Getting Started

Overview

The Prior Authorization Inquiry API allows providers to check authorization statuses directly from payers in real-time by connecting EDI, web portal payers, and UM vendors for efficient authorization inquiries. This API is designed to streamline the process of obtaining prior authorizations, which can often be a cumbersome and time-consuming task. By integrating with various payers and vendors, it ensures access to the most up-to-date information regarding authorization statuses, allowing for quicker decision-making and improved patient care.

Additionally, the Prior Authorization Inquiry API supports high levels of customization, providing for adaptability of requests and responses to meet specific requirements. This flexibility can help providers manage workflows more effectively and reduce administrative burdens, leading to enhanced operational efficiency.

Key Features

• Real-time authorization status checks
• Support for multiple payer connections
• Integration with EDI and web portal payers
• Compatibility with UM vendors
• Request and response in JSON or EDI-X12 format

Using the API

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