July 5th 2024

Prior Authorization

  • Added a mock_result property to allow for the submission of a mock result for testing purposes.
  • Added insurance_content to the request body to allow for the submission of discrete insurance details.

Benefit Verification

  • Added insurance_content to the request body to allow for the submission of discrete insurance details.

June 13th 2024

Prior Authorization

Updates to the “Retrieve Prior Authorization” response

  • Only include data.outcome.authorization_expiration for “Approval” result
  • Add descriptions for data.outcome.result

May 14th 2024

Prior Authorization

Updates to the “Retrieve Prior Authorization” response

  • Group data.outcome responses to show corresponding result, detail, and detail_code values.
  • List and describe possible values for data.outcome.detail_code.

May 13th 2024

Prior Authorization

Updates to the “Retrieve Prior Authorization” response

  • Updated possible values for the data.outcome.result field.
  • Removed the data.submission field.
  • Standardized naming of the date_created field in Evidence, Questionnaire, and Visit Notes.

May 11th 2024

Benefit Verification

  • Removed the partially_completed status. We realized this was unnecessary and confusing. Now there is just pending, completed, and failed statuses.

Prior Authorization

  • Updated the top level statuses
  • Renamed outcome.status to outcome.result ensure it’s not mixed up with the top level status

Feb 29th 2024

  • Updated quickstart page to more accurately reflect current API endpoints.

Prior Authorization

  • Updated prior authorization endpoint title from “Submit” to “Autofill”
  • Removed coming soon from prior authorization endpoints
  • Removed the option to send diagnosis description in the prior authorization request. For now we’ll just accept the diagnosis code.

Benefit Verification

  • Marked gender as required in the benefit verification endpoint documentation to match existing functionality of the API.
  • Removed ‘coming soon’ from the insurance scanned content object. This is now live.

Feb 25th 2024

Benefit Verification

The following changes were made in the benefit verification endpoint:

  • Added ‘call_fallback’ as a possible option for verification_method type
  • Marked transcript and recording_url as nullable
  • Marked street_line_2 as nullable in the patient and provider address objects

Feb 21st 2024

Benefit Verification

  • The “Benefit Verification Updated” webhook payload now includes the full Benefit Verification object.

Feb 13th 2024

Benefit Verification Endpoint Updates

  • Added structured copay information
  • Added details of the upcoming insurance scanned_result object to the insurance body. This will start being returned soon.

Prior Authorization Endpoint Updates

We made various updates to the prior authorization endpoint to match the benefit verification endpoint and make it production ready. You’ll soon be able to submit requests to it. In the meantime the spec as it now stands in the docs is accurate and will be supported.

  • Moved insurance property from nested under patient to the top level to match the benefit verification endpoint. The structure has been updated to match the benefit verification endpoint.
  • Added optional pharmacy property
  • Updated prescription property
    • added required quantity property
    • made directions property required
    • added required strength property
    • added required dose_form property
    • added required dispense_unit property
    • added required route_of_administration property
  • Added outcome and submission objects into the prior authorization response. These will also be made available via the webhook. These objects include details such as the prior authorization status, and a url to open the prior auth in the submission platform.
  • Pushed support for arbitrary evidence files (PDFs, images, etc) to a future update. Currently we will support JSON formatted data, which can be unstructured text.

May 17th 2024

Prior Authorization

  • Added an optional is_training_data field to the CreatePriorAuthRequest object to indicate whether the request is for training purposes.
    • If is_training_data is set to true, the request will not be processed.
    • If is_training_data is set to false or omitted, the request will be processed as normal.

Misc

  • Updated the following fields to enforce non-empty strings:
    • first_name in Patient and PatientInfo
    • last_name in Patient and PatientInfo
    • internal_id in Patient
    • first_name in Provider and ProviderInfo
    • last_name in Provider and ProviderInfo
    • npi in Provider and ProviderInfo
  • Updated the following fields to be nullable:
    • phone in PatientInfo
    • phone in Provider and ProviderInfo

July 3rd 2024

Benefit Verification

  • Added a new optional drug_history field to the CreateBenefitVerificationRequest object to allow for the submission of a patient’s drug history.
  • Added a new optional insurance_content field to the CreateBenefitVerificationRequest object to allow for the submission of insurance details.
    • This field should be used if no insurance card image can be provided in insurance.

July 5th 2024

Misc

  • Added a new not_specified option to the Gender enum.
    • This option should be used when the patient’s gender has not been provided.

July 15th 2024

Benefit Verifications

  • Added new error codes for Benefit Verifications
    • Insurance Unable to Provide Information
    • Unable to Gather Benefits
    • Insurance Card OCR Failure
      • This error code replaces Insurance Card Member ID OCR Failure and covers a broader range of OCR failures.