POST
/
clinical-eligibility
curl --request POST \
  --url https://api.develophealth.io/clinical-eligibility \
  --header 'Authorization: Bearer <token>' \
  --header 'Content-Type: application/json' \
  --data '{
  "patient": {
    "internal_id": "<string>",
    "first_name": "<string>",
    "last_name": "<string>",
    "gender": "male",
    "date_of_birth": "2023-12-25",
    "address": {
      "street": "<string>",
      "street_line_2": "<string>",
      "city": "<string>",
      "state_province": "<string>",
      "zip_postal_code": "<string>",
      "country": "<string>"
    },
    "email": "[email protected]",
    "phone": "<string>",
    "insurance": [
      {
        "file_content": "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"
      },
      {
        "file_content": "iVBORw0KGgoAAAANSUhEUgAAAUAAAADICAYAAACZBDirAAAB+klEQVR42u3UQQEAAAQEMPpnlOW8ZbCFWKcmBfBQCxAQIIAAAQQIIEAAAQIIEECAAAIEECCAAAEECCBAAAECCBBAgAACBBAggAABBAggQAABAggQQIAAAgQQIIAAAQQIIEBAgAIEBAggQAABAggQQIAAAgQQIIAAAQQIIEAAAQIIEECAAAIEECCAAAEECCBAAAECCBBAgAACBBAggAABBAggQAABAggQECCAAAEECCBAAAECCBBAgAACBBAggAABBAggQAABAggQQIAAAgQQIIAAAQQIIEAAAQIIEECAAAIEECCAAAEECCBAQIACBAQIIEAAAQIIEECAAAIEECCAAAEECCBAAAECCBBAgAACBBAggAABBAggQAABAggQQIAAAgQQIIAAAQQIIEAAAQIIEBCgAAEBAggQQIAAAgQQIIAAAQQIIEAAAQIIEECAAAIEECCAAAEECCBAAAECCBBAgAACBBAggAABBAggQAABAggQQIAAAgQECCBAAAECCBBAgAACBBAggAABBAggQAABAggQQIAAAgQQIIAAAQQIIEAAAQIIEECAAAIEECCAAAEECCBAAAECCBAQoAABAQIIEECAAAIEECCAAAEECCBAAAECCBBAgAACBBAggAABBAggQAABAggQQIAAAgQQIIAAAQQIIEAAAQIIEOBahvE7/1QbgfAAAAAASUVORK5CYII="
      }
    ]
  },
  "drugs": [
    {
      "name": "Wegovy",
      "dosage": "0.25 mg/0.5 mL",
      "quantity": 1
    }
  ],
  "diagnoses": [
    {
      "description": "<string>",
      "code": "E66.9"
    }
  ],
  "questionnaires": [
    {
      "questions": [
        {
          "question": "<string>",
          "answer": "<string>",
          "choices": [
            "<string>"
          ]
        }
      ],
      "created_at": "2023-11-07T05:31:56Z"
    }
  ],
  "visit_notes": [
    {
      "content": "<string>",
      "created_at": "2023-11-07T05:31:56Z"
    }
  ],
  "evidence": [
    {
      "date_created": "2023-11-07T05:31:56Z",
      "title": "<string>",
      "content": {},
      "asset": {
        "fileType": "<string>",
        "fileContent": "<string>"
      }
    }
  ]
}'
{
  "clinical_elgibility_id": "ce_123456789"
}

Checks if a patient is eligibile for multiple drugs based on their insurance plan and clinical records.

Results delivered via webhook and also accesible through GET. Documentation on response structure coming soon.

Learn more about clinical eligibility

Authorizations

Authorization
string
headerrequired

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Body

application/json
patient
object
required

Demographic and insurance information for the patient

drugs
object[]
required

Array of medications for which to perform the clinical eligibility check.

diagnoses
object[]
required

Clinical diagnoses for the patient. You can either provide the ICD-10 code or a description of the diagnosis. If you provide both, the code will be used.

questionnaires
object[]

Any questionnaires filled out regarding the patient. Useful for any information that is in a question + answer format.

visit_notes
object[]

Any text formatted visit notes for the patient.

evidence
object[]

A collection of evidence items supporting the authorization request. Any other supporting evidence that doesn't fit into one of the explicitly declared fields above can be added here. Each piece of evidence can be provided as either a JSON object (Option 1) or a file asset (Option 2).

Response

201 - application/json
clinical_elgibility_id
string