
  • "identifier": "string",
  • "internal_formulary": true,
  • "internal_lookup_url": "string",
  • "step_therapy_id": 0,
  • "external_id": "string"
}

Response samples

Content type
application/json
{
  • "id": 0,
  • "rn": "string",
  • "name": "string",
  • "lookup_tool_url": "string",
  • "type": "string",
  • "created_at": "string",
  • "updated_at": "string",
  • "formulary_file_id": 0,
  • "identifier": "string",
  • "internal_formulary": true,
  • "internal_lookup_url": "string",
  • "step_therapy_id": 0,
  • "external_id": "string"
}

/formulary/representative_ndc

Request Body schema: application/json
formulary_id
required
integer or null <int32>

Formulary id used to grab in network representative ndc.

ndc
required
string or null
gpi
string or null
ndc_selection_method
string or null
Enum: "highest_utilization" "average_unit_price" "highest_unit_price"

Method to use to find representative ndc. Defaults to highest_unit_price.

ndc_selection_method_used
string or null
Enum: "highest_utilization" "average_unit_price" "highest_unit_price_nadac" "highest_unit_price_mddb"

Method used to find representative ndc. If highest_utilization is submitted and no utilization is found. Will fallback to average_unit_price by AWP

Responses

Request samples

Content type
application/json
{
  • "formulary_id": 0,
  • "ndc": "string",
  • "gpi": "string",
  • "ndc_selection_method": "highest_utilization",
  • "ndc_selection_method_used": "highest_utilization"
}

Response samples

Content type
application/json