GET
/
prior-authorization
/
{id}
curl --request GET \
  --url https://api.develophealth.io/prior-authorization/{id} \
  --header 'Authorization: Bearer <token>'
{
  "status": "success",
  "data": {
    "id": "pa_sdkfj3f",
    "object": "prior_authorization",
    "diagnoses": [
      {
        "code": "E66.9"
      }
    ],
    "evidence": [
      {
        "content": {
          "bmi_value": 32,
          "date_measured": "2023-11-10"
        },
        "date_created": "2023-11-10T10:15:00",
        "title": "BMI Chart"
      },
      {
        "content": {
          "medication_name": "Metformin",
          "response": "No significant weight loss"
        },
        "date_created": "2023-11-10T10:15:00",
        "title": "Previous Medication History"
      }
    ],
    "patient": {
      "address": {
        "street": "123 Health St.",
        "city": "Wellness",
        "state_province": "HS",
        "zip_postal_code": "12345",
        "country": "USA"
      },
      "date_of_birth": "1980-01-01",
      "email": "[email protected]",
      "first_name": "John",
      "last_name": "Doe",
      "gender": "male",
      "internal_id": "123456",
      "phone": "123-456-7890"
    },
    "insurance": [
      {
        "scanned_content": {
          "client_name": "Company",
          "group_number": "12345678",
          "member_name": "John Doe",
          "member_number": "12345678",
          "payer_name": "United",
          "plan_name": "Plus Plan",
          "rx_bin": "123456",
          "rx_group": "ADV",
          "rx_pcn": "FAC"
        },
        "url": "https://example.com/insurance_doc"
      },
      {
        "scanned_content": {
          "error": "Unable to extract information from card"
        },
        "url": "https://example.com/insurance_doc2"
      }
    ],
    "prescription": {
      "days_supply": 30,
      "quantity": 2,
      "directions": "Inject subcutaneously once a week",
      "drug_name": "Wegovy",
      "prescription_date": "2024-02-14T05:46:07.764000",
      "strength": "0.25 mg/0.5 mL (0.25 mg dose)",
      "dose_form": "injectable",
      "dispense_unit": "milliliter",
      "route_of_administration": "subcutaneous",
      "extra": {
        "prescribing_information": "Prescribed for weight management in patients with obesity"
      }
    },
    "provider": {
      "address": {
        "street": "456 Care Blvd.",
        "city": "Healtown",
        "state_province": "HC",
        "zip_postal_code": "67890",
        "country": "USA"
      },
      "fax": "987-654-3211",
      "first_name": "Alice",
      "last_name": "Smith",
      "npi": "1234567890",
      "phone": "987-654-3210"
    },
    "pharmacy": {
      "name": "Walgreens",
      "address": {
        "street": "789 Pharmacy Ave.",
        "city": "Medtown",
        "state_province": "MD",
        "zip_postal_code": "12345",
        "country": "USA"
      }
    },
    "questionnaires": [
      {
        "questions": [
          {
            "answer": "I usually eat a balanced diet and exercise 3 times a week.",
            "question": "Please describe your current diet and exercise routine."
          },
          {
            "answer": "Yes, I have tried metformin without significant results.",
            "question": "Have you previously tried other weight loss medications?"
          }
        ],
        "created_at": "2023-11-01T08:00:00"
      }
    ],
    "visit_notes": [
      {
        "content": "Patient presents with a BMI of 32, indicating obesity. Recommended to start Wegovy for weight management.",
        "created_at": "2023-11-10T10:00:00"
      }
    ],
    "outcome": {
      "status": "Approved",
      "description": "The prior authorization has been approved.",
      "authorization_expiration": "2025-02-14T05:46:07.764000"
    },
    "submission": {
      "form_name": "Wegovy Prior Authorization Form",
      "url": "https://platform.develophealth.io/prior-authorizations/pa_FEJ3re"
    }
  }
}

Authorizations

Authorization
string
headerrequired

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

Path Parameters

id
string
required

Response

200 - application/json
status
Available options:
success
error
object
data
object

An instance of GetPriorAuthResponseData containing detailed information about the prior auth, or None if no such data is available.