Product Overview

Prior Authorization Inquiry API is a public API that accepts prior authorization inquiry requests in the standard form of EDI-X12 278X215 payloads, formatted in JSON for HTTP request, and returns EDI-X12 payer response to the consumer. Our API makes prior authorization inquiry more accessible to developers and allows providers systems to expand their functionality while efficiently returns the payer status accurately.

Getting Started

See the Security section on the developer portal to learn more about securely using our APIs. Most of our APIs are private and require credentials to gain access.

Release NotesFAQ
View the API Release Notes for information about the API.Check out our FAQ for help with specific questions about this API.

Sandbox Test Responses

In the sandbox, you can test your integration with a number of canned responses. For more information, see Sandbox Test Responses