Create Coverage

POST {{baseUrl}}/api/v2/Coverage?patient=<integer>

Overview:

Adds new insurance coverage records to the system, facilitating the seamless integration of updated coverage information and supporting efficient billing procedures within healthcare applications.

Use Cases:

  • New Insurance Policy: Add new coverage policy

  • Health Information Exchange: Receive external coverage info

  • Member Enrollment Updates: Post eligibility changes

  • Clinical Trial Preauthorizations: Submit study charges for coverage

  • Gap Exception Requests: Request benefits exceptions

Request Params

KeyDatatypeRequiredDescription
patientstring(Required) The patient identifier associated with the coverage.

Request Body

{"data"=>{"resourceType"=>"<string>", "beneficiary"=>{"reference"=>"<string>", "id"=>"<string>"}, "status"=>"<string>", "identifier"=>[{"system"=>"<string>", "value"=>"<string>"}, {"system"=>"<string>", "value"=>"<string>"}], "policyHolder"=>{"display"=>"<string>", "reference"=>"<string>", "extension"=>[{"url"=>"<string>", "valueCode"=>"<string>", "valueString"=>"<string>", "valueDate"=>"<date>", "valueAddress"=>{"state"=>"<string>", "postalCode"=>"<string>", "country"=>"<string>", "line"=>["<string>", "<string>"]}, "valueHumanName"=>{"given"=>["<string>", "<string>"], "family"=>"<string>"}}, {"url"=>"<string>", "valueCode"=>"<string>", "valueString"=>"<string>", "valueDate"=>"<date>", "valueAddress"=>{"state"=>"<string>", "postalCode"=>"<string>", "country"=>"<string>", "line"=>["<string>", "<string>"]}, "valueHumanName"=>{"given"=>["<string>", "<string>"], "family"=>"<string>"}}]}, "period"=>{"start"=>"<dateTime>", "end"=>"<dateTime>"}, "relationship"=>{"id"=>"<integer>", "text"=>"<string>"}, "class"=>[{"type"=>{"text"=>"<string>"}, "name"=>"<string>", "value"=>"<string>"}, {"type"=>{"text"=>"<string>"}, "name"=>"<string>", "value"=>"<string>"}], "extension"=>[{"url"=>"<string>", "valueString"=>"<string>", "valueInteger"=>"<integer>", "valueDate"=>"<date>"}, {"url"=>"<string>", "valueString"=>"<string>", "valueInteger"=>"<integer>", "valueDate"=>"<date>"}], "type"=>{"coding"=>[{"system"=>"<string>", "display"=>"<string>"}, {"system"=>"<string>", "display"=>"<string>"}]}}}

HEADERS

KeyDatatypeRequiredDescription
x-source-idstring(Required) The source id provided for connecting to the data source
Content-Typestring
Authorizationstring

RESPONSES

status: OK

{&quot;context&quot;:{&quot;requestId&quot;:&quot;\u003cstring\u003e&quot;,&quot;source&quot;:&quot;\u003cstring\u003e&quot;,&quot;quorum&quot;:&quot;\u003cboolean\u003e&quot;,&quot;notify&quot;:&quot;\u003cboolean\u003e&quot;},&quot;data&quot;:{&quot;id&quot;:&quot;\u003cinteger\u003e&quot;,&quot;status&quot;:&quot;\u003cstring\u003e&quot;}}