Overview
Provided a valid request, this endpoint will dispatch a new real-time transaction request to our internal engine.
Coverage Discovery Integration
If you are enrolled in Coverage Discovery at the time of the request and the submission results in non-eligible coverage, the Coverage Discovery workflow will be started automatically. In this scenario, a "link" response header will contain reference(s) to executed coverage discovery task(s), e.g.:
</coverage-discovery/0716e3e8-87ee-11ee-b9d1-0242ac120002>; title="coverage discovery - Task 1"; rel="related", </coverage-discovery/0e565a58-87ee-11ee-b9d1-0242ac120002>; title="coverage discovery - Task 2"; rel="related"
With each reference, you can retrieve more information on the status of the record via the /coverage-discovery/{id} endpoint.
If conditions are not met, the link response header will not contain any /coverage-discovery references.
Callback Solution With Consolidated Real-Time Eligibility and Coverage Discovery Responses
If you are enrolled in our callback solution and wish to consolidate the Real-Time Eligibility (RTE) response with the Coverage Discovery response, you may opt into this capability.
When enabled, the abbreviated eligibility transaction will be included in the corresponding Coverage Discovery record.
⚠️ Note: This integrated response is only available via callback and only if your organization is enrolled in this capability.
Refer to the /coverage-discovery/{id} response examples for data model references.