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CreatePendingAuthorizationRequest

Payload used to start a pre-authorization request for one or more products.

beneficiary_idinteger<int64>required

Beneficiary identifier. Long integer returned by the beneficiary search.

beneficiary_emailstring

Beneficiary email address. Used for notification of authorization outcomes.

Possible values: Value must match regular expression [a-zA-Z0-9!#$%&'*+/=?^_{|}~-]+(?:.[a-zA-Z0-9!#$%&'*+/=?^_{|}~-]+)*@(?:[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?\.)+[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?

beneficiary_phone_numberstring

Beneficiary phone number, in international format.

sponsor_slugstringrequired

Sponsor slug. Lowercase alphanumeric identifier.

doctor_medical_license_numberstring

Prescribing doctor's medical license number.

doctor_country_codestring

ISO 3166-1 alpha-2 code of the country that issued the doctor's license.

doctor_specialty_namestring

Prescribing doctor's medical specialty.

doctor_namestring

Prescribing doctor's full name.

provider_notification_emailstring

Email address that will receive authorization notifications for this request.

diagnoses object[]

Diagnoses associated with the request.

  • Array [
  • coding_systemstringrequired

    Coding system used for the diagnosis (for example, ICD-10).

    codestringrequired

    Diagnosis code within the coding system.

    typestring

    Diagnosis type. One of CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS.

  • ]
  • treatments object[]

    Treatments prescribed as part of the request.

  • Array [
  • brandstring

    Commercial or generic drug name.

    drug_form_slugstringrequired

    Drug presentation slug (for example, 'tablet', 'capsule').

    dosage_measurement_unit_slugstringrequired

    Unit of measure slug for the dosage.

    treatment_duration_daysinteger<int32>required

    Total treatment duration in days.

    product_idsinteger<int64>[]

    Catalog product identifiers for equivalent products.

    compositionstring
    product_idinteger<int64>
    quantityinteger<int32>
    additional_notesstring
    file_pathstring
    number_of_refillsinteger<int32>
    refill_numberinteger<int32>
    refill_form_datestring<date>
    treatment_indicationsstring[]
    frequencies object[]required

    Administration frequencies.

  • Array [
  • single_dosebooleanrequired

    True when the treatment is administered as a single dose.

    frequency_in_hoursinteger<int32>

    Number of hours between successive doses.

    frequency_in_hour_slugstring
    frequency_by_day_timestring

    Time of day for insulin administration. One of MORNING, AFTERNOON, EVENING.

    specific_administration_time object
    hourinteger<int32>
    minuteinteger<int32>
    secondinteger<int32>
    nanointeger<int32>
    dosagenumber

    Amount administered per dose.

    dosage_rightnumber

    Dosage to apply to the right side (for eye, ear, or nasal drops).

    dosage_leftnumber

    Dosage to apply to the left side (for eye, ear, or nasal drops).

  • ]
  • compositions object[]
  • Array [
  • ingredient_idinteger<int64>required
    composition_measurement_unit_slugstringrequired
    quantitynumberrequired
  • ]
  • ]
  • products object[]

    Additional products (labs, imaging, procedures) prescribed as part of the request.

  • Array [
  • provider_product_codestring

    Provider-side SKU for the product.

    product_idinteger<int64>

    OSIGU catalog product identifier.

    sponsor_product_idstring
    product_type_slugstringrequired
    quantityinteger<int32>required

    Requested quantity.

  • ]
  • provider_slugsstring[]

    Providers allowed to redeem authorizations generated by this request.

    provider_slugstring

    Provider that submitted the request.

    sponsor_authorization_codes object[]

    Authorization codes previously issued by the sponsor for this request, when applicable.

  • Array [
  • codestringrequired

    Authorization code as issued by the sponsor.

    coverage_typestring
    product_type_slugstring
    coverage_type_enumstring

    Insurance coverage type.

    • OUTPATIENT_CARE: ambulatory medical care.
    • PRESCRIPTION_DRUGS: pharmacy drug coverage.
    • DIAGNOSTIC_TESTS: imaging and diagnostic studies.
    • EDUCATION, SPORTS, WELLNESS: non-medical benefits.
    • CREDIT_CARD_BALANCE, PERMANENT_DISABILITY, UNEMPLOYMENT, FUNERAL_ASSISTANCE, PPI, TEMPORARY_DISABILITY: non-medical insurance benefits handled through OSIGU.
    • MEDICAL_PROCEDURES: stand-alone medical procedures.
    • SECOND_ASSESSMENT: second-opinion consultations.
    • CANCER_DIAGNOSIS, DAILY_HOSPITALIZATION_INCOME, ACCIDENT_MEDICAL_REIMBURSEMENT, DIABETES_ACCIDENTAL_DEATH, DIABETES, CELL_PROTECTION, CASH_ROBBERY: specialized coverage lines.
    • HOSPITAL_CARE, HOSPITALIZATION: inpatient care coverage.

    Possible values: [OUTPATIENT_CARE, PRESCRIPTION_DRUGS, DIAGNOSTIC_TESTS, EDUCATION, SPORTS, WELLNESS, CREDIT_CARD_BALANCE, PERMANENT_DISABILITY, UNEMPLOYMENT, FUNERAL_ASSISTANCE, PPI, TEMPORARY_DISABILITY, MEDICAL_PROCEDURES, SECOND_ASSESSMENT, CANCER_DIAGNOSIS, DAILY_HOSPITALIZATION_INCOME, ACCIDENT_MEDICAL_REIMBURSEMENT, DIABETES_ACCIDENTAL_DEATH, DIABETES, CELL_PROTECTION, CASH_ROBBERY, HOSPITAL_CARE, HOSPITALIZATION]

    product_type_slug_enumstring

    Kind of product covered by an authorization line.

    • DRUG: pharmacy medication.
    • LABORATORY: laboratory test.
    • DIAGNOSTIC_TEST: imaging or other diagnostic study.
    • MEDICAL_PROCEDURE: in-clinic medical procedure.

    Possible values: [DRUG, LABORATORY, DIAGNOSTIC_TEST, MEDICAL_PROCEDURE]

  • ]
  • biometric_reading_idstring<uuid>

    Identifier of a previously accepted biometric reading, when required.

    illness_onsetstring<date-time>

    Reported date of illness onset. ISO 8601 date-time.

    provider_emailstring

    Provider email address for correspondence about this request.

    Possible values: Value must match regular expression [a-zA-Z0-9!#$%&'*+/=?^_{|}~-]+(?:.[a-zA-Z0-9!#$%&'*+/=?^_{|}~-]+)*@(?:[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?\.)+[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?

    provider_phone_numberstring

    Provider phone number for correspondence about this request.

    risk_managerboolean

    True when the request is submitted by a sponsor risk-manager user rather than a clinical user.